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Click here or scroll down to respond to this candidateCandidate's Name
Homewood, IL Street Address PHONE NUMBER AVAILABLE EMAIL AVAILABLEObjectiveI am a driven and compassionate health care professional with 10 years of experience in the fast-pace Revenue Cycle and Medical Office environment. I also have 10 years of leadership. I have experience in both PB and HB billing, in call center setting and hospital setting. I have worked with all insurances and majority of all specialties. I managed accounts with over two million in revenue. In my next opportunity I am looking for longevity, stability, and communication. I want to enhance my skills as well as learn new skills. I have managed anywhere between 5-22 employees. EducationASSOCIATE 08/2013 CITY COLLEGES OF CHICAGO Business Administration and ManagementProfessionals StrengthsMANAGEMENT Team Building Managing Contracts Performance Management Hiring and Termination of staff Business development for team and work independently as well Ability to train and mentor employees Building professional relationships with patients (community) Insurance Billing includes Medicaid, Medicare, Commercial Generic, Supplemental, Workers Comp, TPLS Insurances, Professional and Hospital billing (Behavioral Health and Skilled Nursing Facility) Compliance with all state and federal regulations Excellent knowledge of ICD-10, CPT/HCPCS Codes compliance and audit Managed Client Accounts with over a million in A/R Software: EPIC, Allscripts payment posting, E-Bridge, Claim Logic, E Clinical, Connex, Insurance portals, Availity, Care Core (Authorization Look up) Cerner, Claim-source, One-source (eligibility lookup) and many more. Claim management Claim review Manage negotiations for all individual case agreements in accordance with policies and standards Managed approvals Implemented policy and procedures.2Professional Experience:Physician Billing Manager Shirley Ryanability Lab 12/02/2019-04/07/2020 Claim management Medical claims all payers Insurance Claims Processed Medicaid, Medicare, VA, Commercial, Supplemental, etc. Imported claims Mapped claims Refunds Credentialing of Physicians Maintained medical records of patients Charge Entry Worked with over two million in revenue Kept A/R down Reviewed and trends and came up with solutions Implemented policy and procedures Build a team of five reimbursement coordinators Trained staff Cash Posting Other duties as assignedMANAGER ALLSCRIPTS(CHMB) MARCH 5,2018 11/25/2019 As a leader here I carefully selected and developed teams for A/R, A/P, Payment Posting, and Refund(Credit) Managed patient accounts as well some hospital accounts Met Cash Goals/ KPIs Kept A/R down (Trends, Denials etc.) Managed checks transactions Implemented standard policy and procedures Actively maintained up-to date knowledge of State and Federal Regulations Evaluated employee performance regularly, provided feedback and coached and discipline staff as needed. Reviewed electronic exchange of healthcare information transactions to payers or clearing house. Denials, Trends, Eligibility Analyze reports to determine when and how A/R decreased that included denials, unbilled, credit issues, holds etc. Other DutiesBILLING SUPERVISIOR ADVOCATE HEALTH CARE 12/2013 09/05/2017 Overseeing all aspects of the billing process Over saw A/R medical claims Managed claims inventory Ensured that all billing submissions were submitted on a timely basis Managed all audits for A/R and A/P Provided timely notation of action taken on patient accounts 3 Made sure all payments were posted in a timely manner and accurate Responsible for the management, performance and development of the billing staff. Meet regularly with staff; in-person and as a group to confirm the status of client accounts, effectively prioritize AR activities for staff holding them accountable for work performed Prepares and records asset, liability, revenue, and expenses entries by compiling and analyzing account information Provided project management and guidance to help Advocate departments/functions meet both departmental and organizational goals and objectives. Processed check runs Analyzes reports Other DutiesTTS (Targeted Tech. Solutions) Homewood, IL 8/2008 -11/2013 Account Manager, Business Manager, Implemented financial information to the executive board by researching and analyzing account data Prepared annual reports for the audits Participated in the development of business operations/strategic initiatives and lead the project management of specific initiatives. Examples could include onboarding of acquisitions (facilities, staffing, technical infrastructure, etc.), office moves, etc. Manages facilities/building Manages and/or develops training sessions for channel partner programs. Examples could include RCM University for sales, implementation and account management. Effectively manages associated expenses/budget, making sound decisions based on cost-benefit analysis. Manages non-client related contracts Collaborates and assists others within TTS to effectively develop, maintain and use best practice business operations programs/tools/systems in order to facilitate a smooth and effective business environment. Documented financial transactions Recommended financial actions by analyzing accounting options. Maintains accounting controls by preparing and recommending policies and procedures. Guides accounting clerical staff by coordinating activities and answering questions. Summarizes current financial status by collecting information; preparing balance sheet, profit and loss statement, and other reports. Assigned and regulated clerical/secretarial functions - Delegated work responsibilities among the office personnel. Designed filing systems and arranged the procedures for maintaining records - Maintained the office budget and secured the personnel files. |
