Angela Y. Sweet
New Britain,CT
Summary
Detail-oriented Billing Supervisor prepared to leverage years of experience to support and enhance operations. History of reducing delinquency and improving collection efforts. Highly effective at process improvement, team building, and documentation.
Overview
10
10
years of professional experience
Work History
RCM Billing Supervisor
Endoscopy Center of Connecticut
Hamden, CT
08.2023 - Current
- Ensured timely processing of customer payments by setting up payment plans and negotiating settlements as needed.
- Supervised a team of 5 billing specialists to ensure accuracy and efficiency in daily tasks.
- Analyzed data from various sources such as claims and explanation of benefits to identify trends or patterns in order processing times or payment delays.
- Implemented continuous improvement initiatives designed to streamline existing processes for greater operational efficiency.
- Conducted weekly meetings with staff to discuss performance metrics, goals, objectives, and other issues related to billing processes.
- Developed and implemented billing procedures to ensure accurate invoicing and payment collection.
- Prepared monthly reports detailing outstanding debtors' balances along with recommendations for improving collections efforts.
- Negotiated terms of payments with customers when necessary while ensuring compliance with company policies.
- Monitored accounts receivable aging reports to identify overdue payments, researched discrepancies, and took corrective action.
Insurance Reimbursement Supervisor
Pria Healthcare
Torrington, CT
07.2021 - 08.2023
- Provided guidance and support to staff regarding reimbursement policies and procedures.
- Prepared detailed reports summarizing findings from internal audits.
- Conducted training sessions for new staff members on appropriate coding principles and policies.
- Maintained updated knowledge of healthcare regulations and industry trends.
- Ensured compliance with all applicable laws, regulations, guidelines and standards pertaining to reimbursement practices.
- Collaborated with external auditors during periodic reviews of reimbursement records.
- Communicated regularly with providers regarding documentation requirements for submission of claims.
- Determined medical necessity, using individual insurance carrier regulations.
Reimbursement Supervisor
National Seating and Mobility
Newington, CT
03.2020 - 07.2021
- Developed strategies to optimize collection efforts from insurance companies.
- Communicated regularly with providers regarding documentation requirements for submission of claims.
- Identified areas of improvement within existing processes by analyzing data trends.
- Draft and distribute weekly reports of invoicing and billing metrics.
- Instructed staff on the legal parameters of collection practices.
- Analyzed, reviewed and processed medical claims for payment accuracy and completeness.
- Performed daily monitoring of financial transactions related to reimbursement activities.
- Ensured compliance with company, local, state, and federal guidelines in all billing actions.
Medical Billing Specialist
IPMS Corp
East Hartford, CT
03.2014 - 03.2020
- Conducted research on insurance policies, procedures, and regulations to ensure compliance with all applicable laws.
- Maintained detailed records of all billing activities including denials, adjustments, and payments received.
- Analyzed rejected claims and corrected errors as necessary before resubmitting them for payment.
- Initiated collection efforts on unpaid accounts by contacting insurance companies or patients directly via phone or mail.
- Developed strategies for improving collections performance while reducing bad debt write-offs.
- Prepared daily reports summarizing payments received from insurers or other sources.
- Reviewed patient records for accuracy and completeness of information in medical billing system.
- Submitted appeals for denied claims when appropriate according to the insurance company's criteria.
- Created and processed claims to third-party payers using specific coding guidelines.
- Ensured HIPAA compliance by maintaining confidentiality of all patient information.
- Worked closely with clinical staff to ensure accurate coding practices were followed.
Education
Associate of Science - Human Services
Tunxis Community College
Farmington, CT05-2024
Skills
- Regulatory Requirements
- Reporting skills
- Team Development
- Reporting Requirements
- Technical knowledge
- Strategic Decision-Making
- Claims Processing
- Payment posting
- Billing dispute resolution
- Accounts receivable expertise
- HIPAA Compliance
- Insurance Verification
- Medical billing and collections
- Collections
SKILLS/QUALIFICATIONS:
Accounts Receivable Certified
Epic
Healthpac
IDX
Salesforce
Smartsearch
Bamboo
Microsoft Word/Excel
References
References available upon request.
Timeline
RCM Billing Supervisor
Endoscopy Center of Connecticut
08.2023 - Current
Insurance Reimbursement Supervisor
Pria Healthcare
07.2021 - 08.2023
Reimbursement Supervisor
National Seating and Mobility
03.2020 - 07.2021
Medical Billing Specialist
IPMS Corp
03.2014 - 03.2020
Associate of Science - Human Services
Tunxis Community College