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Click here or scroll down to respond to this candidateCandidate's Name
Email: EMAIL AVAILABLE Phone: PHONE NUMBER AVAILABLESuccessful Office Manager with over 25 years of experience in Medical Billing, Customer Service, Collections, Accounts Payable, Accounts Receivable and Cash Posting systems.Proven ability to increase collections revenue and improve medical billing accuracy in diverse environments, ranging from the major university hospital sector to local community nursing facilities.EXPERIENCE01/2019-PRESENTREVENUE CYCLE FINANCIAL NAVIGATOR, unc healthcarePartner with Clinical Department Staff, investigators and Revenue Cycle teams to resolve Research Study paymentsCreate Hospital and Physician estimates using Epic Patient Estimator, review eligibility and benefits utilizing RTE, and obtain authorization requirements.Contact patient pre-service providing benefit and patient liability education, explain & collect the estimate cost, and secure payment and/or set expectation of payment at time of serviceMonitor and track routine follow-up with Medicaid and financial assistance approvals. Handles HB/PB patient inquires to address any/all billing questions via inbound calls and patient walk-insInitiate patient outreach on delinquent payment plans, adding accounts to existing payment plans and high risk/balance accounts.Work with Patient Relations and Risk Management for patients whom have escalated complaints or concerns. Oversee HB Client account billing and follow-up which includes validating charges, review and move charges, research and reconcile payments, communicate with multiple departments to answer client questions and collect payments. Work with external customers such as collection agencies, UNCPN and Hospital based clinics to address any patient concernsProvide estimates to patient shoppers and clinical areas across the healthcare system. Serve as a liaison between clinical areas and patient financial services.Screen and assist patients with financial assistance programs including UNC Financial Assistance, Medicaid, COBRA Assistance, ACA plans and/or other funding sources available. Discuss payment plan options for pre- and post- service collections. Refer patients for payment plan arrangements as appropriate.Fulfill patient requests for itemization of charges, adding/verifying/billing insurance, establishing payment plans, payroll deductions, process adjustments, request refunds, and explain financial assistance policy and guidelines03/2015 1/2019BUSINESS OFFICE MANAGER, pruitt health-carolina pointRecruits, hires, provides orientation/training, and retains a sufficient number of qualified staff to carry out the responsibilities of the Business Office. Ensures employee performance meets or exceeds expectations and periodic performance appraisals are conducted on a timely basis.Monitors billing and collection activities to achieve 100% prior month revenue collections on a monthly basis for a 142 bed facility.Assures proper accounting procedures and controls are in place and followed.Analyzes collections on a monthly basis. Assesses level of bad debt reserves, reviews and recommends write-offs.Ensures procedures are followed to achieve an accurate and timely closing at month end.Ensures all required patient & employee records are maintained and submitted, as appropriate, in an accurate and timely manner and in compliance with federal and state regulations.Oversees the processing of accounts payable, cash reconciliation and depositsMaintain and reconcile patient trust funds accounts01/2004 10/2014BUSINESS OFFICE MANAGER, ALAMANCE CARDIOLOGY CAREAccomplishes accounts receivable human resource objectives by selecting, orienting, training, assigning, scheduling, coaching, counseling, and disciplining employees; communicating job expectations; planning, monitoring, appraising job contributions; recommending compensation actions; adhering to policies and procedures.Meets accounts receivable operational standards by contributing information to strategic plans and reviews; implementing production, productivity, quality, and customer-service standards; resolving problems; identifying system improvements.Meets accounts receivable financial standards by providing annual accounts receivable budget information; monitoring expenditures; identifying variances; implementing corrective actions.Collects accounts by contacting customers referred by clerks; investigating circumstances of non-payment; negotiating and resolving conflicts; expediting payment.Supports financial planning by forecasting cash.Updates receivables by coordinating and monitoring daily sales order processing and bank remittance transactions.Maintains financial security by adhering to internal accounting controls.Maintains accounting ledgers by posting monthly account transactions.Protects organization's value by keeping information confidential.Updates job knowledge by participating in educational opportunities; reading professional publications; maintaining personal networks.Accomplishes accounting and organization mission by completing related results as needed.10/2002 01/2004BUSINESS OFFICE MANAGER, Brian rehabilitation nursing centerRecruits, hires, provides orientation/training, and retains a sufficient number of qualified staff to carry out the responsibilities of the Business Office. Ensures employee performance meets or exceeds expectations and periodic performance appraisals are conducted on a timely basis.Monitors billing and collection activities to achieve 100% prior month revenue collections on a monthly basis.Assures proper accounting procedures and controls are in place and followed.Analyzes collections on a monthly basis. Assesses level of bad debt reserves, reviews and recommends write-offs.Ensures procedures are followed to achieve an accurate and timely closing at month end.Ensures all required records are maintained and submitted, as appropriate, in an accurate and timely manner and in compliance with federal and state regulations.Oversees the processing of accounts payable.EDUCATIONNORTH CAROLINA CENTRAL UNIVERSITYCOMPUTER BUSINESS OFFICE TECHNOLOGY, CONTROL DATA INSTITUTESKILLSNC TRACKSNCMUSTLong Term Care Billing/CollectionsPCCBookkeeping/PayrollMedical TerminologyICD-10/HCPCS codingUB92/UB-04/HCFA 1500Cash Posting & ReconciliationHospital/Physician Billing & CollectionsInsurance Benefit Verification & InterpretationCase ManagementManagement/Supervisory Experience of 20+ staffObtaining Insurance Eligibility & AuthorizationsMedical NecessityCitrixEPICMedical BillingCollectionsAR/APReimbursementClaim AppealsAuditing and ReportingMedicare/Medicaid/ 3rd Private Insurance Terminology & RegulationsClaim Determination & ReconsiderationPatient Trust Account ReconciliationStrong Organizational & Effective Planning skills |
