Alexis Marshall
San Diego,CA
Summary
Results-driven Client Solutions Manager with over 12 years of expertise in revenue cycle management (RCM), specializing in hospital and physician billing. Adept at analyzing financial data, optimizing workflow processes, and leading staff training and supervision. Proven track record in enhancing team productivity and client satisfaction through strategic guidance. Extensive experience as a Medical Billing Specialist and Special Accounts Coordinator, with a deep understanding of billing processes, including claim submission, appeal management, and accounts receivable oversight.
Overview
13
13
years of professional experience
Work History
Client Solutions Manager
Medical Billing Strategies
08.2021 - Current
- Monitored and guided revenue cycle operations.
- Assessed current revenue cycle procedures and implemented improvements to foster efficiency.
- Established and checked coding procedures, monitored reports and updated internal files.
- Implemented and regularly reviewed financial controls to generate accurate and reliable financial data.
- Primary liaison between company and clients, ensuring seamless communication and satisfaction
- Coordinated meetings, calls, and demos for support staff, clients and account management team.
- Provided training and supervision of new staff, regularly monitoring their performance to ensure Key Performance Indicators (KPIs) are met and providing ongoing support, guidance, and performance evaluations.
- Performed banking, business administration and financial tasks to guarantee five-star service for clients.
- Supported CEO with special projects and additional job duties.
- Managed team of 8 billing specialist and account managers
- Applied consultative approach to client relationship development, resulting in client retention rate of 100%
Special Accounts Coordinator
Rady Children's Hospital Of San Diego
05.2019 - 03.2021
- Managed hospital billing processes
- Analyzed and interpreted contract language to confirm that insurance payers reimbursed hospital claims according to current contract rates.
- Produced high-quality documents, spreadsheets, and presentations for both internal and customer-facing needs.
- Conducted thorough invoice analyses to detect discrepancies, duplicate payments, and overpayments, escalating issues to appropriate channels as necessary.
- Facilitated various administrative duties, including preparing weekly status reports, managing project documentation, and handling facility billing.
- Coordinated with insurance providers to verify customer's policy benefits in relation to claims.
- Trained department employees in proper billing and accounting procedures.
- Compiled department-specific reports to help senior managers identify trends and improve progress.
- Created documents in accordance with payer guidelines and submitted to appropriate parties.
- Coordinated meetings, calls, and demos for 2 person account management team and 6 billing specialist team
- Optimized organizational systems for payment collections, AP/AR, deposits, and recordkeeping.
Medical Billing Specialist
San Diego Pediatrics
06.2016 - 04.2019
- Researched CPT and ICD-10 coding discrepancies for compliance and reimbursement accuracy.
- Collected payments and applied to patient accounts.
- Communicated effectively and extensively with clinical team and insurance companies to resolve claims questions and claims issues.
- Printed and reviewed monthly patient aging report and solicited overdue payments.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Corrected, completed and processed claims for multiple payer codes.
- Processed online and paper appeal submissions and refund requests.
- Used data entry skills to accurately document and input statements and charges.
- Liaised between patients, insurance companies, and billing office
- Communicated with insurance providers to resolve denied claims and resubmitted
Medical Billing Specialist
Consolidated Medical Billing
06.2011 - 03.2019
- Contacted insurance companies for patient medical billing operations.
- Submitted patient statements and medical billing to insurance companies.
- Maintained knowledge of standardized medical billing codes.
- Trained new employees on multiple medical billing programs and data entry software.
- Closely monitored accounts to post timely payments and resolve billing discrepancies.
- Collected and entered patient demographic and insurance data into computer database to establish patient's medical record.
- Balanced batch summary reports for verification and approval for insurance claim billed out-Daily and monthly reconciliation.
- Verified details of transactions, including funds received and total account balances.
- Submitted charges for multiple types of providers such as: Hospitalist, Home Healthcare providers, Psychiatric and Specialist.
Education
Bachelor of Science - Health Information Management
San Diego Mesa College
San Diego, CA05.2022
Associate of Science - Sociology
Southwestern College
Chula Vista, CA05.2016
Skills
- Technical solution development
- Project Implementation and Management
- Relationship Management
- Staff Education
- Leadership
- Data analysis
- Communication
- Accounts receivable management
- Microsoft Office
- Policy analysis
Timeline
Client Solutions Manager
Medical Billing Strategies
08.2021 - Current
Special Accounts Coordinator
Rady Children's Hospital Of San Diego
05.2019 - 03.2021
Medical Billing Specialist
San Diego Pediatrics
06.2016 - 04.2019
Medical Billing Specialist
Consolidated Medical Billing
06.2011 - 03.2019
Bachelor of Science - Health Information Management
San Diego Mesa College
Associate of Science - Sociology
Southwestern College