Melanie Romano
North Canton,OH
Summary
Dynamic individual with hands-on experience in revenue cycle and a talent for navigating challenges. Strong problem-solving skills and a proactive approach to new tasks. Demonstrates adaptability, creativity, and a results-oriented mindset. Committed to making meaningful contributions and advancing organizational goals.
Overview
14
14
years of professional experience
Work History
REGIONAL BILLING MANAGER - ACCOUNTS RECEIVABLE AND DENIALS
Ellie Mental Health
01.2022 - Current
- Managed billing operations and revenue cycle processes for over 200 Mental healthcare clinics.
- Key stakeholder in managing, training, and overseeing daily operations with 2 offshore vendors.
- Implemented revenue cycle management strategies to improve accounts receivable and denials outcomes.
- Performed detailed analysis of billing data to identify areas for improvement.
- Demonstrated strong organizational and communication skills in a fast-paced and dynamic environment.
- Managed monthly billing process to complete billings and returns to meet company revenue recognition policies.
- Supervised team of 20 billing personnel.
- Trained and mentored staff on procedures, compliance requirements, and collections techniques.
- Collaborated with cross-functional teams to resolve billing-related issues swiftly, minimizing negative impacts on overall operations.
RCM BILLING MANAGER
Professional Services Consultants, LLC
06.2021 - 04.2022
- Managed monthly billing process to complete billings and returns to meet company revenue recognition policies.
- Collaborated with cross-functional teams to resolve billing-related issues swiftly, minimizing negative impacts on overall operations.
- Created a transparent work environment that fostered open communication between team members, promoting collaboration and problem-solving skills development.
- Boosted team productivity through effective delegation of tasks, setting performance targets, and providing constructive feedback.
- Optimized resource allocation within the department by analyzing workload trends and adjusting staffing levels accordingly.
REMOTE PRACTICE MANAGER
Complete HealthCare Solutions
03.2020 - 06.2021
- Addressed patient concerns promptly and professionally, demonstrating empathy and excellent problem-solving skills.
- Managed daily practice operations to optimize appointment scheduling, patient records management and billing functions.
- Facilitated communication between staff members, fostering a collaborative work environment that improved overall team performance.
- Evaluated practice workflows regularly to identify areas for improvement and implement necessary changes efficiently.
AR DENIAL ANALYST
Child and Adolescent Behavioral Health
07.2018 - 07.2020
- Utilized knowledge of insurance policies and coding guidelines to investigate and resolve AR denials.
- Tracked denials trends to identify problem areas and implement targeted solutions.
- Improved internal knowledge sharing by developing comprehensive documentation outlining standard operating procedures on denial management best practices.
- Enhanced team collaboration by providing clear communication of complex findings through visualizations and reports.
- Provided reporting for forecast analysis and ad-hoc reporting in support of decision-making.
FINANCIAL INTAKE INSURANCE COORDINATOR
Crisis Intervention and Recovery Center
08.2016 - 07.2018
- Verified insurance and communicated coverage to staff and patients.
- Obtained data such as patient, insurance ID, insurance provider and medical codes to properly file insurance claims.
- Managed a high volume of inbound calls, promptly resolving issues while providing accurate information on policies and procedures.
- Provided exceptional customer service and support to clients regarding insurance inquiries and claims.
- Maintained detailed records of insurance transactions and payments for reporting and audit purposes.
- Achieved revenue goals by managing collections and accounts receivables, referral process, and insurance billing.
OFFICE MANAGER
Hall of Fame Woman's Clinic
01.2015 - 08.2016
- Handled sensitive information with discretion, maintaining confidentiality of company documents and personnel records.
- Provided exceptional customer service when addressing client inquiries or concerns via phone calls or email correspondence.
- Streamlined office operations by implementing efficient filing systems and organizational strategies.
- Coordinated office events and meetings, ensuring timely execution and optimal scheduling for all participants.
- Assisted in the recruitment process, conducting interviews and onboarding new employees to promote a seamless integration into the team dynamic.
- Developed comprehensive policy manuals outlining procedures and guidelines, contributing to a well-organized workplace culture.
STNA MENTOR
St. Luke's
03.2011 - 05.2015
- Assisted patients in daily activities, promoting their independence and dignity.
- Kept accurate records of patients' care, condition, and progress.
- Promoted a safe environment for both patients and staff members by adhering to facility policies and procedures at all times.
- Managed challenging behaviors effectively through de-escalation techniques and clear communication methods with both the patient and staff involved.
- Participated in professional development opportunities to stay current in STNA best practices and industry trends.
- Served as role model for mentees by demonstrating strong values and ethical standards.
Education
Health Care Administration
Herzing University
Skills
- Leadership
- Teamwork and Collaboration
- Healthcare Industry Knowledge
- Billing cycle expertise
- Interpersonal Skills
- Analytical Thinking
- Problem-Solving
- Vendor Management
Timeline
REGIONAL BILLING MANAGER - ACCOUNTS RECEIVABLE AND DENIALS
Ellie Mental Health
01.2022 - Current
RCM BILLING MANAGER
Professional Services Consultants, LLC
06.2021 - 04.2022
REMOTE PRACTICE MANAGER
Complete HealthCare Solutions
03.2020 - 06.2021
AR DENIAL ANALYST
Child and Adolescent Behavioral Health
07.2018 - 07.2020
FINANCIAL INTAKE INSURANCE COORDINATOR
Crisis Intervention and Recovery Center
08.2016 - 07.2018
OFFICE MANAGER
Hall of Fame Woman's Clinic
01.2015 - 08.2016
STNA MENTOR
St. Luke's
03.2011 - 05.2015
Health Care Administration
Herzing University
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