Amanda Wehrle
Batavia
Summary
Resourceful Specialist offering expertise in problem-solving, data analysis and customer service. Adept at quickly learning new technologies and processes for driving success. Proven track record of successfully managing multiple projects and developing innovative solutions.
Overview
17
17
years of professional experience
Work History
Revenue Cycle Management Specialist/Project Management
Mayfield Brain and Spine
10.2015 - Current
- Overseeing revenue cycle projects, including planning, execution, and monitoring
- Understanding of processes for all positions within RCM department and used that knowledge to optimize several processes within the RCM department
- Analyze data to identify trends and make data-driven decisions to improve performance such as reducing denials and optimizing revenue cycle workflows
- Excellent communication skills used to facilitate collaboration and conveying project updates
- Monthly reporting including KPI’s, charges, AR, and point of service collections
- Point of contact for monthly meetings with payers aimed at resolving high dollar unpaid claims
- Vendor optimization projects including statement vendors, collection agency changes, IVR, and credit card intermediary changes
- Served as the admin for all RCM vendors
- Performed contract negotiation with vendors within RCM
- Proficient in Epic, Athena, and Athena Flow
Financial Counselor
Mayfield Brain and Spine
- Increased patient confidence in the billing process by providing clear explanations of insurance benefits and coverage limitations.
- Negotiated payment plans with patients, maintaining a high rate of successful payments.
- Conducted thorough audits of patient accounts to identify discrepancies and prevent potential revenue loss.
- Developed customized payment solutions based on individual patient needs, promoting long-term account sustainability.
- Enhanced patient satisfaction by effectively explaining financial options and answering billing inquiries.
Medical Secretary
Mayfield Brain and Spine
- Managed high volume of incoming calls and inquiries related to surgery scheduling with professionalism and attention to detail.
- Collaborated with physicians to obtain necessary clinical information for prior authorization submissions.
- Maintained thorough knowledge of insurance plan requirements, facilitating accurate and timely completion of authorization forms.
- Verified eligibility and compliance with authorization requirements for service providers.
- Coordinated pre-surgical testing requirements to minimize delays or cancellations on the day of surgery.
Medical Secretary
University Orthopaedics and Sports Medicine
06.2014 - 10.2015
- Scheduled surgeries for 2 busy Orthopedic Surgeons
- Obtained pre-authorizations and pre-certifications ahead of scheduled surgeries.
- Educated patients on pre-surgery requirements, such as fasting protocols or medication adjustments, resulting in fewer complications on the day of the procedure.
- Handled urgent requests effectively, prioritizing cases requiring immediate attention while also balancing routine surgery demands appropriately.
- Arranged pre-operative and post-operative appointments for surgical patients.
- Verified insurance coverage and obtained pre-authorizations.
Billing Specialist
University Orthopaedics and Sports Medicine
07.2009 - 06.2014
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Posted and adjusted payments from insurance companies.
- Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
- Established clear expectations for payment arrangements, minimizing misunderstandings between patients and the practice.
- Utilized advanced software tools to monitor account activity, identifying trends that indicated potential risks or opportunities for revenue recovery.
Medical Records Custodian
University Orthopaedics and Sports Medicine
11.2007 - 07.2009
- Assisted in audits and inspections by maintaining well-organized and up-to-date medical records, ensuring compliance with regulations.
- Managed the disposal of outdated or unnecessary medical documents, maintaining an organized and clutter-free storage system.
- Contributed to improved patient care by promptly responding to authorized requests for access to relevant health information.
- Conducted regular quality checks on filed documents, correcting discrepancies and ensuring accurate long-term record storage.
- Maintained strict adherence to HIPAA guidelines, protecting patients'' personal information and confidentiality rights.
Education
No Degree - Medical Coding And Billing
Interactive College of Technology
Atlanta, GASkills
- Insurance Verification
- Patient Counseling
- HIPAA Compliance
- Professionalism and Ethics
- Denial Management
- Verifying insurance
- Analytical Problem Solving
- Collecting payments
- Payment posting
- Multitasking Abilities
- Microsoft Excel
References
Available upon request.
Timeline
Revenue Cycle Management Specialist/Project Management
Mayfield Brain and Spine
10.2015 - Current
Medical Secretary
University Orthopaedics and Sports Medicine
06.2014 - 10.2015
Billing Specialist
University Orthopaedics and Sports Medicine
07.2009 - 06.2014
Medical Records Custodian
University Orthopaedics and Sports Medicine
11.2007 - 07.2009
Financial Counselor
Mayfield Brain and Spine
Medical Secretary
Mayfield Brain and Spine
No Degree - Medical Coding And Billing
Interactive College of Technology
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