Revenue Cycle Manager

• Jan 2023 - Present

Billing Manager

• Aug 2022 - Present

Non-Medicare Billing Supervisor

• Feb 2020 - Aug 2022

• Supervisor for up to 40 associates. • Interim Manager for Non-Medicare team. • Root caused and refiled RI Medicaid Occurrence Date Denials amounting to over $400,000.00 in overturned denials. • Led vendor assessment and creation of a remote correspondence policy and procedure. • Created numerous policy, procedure, and job aids for the Non-Medicare billing department. • Monthly bonus calculations for associates. • Monthly review of productivity and goals to determine an associate’s bonus qualification. • Unbilled report and Meetings bi-weekly. • Review and QA of associates on corrective actions. • Consistent billing and collections of over 95%. • Onboarding and training of new associates. • Creation of note templates for account noting. • Led numerous projects to increase AR. • Led bi-weekly meetings. • Working write-offs to stay within 2 weeks. • Cultivated relationships with team building events and community engagement projects. Show less

Office Coordinator

• Jun 2019 - Feb 2020

• Monitoring AR and AP. • Setting up of workbooks and SQL reports. • Reconciled bank statements. • Payroll for staff. • Scheduling of staff. • Established policy and procedures for associates. • Monitoring AR and AP. • Setting up of workbooks and SQL reports. • Reconciled bank statements. • Payroll for staff. • Scheduling of staff. • Established policy and procedures for associates.

Cash Services Specialist II

• Dec 2015 - Jun 2019

• Creating and implementing a paperless system saving the company money and enabling the department to work remotely. • Posting of all insurance and self-pay payments for 3 hospitals daily. • Posting of all adjustments to patient accounts for 3 hospitals daily. • General ledger balancing. • Met productivity rates of 150% average daily. • Created job aids to help in training new associates. • Established cross-functional partnerships to collaboratively advance key operational objectives. Show less

Benefits Verification Specialist

• Nov 2013 - Dec 2015

Verifies all insurance benefits, for inpatient, outpatient, observation, surgical procedures, scheduled procedures and other high dollar procedures to determine if insurance coverage meets the standards of admission. Prioritizes daily work flow appropriately and completes assigned HSV and payors timely and in advance of scheduled services. Maintained 1-2 week verifications. Correct note format is followed. ie. 16 point verification process. Utilizes proper scripting when verifying benefits via telephone. Exceeds insurance verification productivity with averages of 50-60/8hr shift. Achieved and maintained QA accuracy of 98% or greater. Utilizes policies, bulletins, websites, and other means to reduce denials, and medical necessity issues. Calculate estimated patient cost share based on contract guidelines. Show less

Office Assistant

• Apr 2010 - Nov 2013

Involved in numerous projects including obtaining and implementing a budget-friendly Electronic Health Records System (EHR). Management of daily operations including records management, HIPAA standards, system implementation and training resources. Served as liaison between Doctor, patients, and insurance companies Assisted in creation of test scripts used during vendor evaluation and selection Worked with IT and Business to incorporate all needed system/application requirements Assisted in Marketing plans Performed insurance verification, coding and billing on accounts Maintained patient relations Performed Account Receivable/Account Payable Transactions and reports Show less

Office Administrator

• Jun 2005 - Apr 2010

Offered support for front and back office staff. Created and maintained patient database. Updated and maintained official webpage. Assisted vendor in creation of standards and process for assignment of system access allowing for auditing requirements. Created Project/Application Support Guides Created and tested training policies and manuals Created Relationships with Team Building Events Offered support for front and back office staff. Created and maintained patient database. Updated and maintained official webpage. Assisted vendor in creation of standards and process for assignment of system access allowing for auditing requirements. Created Project/Application Support Guides Created and tested training policies and manuals Created Relationships with Team Building Events

Patient Services Representative

• Jun 2006 - Jun 2007

Responsible for all aspects of administrative patient contact. Cross trained to perform job duties in area as needed. Scheduled, tracked meeting minutes and tracked outstanding tasks. Handled HR and support questions from employees. Ability to set goals with team and track meeting those goals. Served as Supervisor of Associates Managed multiple projects simultaneously while meeting required deadlines Developed Training Documentation included procedures and guidelines for users to follow. Creation of Patient Statement Guides Documented Step by Step Processes between Vendor Applications Created of Current Process vs. New Process Requirements Conducted On Site Training with new employees Performed collections analysis Maintained 98% collections rate Use and training of EHR Maintained HIPAA standards Budget Monitoring Show less

Service Supervisor/Loan Operations Specialist

• Nov 1999 - Feb 2003

Developed and conducted training for new system rollout. SilverLake System implementation conducted branch training. Created training, reference documentation and test case scenarios for needed for users. Platform Support (Internal and External Users) Communication of Functionality Impacts and Adhered to Change Control Process Performed Release Testing Performed GL Balancing Tracking and Coordination Branch balancing and audits Auditing and Compliance training and implementation Served as UAT Tester for new system rollout Provided updates to team on regulations and application changes Performed follow up with project team and outside vendors Managed 14 associates Show less