Patient Access II

• Aug 2020 - Present

Business Office Manager

• Sep 2018 - Present

· Supervise and organize the daily processes for team members to ensure claims are being worked timely and efficiently. · Supervise and monitor the work of all direct reports to ensure effective and efficient departmental functions as directed by the leadership.· Monitor and review financial reports, A/R reports, Bad Debt reports and Charity reports.· Monitor claims billed on a daily basis. · Collaborate efforts with Director of RCM to develop and implement training manuals, PSPs and Quick Reference Guides.· Prepare all financial reports and spreadsheets for the closing of the month. · Analyze charges against clinical documentation in Paragon to assure appropriateness for billing. · Prepare all required paperwork and information for all audits assigned. · Generate and analyze ChangeHealthcare billing exception reports on a daily/weekly basis.· Assist billing team with billing questions.· Report and escalate ChangeHealthcare and Payer related rejection trends to the CBO staff and leadership team.· Monitor staff performance (Productivity/Quality Assurance). · Collaborate efforts with staff to develop and implement best practices and ensure all claims are being billed in a timely manner. · Provide feedback as needed to appropriate staff members to improve daily operational processes. · Train team members on assigned tasks and conduct reviews to ensure processes are being followed and understood. Give additional feedback if necessary.· Host and participate in staff/management meetings.· Adhere to HIPAA compliance and payer guidelines for claims submissions.· Monitor financial objectives in collaboration with the Director of RCM.· Assist RCM Director and CFO with implementing new technologies that expedite receivables and enhance workflow. · Interview and train new hires and assist staff with professional development.· Review and Approve staff time-off request Show less

Collections Specialist

• Feb 2017 - Present

Responsible for collecting the maximum amount of overdue funds from insurance payers. Working the aging reports and appealing accounts when needed. Also, billing and submitting unbilled claims to the insurance payers.

Medical Biller

• May 2016 - Jan 2017