Account Executive

• Sep 2020 - Present

Development of client relationships. Conducting communication and reviewing accounts on a regular basis to evaluate clients needs to match with appropriate products and/or services. Training clients on reading hauler or RS invoices, RS portal for yearly budgeting and identifying savings (i.e. Contractual and Baseline)Working closely with clients/haulers on past due balances, issues, resolutions, overcharges, and short pays. Offer annual rate increase and change of service level. Contract renewal/negotiation. Managing account reconciliation to avoid client hold/service interruption. Rectifying self-inflicted issues and strategizing for success. Drive change from a team member perspective with regard to the implementation of automated systems and the streaming of existing processes. Assist other AE's as required in their absence. Show less

Billing Analyst

• Feb 2020 - Aug 2020

Worked independently with little supervision by being an effective team member. Communicated with haulers to audit invoices, identified and analyzed issues with financial operations and solved clients concerns in a timely and effective manner. Balance between maintaining relationships and timely processing of daily exceptions is imperative by supporting members of the billing team on the month/annual end closing. ● Utilized daily match and kill process to identify exceptions requiring further handling. ● Audited all invoices for compliance with fully executed contracts and templates. Made corrections as appropriate to ensure accurate billing followed the standard operating procedures (SOP) prior to being dispatched to ProKarma for completion. ● Researched and processed exceptions to appropriately settle exception adjustments to clients and haulers.● Calculated figures such as proration, tax percentages and credits. ● Informed Data Assurance Team (DA) to enter all pertinent information into ProRefuse database, for daily exceptions to be resolved.● Collaborated with Account Executives (AE's) by creating cases in Salesforce, or email to inform their clients concerning past due balances to avoid credit holds and stop service.● Reviewed and ensured all credit approvals are obtained on the hauler pending credit (HPC) report. ● Completed weekly HPC report by requesting credits from haulers due to variances on invoices that had caused a service interruption. ● Draft executive correspondence regarding account discrepancies, collections. ● Verified calculation by using the per yardage formula on service increase/decrease approvals for customer service. ● Ensured all documents are provided and compliant in order to bill customers and process for payment.● Maintained open communications between internal and external customers.● Assisted other team members and perform other tasks within the department as required by management. Show less

Senior Credit Analyst

• Nov 2018 - Sep 2019

Directed credit application email box, CPDB. Managed various CPDB accounts, while making recommendations to management for approval or denial. Sent credit acceptance/denial letters. Oversaw franchise credit applications, procurement vendors’ credit applications, and credit reference requests. Reviewed PFC agency communications. Aided with training colleagues and creation of SOP process documentation. Supervised settlement requests, speaking with agency to ensure complete understanding of settlement offers. Discussed offers with manager and responded to the agency with acceptance, denial, or counter offer. Assisted with submission of any documentation requests and affidavits. Collaborated with RMI agency, obtaining master list of all active and closed accounts. Worked with CPDB, franchise clients, and internal customers (collections, cash, sales, and general accounting) to resolve billing questions or disputes. ● Worked with the sales team, ensuring CPDB customers were approved in a timely manner.● Utilized Excel and Oracle to process monthly invoices, including manuals for both CPDB and franchise clients (4,500invoices/$5,000,000).● Reconciled accounts, generated reports, and created adjustments in Oracle. ● Managed requests for documentation, pulled information, and sent out to agency on request.● Led PFC franchise/CPDB accounts monthly, 90 days after termination.● Maintained balances submitted, amounts collected, fees paid, and wrote off amountsWIN: Aided IT and operations with implementing ARC VersaPay project and processes resulting in faster processing of invoices, payments, and disputes. Show less

Billing Analyst Lead

• Apr 2018 - Nov 2018

Commercial Patient Account Representative

• Oct 2017 - Mar 2018

Follow up on all claims for Wilkes Regional Center, from billing through final resolution. Identified billing errors for correction and submitted claims to insurance carriers. Oversaw payment errors, low reimbursement, and denials. Reviewed Wilkes credit balances for possible refunds. Appealed underpayments and no pre-certifications and authorizations. ● Worked with third-party payers, ensuring timely recovery of outstanding delinquent accounts. ● Analyzed and discussed disputed patient accounts with senior management WIN: Implemented FinThrive (formerly known as MedAssets XClaim), increasing clean claim percentage from 6% to 90%. Show less

Billing and Collections Specialist

• Jul 2015 - Oct 2017

Managed laboratory operations for 15 clients in Texas and Oklahoma. Served as CBO system support expert. Monitored front-end billing issues and provided feedback to management (including VP and hospital admissions) and facilities regarding insurance verification and admission errors. Developed and maintained training modules for new hires and current employees. ● Reviewed unbilled reports and followed up with facilities and director in order to resolve for expedited billing and collections. ● Functioned in liaison capacity within the central business office and for external inquiries, such as audits, consulting engagements, and surveys. WIN: Oversaw policy rollout and implementation of newly created corporate policies for 15 corporate-owned facilities in order to facilitate process improvements and increased collaboration with clients Show less

Sr. AR Collections Specialist

• May 2014 - Jul 2015

Supervised accounts receivable. Researched and reconciled any discrepancies with payments received, batches posted, and bank balances. Collected on accounts by sending bill reminders and communicating with responsible parties via phone, email, or mail. Verified professional licensing, training, and certifications of medical staff to ensure healthcare professionals complied with all established regulations and guidelines. Maintained and updated all practitioner databases. Identified and evaluated trends, variances, and key issues in order to contribute constructive recommendations on outcomes. Coordinated marketing, public relations conferences, and training to promote product knowledge and awareness within the organization and prospective clientele. ● Investigated past due invoices and minimized number of unpaid accounts. ● Responsible for the implementation of external partnerships in an effort to reduce outstanding accounts receivable from collections and correspondence work items. ● Identified and reported accounts receivable trends to management and team members as applicable. ● Trained accounts receivable specialist on claims processing, data entry, and financial analysis of telehealth claims. ● Reviewed credentials files and ran reports for potential red flags. ● Assigned and allocated resources as required to ensure departmental metrics met. Show less

Commercial Collector/Validator

• May 2013 - May 2014

Oversaw third-party reimbursement and accounts receivable management while adhering to and anticipating changes in federal and state reimbursement regulations. Maintained credit balances, contractual adjustments, and vendor patient refunds. Completed vendor and patient payments within two to three days of receipt. Coordinated exchange if information with outside collection agencies and oversaw performance with respect to early out and bad debt recovery.Collaborated with directors' group and materials management as well as managed care and hospital administration on performance, practice, compliance, and denial issues. Aided in business strategy meetings in an effort to streamline current processes and provide ongoing assessments of progress. Show less

Refund Specialist

• Dec 2012 - May 2013

Supervised daily credit balance processes, such as approving refunds, reviewing variances, and managing/solving escalated issues.

eCCF Local Support

• Jul 2011 - Nov 2012

Receive/manage request through eCCF team email box Analyze and research information from third party affiliate, EscreenCommunication between internal and external sources for accuracy to avoid HIPPA violationsMultiple inbound/outbound calls researching pertinent information for account managers and clinical liaisons

Referral Coordinator

• Jun 2010 - Jul 2011

First point of escalation for all case related issues requiring guidance.Responsible for daily completion of assigned patient referrals, while meeting productivity. Reviewed, processed and supported Specialist referral requests by Concentra sites in the SoCal market. Obtained authorization from case managers for Specialist referrals and scheduled appointments accordingly.Provided all necessary information such as medical records, RX, etc. to payor.