Experience

AdvancedMD

• United States
• Software Development
• 500 - 600 Employee

• RCM Operations Supervisor

  • Jul 2017 - Present

• Team Lead Coordinator

  • Jun 2015 - Jul 2017

  • Assist and motivate the Claim Resolution Service Team to work the denial and find resolution• Oversees the daily worklists for the team • Assist with new clients and move them over to RCM in the system• Assist in client facing and managing escalations • Responsible for training and developing of new employees • Communicate with other organization, ensure consistent client service levels are met• Work closely with operation management to identify areas of improvement or trends• Participated in Kaizen Events/ Committees to develop and document processes and workflows Show less

• Reimbursement Specialist IV

  • Jul 2014 - Jun 2015

  • Follow up on Denied Claims as identified through carrier denials and find resolution• Identify any issues with payers for possible trends or difficulties in presenting clean claims • Communicate with client and assure client satisfaction• Track A/R progress of client accounts



Abeo

• Assistant Client Manager

  • Nov 2003 - Mar 2014

  •Responsible for Quality Assurance of employees’ production. Complete required quarterly audits and review outcomes with each team member. Focus is made on providing education and training that results in development and future success for the employee. •Participate in Quality Improvement Committee meetings for large medic al group. Report any QI issues to committee members and provide feedback to physicians where areas need to be improved. •Gather outcomes for reporting PQRS (Physician Quality Reporting System) and AQI (Anesthesia Quality Institute) measures. Provide reporting and data analysis that shows where improvements need to be made. •First point of contact for physicians regarding any billing and/or payroll questions or concerns. Responsible for tracking monthly QA reports required to be completed by each physician. Report any delinquent reports to the Corporate Finance Committee •Produce and analyze all monthly revenue cycle management reports and participate in the month Corporate Finance Committee meetings. •Meet client’s revenue and budget goals on a monthly basis while maintaining superior quality of our work. •Travel as required for my job Show less