In my professional career I'm known to have a great desire for growth and mastering new challenges. I also provide excellent communication and organization skills to improve processes. A dedicated leader who can effectively manage and support a team.
Overview
8
8
years of professional experience
4
4
years of post-secondary education
Work History
Team Lead
Caremetx
11.2023 - 02.2024
Provides day-to-day instructions to team members on processing Benefit Investigations
Conducts daily monitoring of employee production to ensure teams meet or exceed performance standards and achieve quality control measures
Assist the Supervisor and Area Director/Manager with various training initiatives necessary to prepare the Reimbursement Specialist, Seasonal to meet all performance benchmarks required to process benefit verifications
Assist with the development of program training documents
Performs related duties as assigned, including benefit verifications.
Promoted a positive work environment by fostering teamwork, open communication, and employee recognition initiatives.
Trained new team members by relaying information on company procedures and safety requirements.
Directed and supervised team of 15
Medical Billing Coordinator
Caregiver
04.2023 - 10.2023
Billing professional and physician claims
Ensures that established turnaround times for claim completion and billing are met
Responds to, or posts correspondence, administrative requests, adjustments, transactions, and/or billing
Collaborated with insurance providers to expedite claims processing and secure timely payments for services rendered.
Improved billing accuracy by implementing stringent quality control measures and enhancing documentation processes.
Streamlined medical billing procedures for increased efficiency, resulting in faster reimbursement rates for the healthcare facility.
Senior Analyst
VIRTUAL BUSINESS OFFICE ASSOCIATES
8 2022 - 12.2022
Works assigned accounts independently and efficiently toward resolution while maximizing proficiency
Partners with both internal and external resources to find root cause of claims with adverse financial outcomes to ensure resolution
Performs analysis of accounts to determine necessary action for resolution of account.
Enhanced team productivity by streamlining workflow processes and implementing time-saving strategies.
Mentored junior analysts, fostering professional development while enhancing overall team performance.
Collections Admin II
ORTHOFIX LLC
02.2021 - 11.2021
Trained and developed new staff on processes as needed
Identified and reported payor trends or issues to management
Reached productivity goal 6 consecutive months in turn generating an average of $125,000 over goal per month.
Ensured accurate financial records, reconciling accounts receivable ledger on a monthly basis.
Negotiated favorable settlement agreements with customers experiencing financial difficulties to facilitate debt recovery efforts while preserving business relationships.
Optimized collections strategies by analyzing trends in delinquent accounts and implementing targeted solutions.
Supervisor
CENTRASOL LLC
03.2020 - 08.2020
Manage Team schedules to reallocate resources to meet KPIs
Track distribution of workloads and conduct ongoing needs assessments to identify staffing opportunities
Conduct 1:1 coaching, mentoring and feedback with Team Members, in addition to annual performance reviews
Monitor staff timecards for accuracy and ensure approval is timely for payroll
PCON Support Analyst
Steward Health Care
11.2018 - 12.2019
Utilized contracts to resolve account variances and forwarded information to the collection team or appeal nurse to submit appeals to the payer
Applied contractual adjustments to accounts to net to correct expected reimbursement per the pathway contract management system within Cerner
Served on special projects team to ensure Medicare Part B claims billed according to process which resulted in decrease in denial rate for this payer.
Collections Team Lead
CHRISTUS HEALTH
04.2016 - 11.2018
Responsible for daily review of UB04 and 1500 claims as well as patient payments received from lock box and electronic funds transfer
Validated physician and facility Medicare, Managed Medicare, Medicaid, and Commercial claims by using facility contracts
Successfully identified and created processes for denials received resulting in validation error rate reduction month over month
Identify and report trends or issues to management and share learning with team members
Provide leadership with suggestions to increase department efficiency, collaborate with leadership on process improvement strategies
Education
Bachelor of Science in Healthcare Administration -
UNIVERSITY OF PHOENIX
Dallas, TX
06.2013 - 05.2017
Skills
Proficient with Meditech, Epic, OnBase, Cerner
Timeline
Team Lead
Caremetx
11.2023 - 02.2024
Medical Billing Coordinator
Caregiver
04.2023 - 10.2023
Collections Admin II
ORTHOFIX LLC
02.2021 - 11.2021
Supervisor
CENTRASOL LLC
03.2020 - 08.2020
PCON Support Analyst
Steward Health Care
11.2018 - 12.2019
Collections Team Lead
CHRISTUS HEALTH
04.2016 - 11.2018
Bachelor of Science in Healthcare Administration -