Accounts Receivable Specialist

• Jun 2022 - Present

Recruiter

• Jun 2020 - Oct 2023

Student - Online school

• Apr 2020 - Oct 2023

Training and Auditing Manager

• Mar 2016 - Jun 2016

Trained CBO staff on the Practice Management system that was currently in use, gave instruction for billing toxicology lab charges to ensure compliance. Created training manuals, testing materials and auditing tools in order to track and measure accuracy and productivity. Performed periodic testing to ensure training was effective and retained by all employees. Worked closely with Department Managers to ensure staff performance was satisfactory, trained lab personnel in conjunction with CBO team to ensure all processes followed in the same manner. Served on the RCS Executive Committee and participated in all decisions affecting company finances and impact on staffing. Consulted regularly with medical directors and executive staff with status of projects, problems and answered relevant questions. Created new processes for the team to streamline workflow, resulting in better productivity and efficiency. Show less

Billing Operations Manager

• Aug 2012 - Mar 2016

Manage all aspects of Infusion Center to include clinical/non-clinical staffing, patient scheduling, financial counseling, billing coordinators, insurance verification. Review daily clinical charge captures to ensure proper billing of all infusions/administration codes, resolve escalated patient complaints, create and manage workflows related to process improvement, investigate claim denials and monitor financials. Assist with budgeting, salaries, performance evaluations, hiring/firing personnel. Create and monitor new workflows to enhance performance of clinic. Show less

Healthcare Consultant

• Nov 2014 - Jan 2016

Provide consulting and training to overseas team for the Baylor Transplant Services account (HealthTexas Provider Network/Baylor Healthcare System). on a part-time basis. Create and manage workflows, documentation, correspondence and other RCM related duties. Create and update policies and procedures; provide consulting services to customer service team. Liaison to Client and Managing Partners. Provide consulting and training to overseas team for the Baylor Transplant Services account (HealthTexas Provider Network/Baylor Healthcare System). on a part-time basis. Create and manage workflows, documentation, correspondence and other RCM related duties. Create and update policies and procedures; provide consulting services to customer service team. Liaison to Client and Managing Partners.

Manager, Specialty Clinics/Transplant Svcs (HealthTexas Provider Network/Baylor Healthcare System)

• Mar 2002 - Aug 2012

Manage the billing and collections of 50+ Baylor Specialty physician practices in the Dallas/Fort Worth area, which equate to total revenue of $175M. Practices encompass multiple specialties, including solid organ transplants performed at Baylor University Medical Center and Baylor All Saints Medical Center, which consists of more than 2,000 ancillary providers. Possess extensive knowledge of managed care contracts and governmental payer guidelines to facilitate increased revenue. High-level interaction with client and physician groups required at all times to ensure all processes are followed as indicated in company contract. Highlighted Responsibilities include: Supervision of daily operations, perform monthly and year-end financial reports, direct workflow, monitor trends, audit accounts and employee productivity, report findings and discuss in monthly Dashboard meetings that include Client and Executive Management, oversee the preparation of daily cash deposit and distribution of refunds. Key liaison between workforce, bank and accountant, resolve escalated customer service and/or client issues, provide training to new employees and cross-training/continuing education to current team members, emphasize the importance of teamwork and set goals for staff, monitor employee performance, making recommendations for skill development, additional responsibility, promotion, or dismissal. Specialties include: Solid Organ Transplantation of Liver, Kidney, Pancreas, Heart, Lung, Islet Cell and combinations of each (includes living and cadaveric donor organ billing), Radio-frequency Thermal Ablation, Liver Resection and Cyber-knife procedures, Cardiovascular Disease, Cardiac Electrophysiology, Thoracic Surgery, Interventional Cardiology, Physiatric Medicine, Endocrinology, Rheumatology, Surgery, Inpatient Care, Obstetrics & Gynecology, Occupational Health, Gastroenterology, Dermatology, Wound Care, Orthopedics, Ventricular Assist Device Implantation Show less

Patient Account Representative

• Oct 2001 - Oct 2002

Maintained collections and ensured timely and accurate billing for multiple hemodialysis facilities within Louisiana’s Southeast Region, and for Ennis/Corsicana/Dallas area for the North Texas Region to include EMC, paper, secondary, rebilling to Medicare, Medicaid and all commercial carriers for both areas. Duties were time sensitive and required teamwork from all parties within organization in order to accomplish month-end deadlines. Highlighted Responsibilities: Keyed acute charges and administration fees and performed Spectra Lab reconciliation each month; Deleted/voided current month corrections, reviewed pre-bills and UB-92’s prior to submission to third party payers; Made appropriate corrections and/or appealed claims online for Medicare and Medicaid; Prepared and submitted patient statements, printed daily demographic reports, and processed charge interfaces in a timely manner. Show less

Office Manager / Staffing Supervisor

• Jan 1995 - May 1998

•Coordinated daily operations and handled office tasks such as correspondence, committee minutes, file management and database administration. •Provided support and training to secretarial staff and new associates in office orientation, filing procedures, computer applications, staffing, payroll, and data entry. •Processed payroll for 150 field employees. •Conducted orientation to new field employees. Maintained personnel files in both Private and Medicare Divisions to ensure compliance with JCAHO, HRS and Medicare guidelines. Assisted company in receiving positive audit results. •Resolved patient complaints regarding field employees in a calm, professional manner. •Served as a calming influence in a fast-paced office. •Managed/evaluated employee performance to include disciplinary action as required. Show less