AMANDA COVINGTON

• Provide direct oversight of 3 distinct payment processing systems, ensuring timely payment processing and reconciliation.
• Directly manage 3 Payment Processing Managers and provide strategic oversight for a total team of 28, including 7 direct reports and 21 indirect reports.
• Escalate critical issues to senior leadership with supporting data and impact analysis to drive timely resolution.
• Partnered with the Data Analytics team to validate system data integrity ensuring the creation of accurate dashboard reporting of deposits, total unprocessed days, suspense items and outstanding payments.
• Integrated two separate system payment processing teams and identified cross-system dependencies to optimize workflow efficiencies.
• Collaborated with internal teams including EDI, IT and Sales on escalated payment issues.
• Achieved a 75% reduction in Dynamics cases by collaborating with managers to implement a structured action plan with clear timelines.
• Collaborate with billing, accounting and finance teams to resolve payment related issues and ensure accurate data flow across departments.

• Managed a team of 10 payment processors, proactively escalating aging payments and addressing performance issues to consistently meet performance goals.
• Reviewed premium application processes, researched issues, and resolved concerns.
• Completed performance evaluations and implemented target improvement plans to support the development of underperforming team members.
• Supported Billing Director with special projects and additional job duties.
• Interviewed and hired employees collaborating with the training team on creating a plan for all new hires.
• Developed and implemented metrics such as average processing time by processor to monitor performance and ensure adherence to SLAs.
• Collaborated with IT on system enhancements.

• Maintained positive relationships with 4 clients by conducting onsite visits to review priority areas and address client specific needs.
• Facilitated monthly executive calls to present AR, edit and cash posting performance for the previous month.
• Reviewed operational data and revenue integrity reports to forecast trends for strategic business decision-making.
• Oversaw work of 20+ team members responsible for processing over $16 million in billed gross charges per month with $9.2 million in payments applied.
• Evaluated current processes and implemented improvements to assist with client goals.
• Assisted with set up of new merchant service providers for client's requesting a change.
• Collaborated with our IT department on enhancement requests for our clients.
• Assisted with the onboarding and integration of a global team.

• Responsible for overseeing payment posting, cash reconciliation and refund processes for 10 lab clients.
• Initiated monthly meetings with our client's finance department to ensure financial reporting on the Coronis side correlates with the client's records.
• Partnered with the Accounts Receivable Manager to review and address payment denials and rejections, identifying root causes and minimizing payment delays.
• Conduct team huddles to discuss performance and brainstorm process improvements.
• Facilitated training within India staff on posting procedures.
• Validated 835 ERA files to ensure accuracy in payment posting and financial reconciliation.
• Entered rejection and denial codes in the payment system to enable automated application during file processing.

• Responsible for overseeing the payment posting, cash reconciliation and refund processes for 13 laboratory clients.
• Enhanced staff performance by recruiting, hiring and training qualified staff members.
• Planned and directed workflow for 14 fully remote cash posters and correspondence clerks.
• Conducted weekly team huddles to discuss posting performance and process improvements.
• Attended and contributed to weekly leadership meetings led by the COO to discuss payer trends and monthly goals.
• Assisted the Quality Assurance department with the development and implementation of successful process documents to improve payment posting efficiency and accuracy.
• Monitored cash goals by consistently reviewing payer performance to exceed previous month.
• Reduced manual posting times more than half by working with the submissions department to obtain 835 files for specific payers.
• Collaborated with the Accounts Receivable Manager on any denials/rejections posted that would contribute in the delay of payment.
• Contributed to the development of the billing and payment process for COVID uninsured.
• Assisted with installation for new clients including lockbox and merchant services.
• Created and monitored cash reconciliation logs to ensure timely posting of all cash reported from each client.
• Met with the finance department for each client to discuss any outstanding variances.

• Trained newly hired employees for the AR and cash posting departments.
• Updated deposit information for 14 clients.
• Assisted the AR/Posting Manager with workflows for the AR and Posting departments.
• Monitored trends within the payers to identify any denials or rejections that could delay payments.
• Reviewed monthly reports of unadjudicated claims.
• Posted 835 and manual payment files in a timely manner.
• Conducted one on one huddles with each AR and posting team member.
• Made management decisions in Manager's absence.
• Achieved accounts receivable targets that contributed to company's profits.
• Audited work assigned to accounts receivable reps to ensure quotas were consistently met.
• Audited cash poster's cash reconciliation logs and posting of payer payments to ensure timely and accurate payment posting.

Answered questions regarding payments applied to patient accounts.

• Worked on special payment projects with Posting Manager.
• Posted cash, check, credit card, EOB, EFT and lock box payments for 8 different client.
• Processed credit cards via client specific merchant service accounts.
• Ensured all variances were resolved before month end.
• Reported any payer inconsistencies to the Posting Manager.
• Issued refund and credit adjustments.
• Updated cash reconciliation logs with client deposits.
• Identified forwarding balance and take back information for accurate and efficient posting.
• Deposited checks, cash and correspondence to lockbox.

• Worked rejection reports for denials in a timely manner for 8 clients.
• Audit claims by last bill date to ensure submissions were received by the payers.
• Worked with posting representative on any identified payments that were unapplied.
• Report any claim issues impacting payment to the AR manager and assisted with resolution.
• Troubleshot and resolved issues and discrepancies of billed amounts on patient invoices.
• Used excel to submit reports to AR Manager as needed.
• Researched payment issues and outstanding checks. This includes calling payers and web research.
• Worked to keep DSO's below company standards.