Amey Ouadda
Marion,VA
Summary
Qualified RCM Professional with proven track record in managing high-value client relationships and delivering exceptional service. Successfully facilitated cross-functional collaboration to drive client satisfaction and business growth. Demonstrated expertise in strategic planning and problem-solving.
Overview
27
27
years of professional experience
1
1
Certification
Work History
RCM Senior Client Manager
Medusind
- Identify inefficiencies, recommend best practices, and implement technologies to enhance the financial performance of multiple physician practices across various specialties, including Emergency Room, Anesthesia (MD & CRNA), Pain Management, and Critical Care.
Client Performance Administrator ER Services
Medusind
09.2020 - 12.2023
- Manage and optimize the billing procedures and collection processes for the Emergency Room. Track accounts receivable (AR) performance, focusing on cash collections and AR aging. Collaborate with internal staff, external partners, and technology resources to address issues and enhance overall client performance through efficient, standardized processes.
RCM Consultant
Medusind
06.2020 - 09.2022
- Engaged as a consultant to support client services and the activations team in launching a new line of business with ER providers.
Patient Account Supervisor
MedStar Health
12.2016 - 12.2019
- Supervised a team of six Patient Account Representatives for MedStar's multi-specialty services in their northern facilities and urgent care sites. Resolved claim denials for multi-specialty, urgent care, OB/GYN, cardiology, and oncology invoices.
Senior Revenue Cycle Analyst
University of MD Faculty Practice
03.2016 - 11.2016
- Analyzed AR for multiple billing departments on campus. Identified and reported on gaps in the revenue cycle process. Identified denial trends by payer to improve front end processes and increase clean claim submissions. Analyzed the charge capture process to reduce charge lag for both inpatient and ambulatory services. Reviewed bundled and medical necessity denials for the department of surgery identifying coding issues. Performed charge corrections to correct denied claims. Created impromptu A/R reports as needed for directors and administrators.
Director of Professional Services
University of MD Diagnostic Imaging
12.2013 - 03.2016
- Initially, I was hired as a billing project manager to analyze A/R for gaps in the revenue cycle. I managed project teams to resolve billing issues within multiple systems and interfaces from clinical point of service to an outsourced billing company. When promoted to Director of Professional Fees my additional duties included billing compliance, budget analysis, physician credentialing and charge capture of missed revenue opportunities.
Director of Professional Services
University of MD – Shock Trauma
11.1996 - 12.2013
- Patient Account Rep II: Follow-up on invoices for Medicare and Carefirst products. Identify and report claim processing and payer denial trends to management. Recognized for writing effective appeal letters for medical necessity and bundling denials. I was promoted to Billing Team Leader to assist other staff with complicated denial resolutions.
- Patient Account Manager: Manage back-end billing processes that include claim submission, claim follow up and payment posting. Create standardized appeal letters in GE/IDX for staff to utilize for top denial reasons. Create a rejection subsystem to pull reporting on claim denial reasons and volumes by payer. Tracked reimbursement by payer and identified a decline in HMO fee schedules that resulted in state legislation for increased rates for trauma centers. Tracked and reported an increase in uninsured trauma Medusind | Marion, VA | June 2020 - September 2021 patients that resulted in state legislation to reimburse trauma centers for uncompensated care.
- UTC Administrator: Worked with MHCC to develop and implement an application process to obtain reimbursement on uncompensated claims from the Maryland Trauma Physician Services Fund. Participated in process improvements with MHCC to migrate billing processes to a TPA. Served as a provider liaison between MHCC and other state trauma centers.
- Director of Professional Fees: As Director of Professional Services, I continued to work with MHCC as the primary trauma center for all process improvements. Point person for all state trauma fund audits for the University of Maryland campus. Reviewed audit results and appealed any errors found during the yearly audit process. I was a member of the campus Directors Committee that was responsible for standardizing billing processes across twelve billing groups on campus. I was nominated for the University of Maryland, School of Medicine’s Director’s award for my work in trauma. Worked as a revenue cycle consultant for the Department of Surgery, Family Medicine, and Radiology.
Education
High School -
Edgewood High School
Edgewood, MD06.1986
Skills
- REVENUE CYCLE MANAGEMENT
- POLICY DEVELOPMENT
- AR ANALYSIS
- EXCEL, POWERPOINT
- MEDCLARITY
- EPIC
- GE (IDX)
- MEDITECH
- CITRIX
- CERNER
- ALLSCRIPTS
- IBM COGNOS
- POWERPLAY
Affiliations
- MGMA
- AAPC
Certification
- 1996 - 2013
- Anatomy & Physiology
- Medical Terminology
- CPT & ICD Coding
- Practice Management
- Healthcare Compliance
- Past certifications: CPC, CMRS and CCP
Section name
Salary Negotiable
Timeline
Client Performance Administrator ER Services
Medusind
09.2020 - 12.2023
RCM Consultant
Medusind
06.2020 - 09.2022
Patient Account Supervisor
MedStar Health
12.2016 - 12.2019
Senior Revenue Cycle Analyst
University of MD Faculty Practice
03.2016 - 11.2016
Director of Professional Services
University of MD Diagnostic Imaging
12.2013 - 03.2016
Director of Professional Services
University of MD – Shock Trauma
11.1996 - 12.2013
RCM Senior Client Manager
Medusind
High School -
Edgewood High School
Similar Profiles
Veronique C WiistVeronique C Wiist
Manager Client Services at MedusindManager Client Services at Medusind
Pragadesh APragadesh A
AR Caller at MedusindAR Caller at Medusind
Shelby SpencerShelby Spencer
Healthcare Billing Specialist at MedusindHealthcare Billing Specialist at Medusind
Katherine RaynorKatherine Raynor
Audit Support COB and DM at Cotiviti HealthcareAudit Support COB and DM at Cotiviti Healthcare
Samuel DibbleSamuel Dibble
General Contractor at Purvis & AssociatesGeneral Contractor at Purvis & Associates