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Click here or scroll down to respond to this candidateCandidate's Name
Senior Accounts Receivable AnalystColumbus OHEMAIL AVAILABLEPHONE NUMBER AVAILABLEPROFILE STATEMENTResults-oriented finance professional with a diversified background in receivables, account reconciliation, credit and collections analysis, customer contracts, billing and invoicing within the B2B arena. Experience managing large portfolio of accounts in a fast paced environment. Self-motivated with high degree of initiative to achieve immediate and long-term organizational growth, meet team and individual goals and improve bottom line numbers. Strong data analysis experience measuring and identifying trends to resolve underlying root cause issues and streamline business processes. Adapt easily to new concepts and responsibilities in a fast paced environment. Passionate about workplace inclusion to strengthen customer and shareholder value. Possess willingness to take on new challenges and welcome new opportunities to personally make a difference and inspire commitment.WORK EXPERIENCESenior A/R SpecialistUnivarSolutions USA-Dublin, OHJuly 2021 to July 2023 Manage large portfolio of customer accounts and act as initial point of contact for Collections, Order to Cash and Delivery Implement collection strategies to improve cash flow, reduce DSO and minimize bad debt Collaborate with internal teams and company wide departments addressing customer issues and inquiries to resolve payment discrepancies Reconcile customer accounts, investigate reason for short payments and refunds Research unpaid balances and aged accounts and contact client for payment Issue client statements and provide invoice copies Implement collection strategies for payment collection Analyze customer credit lines and issue credit increase Apply customer payments and suggest appropriate write-offs Communicate with customers and establish payment plans Daily monitoring of key critical accounts Mitigate company risk through customer credit analysis and sales orders placed Ensure accounts in compliance with SOX controls Resolve complex client account problems and exercise good judgement Act as mentor to AR Specialists and provide training Work closely with the BPO organization to ensure best in class results achieved for assigned portfolioAccounts Receivable AnalystAmetek Worthington, OHJanuary 2021 to February 2021 (Temp Contract Assignment) Assist company Controller with corporate A/R audit Research customer credits for validity and accuracy Research and obtain invoices Review customer payments and determine errors in application Special projects as assignedCredit and Collections CoordinatorCardinal Health - Dublin, OHNovember 2019 to October 2020 Primary contact for assigned segment of medical, pharmacy and distributor customers Responsible for identifying and addressing service and supply chain gaps Full ownership of account reconciliations and reimbursement strategy for diverse $15M portfolio Manage credit and collections of current and aging accounts via payment analysis, delinquency trends, investigating and resolving issues affecting financial and service processes Daily verbal and written communication to collect payment, establish payment plans, answer invoice, credit and shipping inquiries Review established credit lines and make effective decisions for credit hold release Analyze credit risk and mitigate potential loss Investigate customer disputes Issue accurate account statements ensuring all valid credits Manage various complex customer issues working cross functionally with internal teams to drive growth and exceed expectations Diplomatically resolve customer conflict and develop trusting client relationships Reduce company portfolio exposure 39% enforcing payment terms, resolving cash-flow bottlenecks and exposure Implement successful weekly working sessions engaging finance leadership and procure-to-pay teams internally and externally developing reimbursement strategies Identify and resolve PO and short pay discrepancies Month-end KPI analysis summaryAccounts Receivable and Billing ManagerCritical Care Transport - Columbus, OHMarch 2017 to September 2019 Manage operational billing, reimbursement, receivables and collections for private transportation organization Hire staff and establish professional performance goals Coordinate with cross functional departments to implement efficient workflows and enforce compliance Investigate and resolve patient complaints Streamline billing processes through quality improvement initiatives Analyze A/R metrics and develop revenue enhancing strategies Oversee and manage implementation of new billing system Audit EHR and claims for compliance and coding issues Review overpayments and issue appropriate refunds Trend payer and reimbursement performance Month-end financial close and census calculation analysis Issue monthly facility statements Account reconciliations Ensure daily claim files scrubbed for clean claim submissions Claim denial root cause analysis Submit insurance appeals Implement financial policy for pre-service payment Maintain ongoing knowledge of commercial, Managed Care, CMS billing reimbursement, and policy guidelines Devise and implement financial assistance policy Increase net collections 73% to 91% Reduce A/R days from 43 to 22Collections CoordinatorBioScrip - Columbus, OHJuly 2016 to January 2017 Contact patients to collect balance due Ensure correct coding billed for optimal reimbursement Follow-up to insurance payers for claim resolution, erroneous reimbursement and appeal statuss Explanation of benefits review for accuracy Update insurance information in EHR Review claim denials and submit appeals with appropriate documentation Review payer contracts Request account adjustments with supporting documentation Qualify patients for company sponsored pharmacy assistance programs File electronic claims to secondary payers Review financial and aged A/R reporting Identify delinquent accounts for propensity to pay Assist with month-end financial close Prepare audit findings to ManagerBilling CoordinatorViaQuest Home Healthcare - Dublin, OHJuly 2015 to June 2016 Home health Insurance billing for Ohio and Indiana Extensive account follow- up with commercial payers and Medicare carriers Review and ensure clinical documentation adhere to CMS guidelines for billing purposes Communicate coding and documentation inaccuracies with regional and clinical directors for process improvement initiatives Obtain medical record requests for insurance audits Trend payer reimbursement and claim denials Review A/R aging reports and resolve unpaid claims Analyze insurance remits scrutinizing reimbursement according to provider contracts Compile data and file payment appeals Post insurance payments and balance receivablesBilling AnalystMedComm Billing Consultants - Columbus, OHJune 2014 to June 2015 Insurance billing and account follow up for Dermatology client Verify insurance eligibility and plan benefits Post and balance daily receivables Research and resolve coding errors for clean claim submissions Analyze insurance remits for contract reimbursement Issue invoices Answer patient invoice, billing, and insurance inquiries Monitor aging A/R and contact insurance carriers on past due claims Prepare and submit insurance appeals Complete special projects as assignedPatient Accounts Sr. Reimbursement Specialist and Team LeaderOhioHealth Corporation - Columbus, OHJune 1998 to September 2010 Cash, third party, self-pay account collections, recoveries, and reconciliations Identify effective revenue cycle metrics for cash collections and bad debt prevention Collaborate across various hospital departments to identify areas hindering organizational cash flow Work with cross functional teams identifying root cause of unbilled hospital accounts, coding errors, holds, and medical record processes to develop actionable plans Variance analysis Perform internal and external account audits Monitor delinquent accounts and make decisions for Early-Out program Review uninsured and underinsured patient financials for HCAP and financial aid programs Research and answer patient account inquiries Identify and resolve cash application errors Process credit card payments Establish and manage payment arrangements Collaborate with attorneys on High dollar account settlements Track and identify aging revenue, collection, write-off, and payer performance concerns for resolution Create and maintain financial databases and spreadsheets Reconcile account overpayments and research chargebacks Served as Hospital Vendor Liaison managing collection accounts placed with outside agencies Train third party collection vendors on OhioHealth computer systems Monitor agency performance against established CBO criteria, goals, and objectives Assist CBO Manager with month-end financial close Appointed Patient Accounts Team Leader for staff of 16 Mentor, train and provide A/R assistance to team members Decrease net AR days from 39 days to 24 days Increase monthly revenue by 39% Reduce bad debt by 27%Collections Monitoring RepresentativeGrant Medical Care Foundation - Columbus, OHNovember 1997 to June 1998 (Position eliminated) Identify and explore revenue opportunities for hospital-based physician earnings Analyze outstanding receivables and secure payment from insurance Investigate variance analysis and identify trends, issues, and performance drivers affecting reimbursement and cashflow Optimize collections and recoveries through process flow analysis Implement efficient department redesign and follow up activities Identify and address favorable and unfavorable insurance carrier reimbursement trends Review outstanding receivables, reconcile aging reports, and resolve billing errors, resulting in $1.9M recovery Perform internal account audits Perform month-end financial reporting Prepare individual physician summary status updates Invoicing Physician credentialing NPI file maintenance Answer billing inquiries Assist with special projectsInsurance and Billing ManagerThe Sullivan Centre for Excellence - Columbus, OHJanuary 1997 to November 1997 Manage daily insurance billing, charge entry, cash posting, account receivables, and reconciliations Review insurance remittances ensuring payment accuracy Review claim denials and submit appropriate documentation for appeals Create and maintain financial databases and spreadsheets for financial summary analysis Verify insurance plan benefits, eligibility, and individual coverage Collect surgical fees prior to surgery Apply physician charges, enter cash receipts, reconcile outstanding accounts Prepare daily bank deposits, invoicing, and balance system ledger Answer surgical pricing and payment inquiries Month-end accounting close and reportingInsurance ManagerCentral Ohio Skin and Cancer, Inc - Westerville, OHJuly 1995 to January 1997 Manage daily operations of billing processes, claims submissions, cash collections, reconciliations, receivables, insurance correspondence Review payment trends to maximize reimbursement Follow up with insurance carriers on aging claims, denials, and reimbursement discrepancies Maintain accurate account documentation in systems Manage account overpayments and refund processes Investigate and resolve root cause of payment delinquencies Answer patient billing and insurance inquiries timely Patient invoicing Apply daily cash receipts, daily physician charges, balance daily ledger, and prepare bank deposits Compile data from month-end financial reports and present revenue data for physician review Increase A/R collections from 72% to 90% Reduce A/R days from 48 to 37daysBilling and Insurance ManagerAdvanced Surgical Techniques, Inc - Columbus, OHApril 1993 to July 1995 Oversee daily practice billing operations including charge entry, billing, cash posting, collections, insurance follow-up, and customer service Research patient financial information and verify insurance eligibility Review and submit clean claims to third party, commercial, and government carriers Analyze insurance remits ensuring contractual and reimbursement accuracy Collect account balances via phone, patient invoicing, and collection letters Analyze A/R and insurance reports, resolve billing, insurance, and charge errors Identify delinquent accounts for agency placements and collection attorney Physician credentialing Investigate and resolve patient complaints and charge disputes Post insurance and patient receivables and balance daily ledger Insurance and financial reportingInsurance BillerDiagnostic Cardiovascular Consultants - Columbus, OHApril 1990 to April 1993 Insurance billing, follow-up, invoicing and collections Insurance pre-certification and coverage verification Balance daily ledger including cash receipts Prepare daily bank deposits Review delinquent accounts for attorney placement Research and resolve unpaid claims including claim denials Review bankruptcy filings and secure practice claim for settlement Perform month-end financial reporting and accounting close. Answer patient account billing inquiries and insurance questionsEDUCATIONCollege (2yrs) - Business AdministrationOtterbein College - Westerville, OHLicensed (Ohio) - Real EstateBliss Business College - Columbus, OHSKILLS and Strengths Credit and Collections (10+ years) Accounts Receivable (10+years) Account Reconciliations (10+ years) GAAP (10+ years) Billing (10+ years) Medical Coding (10+ years) Revenue Cycle Management (10+ years) Denial Management (10+ years) Invoicing (10+ years) Process Improvements (10+ years) ICD-10 (6 years) Insurance Contracting (10+ years) Financial Reporting (10+ years) Variance Analysis (8 years) Audits (10+ years) Leadership Diverse Collaborative Analytical Multi-tasker Efficient Compassionate Strong problem skills Prioritization Adapt to change Credit and Collections (10+ years) Accounts Receivable (10+years) Account Reconciliations (10+ years) GAAP (10+ years) Billing (10+ years) Medical Coding (10+ years) Revenue Cycle Management (10+ years) Denial Management (10+ years) Invoicing (10+ years) Process Improvements (10+ years) ICD-10 (6 years) Insurance Contracting (10+ years) Financial Reporting (10+ years) Variance Analysis (8 years) Audits (10+ years) Leadership Inclusive & Diverse Collaborative Analytical Multi-tasker Efficient & Organized CompassionateSystems and Applications EHR Systems (10+ years) McKesson (10+ years) Epic (10+ years) HBOC (10+ years) SMS (10+ years) Zoll Novell AS400 Centricity Aim ERP Applications (5+ years) SAP/CRM Oracle MS Office Excel/Spreadsheet Creation & Manipulation (10+ years) MS TeamsCERTIFICATIONS AND LICENSESCertified Ambulance Coder (CAC)April 2018 |
