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Click here or scroll down to respond to this candidateMSkillsCONTACTEmailEMAIL AVAILABLEPhonePHONE NUMBER AVAILABLEAddress16671 N Litchfield RdApt#174 Surprise AZUnited StatesMary England-ParrishMicrosoft Excel, Word,Power PoinI am a self-motivated leader with more than 20 years of experience accross healthcare and nance. Building high performance teams through candidate selection and people developement is my passion. Utilizing change management, data analysis, lean processes, and trend based decision making is how I have been successful. I am results driven and a team player. tSoftwares: HC360,MediAR, MedMetrix,ePremis, CE2000, Citrix,ECM, Revenue RecoverProject ManagementData AnalysisTeam LeadershipWork ExperienceLivWell Infusions Scottsdale AZ United StatesRevenue Cycle ManagerDesigned and executed in-house billing departmentOversaw transition of business from third party billing company Worked closely with software company to resolve issues with billing program to better mold to LivWell's particular needsCombined roles and designed job descriptions, in addition to hiring and training new staffProvided oversight, coaching, audits, and reviews for staff Created reporting to reflect KPI and reviewed with leadership Worked with Change Healthcare on credentialing due to a required clearinghouse changeCreated training documents as well as tracking for productivity in addition to tracking claims progress, total posted amounts, contract review, and all other requirements to plan and execute transition of billing department Responsible for creation and execution of training program Worked with in-take to ensure proper authorizations and payor specific documents Designed and implemented patient payment processes Worked with all payors accepted by LivWell and contracted practices from Medicaid, Medicare, BCBC, Aetna, to indigenous peoples tribe payors, VA, etc. Worked with in-take to ensure proper authorization and payor specific documents Nov.2022 - Apr.2023CVS Health Phoenix AZ United StatesRevenue Cycle Supervisor May.2016 - Sep.2022Oversaw day-to-day operations of teams to ensure timely and accurate completion of tasks for Home Infusion Therapy (Medicaid and Managed Medicare) Monitored and strove to continually improve the collection of payor claims in accordance with the respective contractTook escalated patient calls to resolve disputes and review accounts to obtain paymentMet with upper management on payors to discuss reimbursement issues and payor publication notices affecting claims processing changes Ensured daily reconcilliation of electronic claim files Worked with various stakeholders to resolve payor/process/patient issues - senior leadership,front-end partners, pharmacy branches, contracts & pricing, collections team, etcMaintained productivity and quality standards of all PFS functions Reviewed accounts receivable adjustments for accuracy and approve/escalate as neededProject Managment: Successfully organized assigned tasks, provided progress updates, and completed multiple projectsWorked with the Training and Education department to develop and deploy training for new employees and provide ongoing training as needed Completed annual and mid-year performance reviews for employees and provide timely feedbackCreated a positive and productive work environment for employees through team building, coaching, constructive feedback, work delegation, personal example and goal setting that encouraged creativity, open dialogue on work issues, professional growth, and a consistent, high level of performance; encouraged and supported employee decision-makingComplied with and adhered to all regulatory compliance areas, policies, and procedures (including HIPAA and PCI compliance requirements), and "leading practices"Utilized data to identify trends and root cause analysis for denials management Successfully worked with payor negotiations on settlements in the range of 12 million dollarsOversaw on-going policy/ procedure/ changes, reorg, and updates that gained buy- in from team in acordance with all principles of Change Management Researchd payor policy changes and trained all departments on billing Medicare for denied cross over claims, as well as pharmacy POS billing, customer service, and patient payCo-managed major process change to develop batch billing for pharmacy POS claims and reported out on-going data to improve processDollar Financial Group Phoenix AZ United StatesBranch Manager/Corporate TrainerManaged financial branch operationsDeveloped training for staff; in-store and classroom settings Developed and executed marketing strategiesJun.1999 - Aug.2016Utilized SMART goals to create high performing teams Developed client retention programsWorked with Corporate Collections department to reduce open A/R Completed audits of customer files and provided coaching to staff based on results Responsible for all aspects of branch P&L reportsInvolved in training aspect of acquisitionsTaught training classes on multiple subjects such as customer service, loss prevention, collections, and applicable lawsWorked with corporate, staff, and clientel to manage multiple lender changes Educated clients on financial options and explained contracts in accordance with applicable lawsManaged multiple locations to reorganize struggling branches and prepare for new managersProvided District Manager and Director supportTrained high performing staff in branch to send out to other branches Consistently met or surpassed goals primarily through cost effective practices, exeptional customer service, rate negotiation for small businesses, business to business marketing, and customer retentionEducationBarry Goldwater High School Phoenix AZ United States, High School DiplomaGlendale Community College Glendale AZ UnitedStates |
