Experience

Brotman Medical Center

• Hospitals and Health Care
• 100 - 200 Employee

• Collection

  • May 2012 - Present

  Hired by Alta Corp Rebilling Managed Care Accounts Collecting Managed Care Accounts Reviewing Aged Accounts Reviewing EOB and RA for Secondary Billing Creating Reports For Management Appeals For Additional Payments Training New Employee’s

• Medical Collection

  • 2011 - Present

• Collections

  • Sep 2011 - May 2012

  Contract with Staffing for Hire Billing Managed Care Accounts Collecting Managed Care Accounts Reviewing aged Accounts Reviewing EOB and RA for Secondary Billing Creating Reports for Management Appeals For Additional payments



AHMC Healthcare Garfield Medical Center

• Medicare Biller

  • Feb 2011 - Sep 2011

  Billing Medicare Claims Follow up and Collection for Medicare Using a Direct Data Entry to Medicare Reviewing Medicare RA’s preparing for Medi’cal and Commercial Crossover.



Smile Creator Dental Office

• Billing and Collection Manager

  • May 2010 - Feb 2011

  Setting up billing system (Dental Pro) Reviewing and setting up contracts for billing Billing old accounts from previous dentist Setting appointments and answering phone Collections and posting payments and adjustments



Physicians Management Group LLC

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

• AR Manager

  • Feb 2007 - Mar 2009

  Responsible for managing a staff of 35 (Performance and Attendance) in an outpatient Ambulatory surgery Center setting including: data entry, payment posting, coding and billing/collections departments (Facility and Doctor accounts) Management of accurate posting of payments for all major insurances, cash payments and Medicare and Medi’cal (Medicaid). Oversee and managed all daily work flow Provided continuous mentoring and training of staff. Responsible for the generation of… Show more Responsible for managing a staff of 35 (Performance and Attendance) in an outpatient Ambulatory surgery Center setting including: data entry, payment posting, coding and billing/collections departments (Facility and Doctor accounts) Management of accurate posting of payments for all major insurances, cash payments and Medicare and Medi’cal (Medicaid). Oversee and managed all daily work flow Provided continuous mentoring and training of staff. Responsible for the generation of department specific Excel spread sheets/ financials with reporting duties to Directors and CEO and CFO. Managed escalated issues Review accounts that are problems being paid by insurance company. Communicated with facilities and providers Reviewed employees and provided training or mentoring as needed Overseeing the work comp department Blue cross and Blue Shield follow and collection Managed Medicare and Medi’cal (Medicaid) Collection Show less

• Billing/Collection Supervisor

  • Jul 2005 - Oct 2006

  Managed 35-40 employees (Billers, Collectors, Clerical support staff) Management of the Business Office start up operations including; hiring, training and supervising all business office employees interactions with and mentoring employees to ensure productivity and accuracy. Responsible for the maintenance and management of the billing system and weekly reporting to maintain a billing average of 85-95 claims daily. Managed expenses to department budget meeting. Managed department… Show more Managed 35-40 employees (Billers, Collectors, Clerical support staff) Management of the Business Office start up operations including; hiring, training and supervising all business office employees interactions with and mentoring employees to ensure productivity and accuracy. Responsible for the maintenance and management of the billing system and weekly reporting to maintain a billing average of 85-95 claims daily. Managed expenses to department budget meeting. Managed department to achieve quarterly and yearly billing and collection goals. Developed strategies for billing and collection accounts Handled escalated issues Communicated with billing provider on denials Overseeing Medical and Medicaid billing issues Show less



Centinela Freeman Medical Center

• Lead Biller/Supervisor

  • Dec 1997 - Jul 2005

  Supervised a staff of 10-15 employees (Biller, Pre-Biller, Clerical Support Staff) Responsible for the management of the daily work load and status for all billers. Supervised and maintained all high dollar accounts to excess of $50,000.00 and up Hired and terminated employees. Provided employee reviews and disciplinary actions as needed. Supervised Brotman, Centinela Hospital high dollar accounts (Stop Loss Account). Resolving escalated issues Attended management… Show more Supervised a staff of 10-15 employees (Biller, Pre-Biller, Clerical Support Staff) Responsible for the management of the daily work load and status for all billers. Supervised and maintained all high dollar accounts to excess of $50,000.00 and up Hired and terminated employees. Provided employee reviews and disciplinary actions as needed. Supervised Brotman, Centinela Hospital high dollar accounts (Stop Loss Account). Resolving escalated issues Attended management meetings Started off as a Staff Biller Resolved questions on any account for my staff. Show less