Job Search Status
Open to workDesired start date: Open to discussion
Open To Work
Annette Sudomir
Almont,MI
Work Preference
Summary
Experienced with revenue cycle management, ensuring efficient financial processes and revenue optimization. Utilizes strategic planning and process improvements to enhance operational performance. Track record of effective team leadership and collaboration, driving successful outcomes in dynamic environments.
Overview
33
33
years of professional experience
Work History
RCM Collections Manager
InfuSystem, Inc
Rochester Hills, MI
06.2022 - Current
- Oversaw daily operations and performance management for a department of 24.
- Analyzed accounts receivable data to identify trends.
- Collaborated with cross-functional teams to address underpayments and incorrectly billed claims.
- Enhanced team performance through regular training, coaching, and feedback sessions.
- Mentored staff in effective collection techniques, fostering a culture of accountability and performance.
- Established key performance indicators (KPIs) to measure team effectiveness and drive continuous improvement initiatives.
RCM Collections Supervisor
InfuSystem, Inc
Rochester Hills, MI
10.2021 - 06.2022
- Led collections team to achieve departmental targets and improve overall collection efficiency.
- Mentored staff on best practices for handling challenging accounts.
- Analyzed collection trends to implement proactive measures, increasing recovery rates significantly.
- Trained new employees on policies, procedures, and compliance standards within collections framework.
- Evaluated performance metrics regularly to identify areas for process improvement and operational excellence.
RCM Collections Specialist
InfuSystem, Inc.
Rochester Hills, MI
06.2019 - 10.2021
- Managed collections processes to reduce outstanding receivables and improve cash flow.
- Analyzed account data to identify trends and prioritize collection efforts for high-risk accounts.
- Collaborated with cross-functional teams to resolve billing discrepancies.
- Trained new team members following company SOPs.
Billing Manager
Great Lakes Therapy House
Traverse City, MI
04.2015 - 12.2018
- Data entry of new patients and daily charges
- Review of appropriate ICD-10 coding
- Submit claims for both facility and professional claims
- Review and correct clearinghouse errors
- Claims correction via Medicare DDE system
- Reconcile weekly deposits
- Posting of all insurance and patient payments
- Approve and manage patient payment plans
- Submit Medicare and Blue Cross Blue Shield applications for new therapists
Collection Coordinator
Health Alliance Plan – HAP
Southfield, MI
11.2012 - 04.2015
- Identify and resolve disputed account balances
- Review completed account reconciliations for accuracy and completeness
- Correct account errors, including misapplied payments and billing errors
- Assist in preparation and mailing of correspondence to customers on delinquent accounts
- Participate in monthly meetings and reports status of all delinquent accounts
- Confer with customers by telephone in attempt to determine reason for overdue payments
- Record information about the financial status of customer and collection efforts
- Create and maintain databases on activity conducted for all accounts
- Process deposits for all checks received
- Assist with correcting of all lockbox payments
- Resolve PEGA general service requests for the department.
Practice Manager
Eastside Podiatry
Grosse Pointe Woods, MI
05.2012 - 05.2012
- Scheduled appointments
- Ensure adequate staffing coverage
- Manage ordering and dispensing of diabetic shoes, including compiling all necessary documentation for billing purposes
- Verification of benefits for office visits, diabetic footwear and various DME coverage
- Scan/Attach documents in EMR
- Verify physician participation and credentialing with insurance companies
Practice Manager
Advanced Physical Therapy
Southfield, MI
02.2009 - 05.2012
- Supervise front office including insurance authorizations and patient billing functions
- Hire and train front office receptionists
- Process payroll
- Submit Medicare billing and complete follow up with adjusted and or voided claims
- Prepare patient and insurance overpayments to corporate for refunds
- Maintain accounts receivables over 120 days below 15%
- Review claims for accurate ICD-9 codes and CPT codes
Healthcare Consultant
Certification Consultants, Inc.
Plymouth, MI
04.2008 - 02.2009
- Provide services to home health agencies, outpatient physical therapy/rehab agencies, independent physicians, group medical practices, DME suppliers, assisted living facilities, skilled nursing facilities and hospices
- Assist clients with Medicare certification
- Development of both policy and procedure and Human Resource manuals for clients
- Payer credentialing
- Set up billing systems
- Complete documentation reviews to ensure maximum reimbursement from payers
- Resolve billing issues for clients with Medicare, Blue Cross and other payers
Internal Controls Associate/Manager, Regional Business Office Support
HCR ManorCare
Toledo, OH
05.2005 - 04.2008
- Implement, evaluate, document and monitor the operational effectiveness of financial policies, processes, systems and internal controls
- Provide coaching on corporate financial policies, best practices, and processes
- Participate in formal compliance and fraud investigations. Investigate and report on financial process deviations and anomalies.
- Monitor, analyze, and report on financial controls, risks, and compliance to corporate policies and procedures
- Institute business office best practices
- Assist other employees in understanding and navigating our financial policies, data, and processes
- Ensure regulatory compliance of satellite offices at the federal and state level
Regional Administrative Manager
TheraSport Physical Therapy/HCR ManorCare
Livonia, MI
11.1994 - 05.2005
- Oversee all billing functions and accounts receivable for four facilities
- Process payroll for four facilities
- Prepare accounts payable for processing at the corporate level
- Coordinate and assist in the development of new locations
- Develop and implement procedures for a central billing office
- Assist in quarterly committee meetings and chart audits
- Educate patients with insurance benefits and resolve all patient billing issues
- Annually review policies and procedures with the Director of Operations
- Manage HR functions
- Accurately assign ICD-9 codes to outpatient claims
- Verify use of consistent and accurate CPT codes
Office Manager
Clairpointe Chiropractic
Detroit, MI
01.1993 - 11.1994
- Effectively decreased the accounts receivable by 40% over 21 months
- Prepare and generate all insurance billing
- Represent the corporation in workers’ compensation hearings
- Generate and analyze monthly reports
- Post payments and reimburse for overpayments
Education
Bachelor of General Studies -
Oakland University
Rochester, MI06-1996
625 Hour Certification - undefined
Irene’s Myomassology Institute
09-2011
Skills
- Healthcare industry
- Claims management
- Medical billing
- Denial resolution
- Exceptional organization
- Collections tracking
- Team leadership experience
- Teamwork and collaboration
Timeline
RCM Collections Manager
InfuSystem, Inc
06.2022 - Current
RCM Collections Supervisor
InfuSystem, Inc
10.2021 - 06.2022
RCM Collections Specialist
InfuSystem, Inc.
06.2019 - 10.2021
Billing Manager
Great Lakes Therapy House
04.2015 - 12.2018
Collection Coordinator
Health Alliance Plan – HAP
11.2012 - 04.2015
Practice Manager
Eastside Podiatry
05.2012 - 05.2012
Practice Manager
Advanced Physical Therapy
02.2009 - 05.2012
Healthcare Consultant
Certification Consultants, Inc.
04.2008 - 02.2009
Internal Controls Associate/Manager, Regional Business Office Support
HCR ManorCare
05.2005 - 04.2008
Regional Administrative Manager
TheraSport Physical Therapy/HCR ManorCare
11.1994 - 05.2005
Office Manager
Clairpointe Chiropractic
01.1993 - 11.1994
625 Hour Certification - undefined
Irene’s Myomassology Institute
Bachelor of General Studies -
Oakland University