AMANDA ALLEY
Evans,USA
Summary
Accounts Receivable Representative II at North American Partners In Anesthesia with strong expertise in financial analysis and process optimization. Achieved revenue growth through strategic planning and relationship management, enhancing claims processing and operational efficiency. Proven leadership in team environments with a track record of implementing effective solutions under pressure.
Professional with strong background in accounts management, adept at managing billing and collections processes to ensure timely payments. Skilled in resolving discrepancies, maintaining accurate records, and utilizing accounting software. Known for collaborative approach, adaptability to changing needs, and consistent delivery of results. Reliable team player with focus on efficiency and effectiveness in achieving organizational goals.
Finance professional with keen ability to manage financial transactions and ensure timely collections. Proven track record of optimizing receivables processes and resolving disputes efficiently. Known for strong team collaboration and adaptability in dynamic environments, with focus on accuracy and customer relations.
Overview
17
17
years of professional experience
1
1
Certification
Work History
Accounts Receivable Representative II
North American Partners In Anesthesia
03.2024 - Current
- Under the direct supervision of the Collections Supervisor or Manager, the Accounts Receivable Representative II is responsible for effective and efficient accounts receivable management of assigned payers.
- Collections efforts on outstanding accounts include telephone contact with payers, work collection reports and correspondence, audit accounts, appeal denied claims as necessary, update accounts as necessary, identify carrier related denial trends and meet departmental productivity standards.
- Accounts Receivable Representative II will also coordinate the transfer of patient responsibility and work accounts that require additional insurance collection follow-up.
- Reviews, evaluates, and forwards manual paper claims to payers that do not accept electronic claims or that require special handling.
- Documents billing activity on the patient account; ensures compliance with all applicable billing regulations and reports any suspected compliance issues to departmental leaders.
- Reviews claims for accuracy and coordinates with ancillary departments as needed to provide information for audits and/or record reviews.
- Based on electronic payers' error reports, makes appropriate corrections to optimize the electronic claims submission process.
- Pursues prompt follow-up efforts on aged accounts, which may involve helping to formulate written appeals.
- Accurately documents all follow up on the account to ensure there is an accurate record of the steps taken to collect on an account.
- Monitors claim rejections for trends and issues; reports these findings to the lead biller and other departmental leaders.
- Practices excellent customer service skills by answering patient and third-party questions and/or addressing billing concerns in a timely and professional manner.
- Assists in reviewing and/or resolving credit balances.
- Participates in general or special assignments and attends required training.
Patient Coordinator
Augusta Urology Associates
08.2021 - 02.2024
- Uphled confidentiality and regulatory compliance to protect patient information.
- Educated patients on preparation instructions for upcoming procedures and tests.
- Acted as primary contact for patients, doctors, and hospital staff through thorough chart reviews.
- Maintained accurate health records to ensure compliance with healthcare guidelines.
- Assisted patients in completing necessary paperwork for billing purposes.
- Communicated with insurance companies to verify coverage and obtain treatment authorizations.
- Organized patient records and databases to enhance information retrieval efficiency.
- Processed payments accurately while maintaining detailed transaction records.
Medical Billing Manager
Augusta Urology Associates
08.2021 - 02.2024
- Directed agency operations through strategic planning and effective coordination.
- Established practice management software for streamlined electronic claims submissions.
- Developed HIPAA compliance program to ensure adherence to regulatory standards.
- Managed receivables, cash collections, and revenue reporting to enhance financial accuracy.
- Trained employees on organizational policies to improve compliance and operational understanding.
- Collaborated with patients to develop effective payment plans for account management.
- Reviewed and resolved billing issues through comprehensive research and analysis.
- Analyzed business processes to identify cost-saving opportunities and enhance efficiency.
Assistant to Director of Operations
Medac, Inc
09.2018 - 08.2021
- Taught employees how to collaborate on daily job tasks and achieve service targets.
- Helped team members maintain business professionalism by coaching each on methods for delivering exceptional service to every customer.
- Developed and maintain operational guidelines for staff.
- Monitored employee productivity and optimized procedures to reduce costs.
- Supervised operations team to support operational excellence and excellent customer service.
- Developed systems and procedures to improve operational quality and team efficiency.
- Implemented new technology to streamline processes and improve operations.
- Performed statistical analyses to gather data for operational and forecast team needs.
- Stayed up-to-date with industry trends and best practices to improve skills and organizational operations.
- Answered high volume of phone calls and email inquiries.
- Used QuickBooks to produce monthly invoices, reports, and other deliverables.
- Volunteered to help with special projects of varying degrees of complexity.
- Took notes and dictation at meetings.
- Screened personal and business calls and directed to appropriate party.
- Streamlined operations and prioritized tasks, allowing senior staff to increase productivity.
- Uphled strict timetables by maintaining accurate, balanced calendars.
- Managed mail and both incoming and outgoing correspondence, mail, email and faxes.
- Worked with senior management to initiate new projects and assist in various processes.
- Updated and maintained confidential databases and records.
- Wrote reports, executive summaries and newsletters.
- Created and managed office systems to efficiently deal with documentation.
- Handled logistics, catering, agendas and travel arrangements for meeting and event planning for board of directors, president and executive vice president.
- Filed paperwork and organized computer-based information.
Revenue Cycle Manager
Medac, Inc
11.2012 - 09.2018
- Monitored revenue cycle operations, guiding improvements to enhance efficiency.
- Supported clinical teams with revenue procedures and resolved issues promptly.
- Identified and addressed discrepancies between budget targets and actual financials.
- Completed comprehensive financial reporting for billing cycles.
- Implemented coding procedures, monitored reports, and updated internal files.
- Managed high volumes of medical claims daily, ensuring timely resolutions.
- Processed insurance payments accurately and maintained precise documentation.
- Coordinated with contracting departments to resolve payer issues effectively.
Head Teller III
SRP Federal Credit Union
11.2008 - 11.2012
- Educated customers about banking website and mobile app functionalities.
- Processed transactions promptly, minimizing customer wait times.
- Maintained accurate transaction records in accordance with banking procedures.
- Answered inquiries regarding account balances, transaction history, and service charges.
- Cross-sold financial products, enhancing customer relationships and satisfaction.
- Trained new tellers on policies and procedures to uphold operational standards.
- Monitored accounts for suspicious activity, ensuring compliance with security policies.
- Balanced cash drawer daily and addressed discrepancies to ensure accurate cash flow.
Education
Bachelor of Science - Political Science
Georgia College And State University
Milledgeville, GA05-2006
Skills
- Project management
- Financial analysis and reporting
- Process improvement
- Strategic planning
- Account coding knowledge
- Business development
- FHA loan process expertise
- Data analysis
- Revenue generation
- Process implementation
- Relationship management
- Staff management
- Verbal communication
- Payment negotiations
- Financial records and reporting
- Invoice processing
- Spreadsheets and journal entries
- Accounts receivable
- Claims processing
- Microsoft Excel
Certification
Currently Enrolled in AAPC Certified Billing and Coding Program.
Timeline
Accounts Receivable Representative II
North American Partners In Anesthesia
03.2024 - Current
Patient Coordinator
Augusta Urology Associates
08.2021 - 02.2024
Medical Billing Manager
Augusta Urology Associates
08.2021 - 02.2024
Assistant to Director of Operations
Medac, Inc
09.2018 - 08.2021
Revenue Cycle Manager
Medac, Inc
11.2012 - 09.2018
Head Teller III
SRP Federal Credit Union
11.2008 - 11.2012
Bachelor of Science - Political Science
Georgia College And State University