Ashlea Leslie
Prestonsburg,KY
Summary
Ambitious, detail-oriented, and self-motivated professional with 10+ years of Healthcare experience seeking a role where I can utilize my healthcare knowledge and skill sets. Committed to leading initiatives that elevate the overall health of the organization as well as enhance my career in healthcare.
Overview
12
12
years of professional experience
Work History
Senior Director of Revenue Cycle
Addiction Recovery Care
01.2023 - Current
- Successfully manage a large remote revenue cycle team by maximizing revenue, improving A/R, and ensuring timely reimbursements for services rendered.
- Successfully manage six (6) Healthcare practices serving over 2,000 patients daily.
- Oversee billing/coding teams generating 3,500-3,800 claims daily.
- Prepared cash forecasting projections and cost analysis reports weekly, monthly, quarterly and annually.
- Actively resolve barriers, problems, and risks in claims and provider credentialing reducing claim denials.
- Conduct and present in-depth analysis reports to executive leadership on A/R, denials management, and reimbursement trends which facilitates data-driven operational decisions.
- Achieves departmental and organizational goals by developing and implementing strategic plans and initiatives.
- Serve as primary contact for MCO provider reps to ensure effective communication and unpaid claim resolution is monitored until completion.
- Serve as member of internal contract negations team driving successful outcomes through strategic analysis and stakeholder engagements.
- Direct ongoing development and enhancements of scalable billing, collections, payor, and coding processes to support the current operations and anticipate company growth.
- Collaborates with compliance teams to ensure best-practice billing and coding is conducted.
Director of Revenue Cycle
Addiction Recovery Care
01.2021 - 01.2023
- Responsible for the cross-functional operations revenue cycle department providing services to multiple specialty services.
- Direct the revenue cycle team of verification of benefits, authorizations, billing, coding, cash posting, collections, provider credentialing, and denials teams.
- Manage, train, educate, and direct a remote 40-member revenue cycle team for continued departmental improvement processes.
- Lead departmental projects to obtain the organization's financial and operational goals.
- Enhanced cash flow by promptly identifying and resolving discrepancies in payment postings and adjustments.
- Decreased denials by conducting thorough audits of charge capture procedures and providing feedback to clinical teams on documentation requirements.
- Maintained a high degree of accuracy in data reporting with regular reconciliation related to revenue cycle transactions by analyze trends impacting cash flow.
- Perform departmental audits on claim submissions for accuracy.
- Implemented and managed daily/weekly/monthly financial reports to executive leadership.
- Research and manage patient account collections.
- Supported organizational growth initiatives through proactive involvement in budget planning and financial forecasting activities.
- Monitor and research over/under payments by MCOs based on contracts.
- Identify and communicate areas of improvement in facility service locations.
- Collaborated with cross-functional teams to identify areas for operational improvement within the revenue cycle process.
Billing Services Supervisor
Addiction Recovery Care
01.2017 - 01.2021
- Ensured patient demographics, authorizations, insurance, and documentation were entered into client accounts for accurate for claim submission.
- Perform insurance verification (VOB) on daily client intakes on MCO portals/Availity/KYMMIS.
- Ensure clinical authorizations are entered correctly into patient EMR and transmitted to insurance claims for billing efficiency.
- Audit services rendered vs services billed for behavioral health and medical billing services.
- Research trends in claim denials and report findings accordingly.
- Created and implemented internal productivity and efficiency of clinical and medical services for the entire organization.
- Ensure all documentation from providers is completed within regulatory timelines.
- Served as direct support for facility Directors, Coordinators, Office managers, as well as Clinical and Medical providers for billing-related issues.
- Provide weekly and monthly financial reporting and KPI's to executive leadership.
- Implemented new revenue cycle software systems across the organization.
- Overseen the implementation, configuration, and maintenance of the software.
- Ensured the system operated efficiently and continued to meet the needs of providers and staff.
- Managed relationships with vendors.
Intake Coordinator
Addiction Recovery Care
01.2015 - 01.2017
- Provided direct communication and care to incoming callers for treatment or organizational questions
- Effectively converted referrals into intake admissions
- Ensure excellent customer service is always presented
- Ensure HIPAA remains compliant in all cases
- Answer inbound calls for potential patients
- Complete telephone assessments for potential patients before scheduling intake dates
- Perform Verification of Benefits (VOB) on all patient accounts
- Manage intake leads and conversion tracking for the department
- Ensure all documentation for each patient is on record before entry
- Perform outbound calls to court systems for patients needing treatment
- Manage the department call log to ensure no lead goes unanswered
- Arrange transportation as needed.
Residential Office Manager
Addiction Recovery Care
01.2013 - 01.2015
- Served as part of the office administration for the facility being responsible for the direct oversight and monitoring of residential clients in SUD treatment
- Oversee and monitor a 24-bed women's residential facility
- Manage and oversee the front office duties and responsibilities
- Answer inbound calls
- Fax letters to courts and other requests
- Provide rounds and headcounts every 30 minutes
- Manage weekly staffing and intern assignments
- Order supplies for the facility
- Provide support groups and services to clients.
Education
Associates in Applied Science/Business Administration -
Big Sandy Community and Technical College
Certificate in Financial Perspectives -
Big Sandy Community and Technical College
Certificate in Public Leadership -
Big Sandy Community and Technical College
Certificate in Management -
Big Sandy Community and Technical College
High School Diploma -
Van Jr/Sr High School
Skills
- Data Analysis
- Problem Solving
- Attention to Detail
- Process Improvement
- Project Management
- Adaptability
- Internal and External Relations
- Management and Leadership
- State Regulations and Compliance
- Financial Management
Awards
- Organizational award for exceptional commitment and unwavering dedication to achieving organizational goals.
- Stewardship award for resource management and optimization, driving efficiency and maximizing organizational resources.
- Character award for leadership compassion
- Employee of the year 2019
- Employee of the year 2021
References
- Tina Nelson, Vice President of Quality and Risk Management, (502) 642-3494
- Sarah Vance, Chief Operating Officer, Coalfield Health Group, (304)633-3343
- Michelle Harvey, Director of Clinical Operations, Revive Ministries, (859)368-3922
Timeline
Senior Director of Revenue Cycle
Addiction Recovery Care
01.2023 - Current
Director of Revenue Cycle
Addiction Recovery Care
01.2021 - 01.2023
Billing Services Supervisor
Addiction Recovery Care
01.2017 - 01.2021
Intake Coordinator
Addiction Recovery Care
01.2015 - 01.2017
Residential Office Manager
Addiction Recovery Care
01.2013 - 01.2015
Associates in Applied Science/Business Administration -
Big Sandy Community and Technical College
Certificate in Financial Perspectives -
Big Sandy Community and Technical College
Certificate in Public Leadership -
Big Sandy Community and Technical College
Certificate in Management -
Big Sandy Community and Technical College
High School Diploma -
Van Jr/Sr High School