Experience

BLOOMINGTON MEDICAL SERVICES, LLC
• United States
• 1 - 100 Employee
• Revenue Cycle Analyst

  • Nov 2018 - Present

University Hospitals
• United States
• Hospitals and Health Care
• 700 & Above Employee
• Senior Revenue Integrity Analyst

  • Jul 2018 - Nov 2018

TEAM HEALTH LLP
• United Kingdom
• 1 - 100 Employee
• Denials and Appeals Resolution Analyst

  • Sep 2017 - Jul 2018


Summa Health

• United States
• Hospitals and Health Care
• 700 & Above Employee

• Patient Financial Advocate

  • Feb 2017 - Sep 2017

  Assisting patients and/or families to access financial resources such as assistance through state, county,federal programs and local foundations. Assisting patients and/or families to access financial resources such as assistance through state, county,federal programs and local foundations.



Wooster Community Hospital

• United States
• Hospitals and Health Care
• 1 - 100 Employee

• Denial/Chargemaster Coordinator

  • Sep 1986 - Jan 2017

  Coordinate and process all RAC audits and denials, Medicare, Medicare Advantage and Commercial Inpatient Medical Necessity audits and denials, Coordinate and process Outpatient audits and denials, Assist billers with appeals, claim edits and denials. Track denial trends and report findings to Revenue Cycle Director and CFO. Maintain and process changes to the Charge Master, Coordinate and participate in Charge Master Audits. Assist managers of patient care areas with CPT and CMS updates that effect their departments revenue. Train new hire Billers, Attend biweekly biller meeting to answer billing questions. Daily submission of claims for all payers via Xpeditor, Acknowledge and track claim error trends, Liaison between PFS and other department managers regarding claim and charging issues, Liaison between Wooster Hospital and our claim scrubbing vender Quadax, Monitor claim inventory In Xpeditor and report it to Revenue Cycle Director, Create Xpeditor Xpress Biller claim edits when needed, Request Quadax Custom Claim Converts. Chairman of Revenue Cycle Steering Committee. Show less