Arrika Adams

• Reviewed billing and collections process and determined improvements to streamline workflows.
• Increased efficiency in the reimbursement process by implementing streamlined procedures and guidelines.
• Track AR productivity (charge, payments, collections, adjustments) on a daily, weekly and/or monthly basis; as needed to ensure company expectations are met.
• Continually revised strategies based on analysis of KPIs results, leading efforts towards continuous improvement within the reimbursement department.
• Prompt return and follow-up to all interactions; prompt response to requests for information, both internally and externally.
• Meet regularly with staff; in person and as a group to review updates
• Analyze and address staff performance, conduct, and other problems in a timely and professional manner; offering counseling, correction, and discipline as appropriate.
• General Knowledge of HCPCS, CPT-4 and ICD9-10 coding and/or medical terminology.
• Analyze reports to determine when, how, and why decrease in clients’ AR; including denials, unbilled, credit issues; and holds; communicate with clients and staff to resolve.
• Familiar with CMS guidelines and regulations for claim submission and reimbursement.
• Month end close for the Financial
• Responsible for our third party Hospital Medical Billing and Collections ensuring billing and collections for Commercial and Medicaid
• Serves as the primary point of contact within the Finance structure of the Meals on Wheels contracts for the Department of Aging and Disability Services

• Plans, organizes and coordinates the billing department, including all billing and accounting functions. Oversees all departmental billing and accounting procedures.
• Supports CEO, CFO and Controller and Accountants, with weekly and monthly reports as well as assist with preparation of Medicare cost reports, PS&R and Medicare Credit balance reports.
  • Trainer for all 29 home health care sites and 3 states for all new employees’ works as the liaison between the site and corporate office.
  • Assisting with the Implementation of the POC system and coordinated the process in conversion of the new software clean up and Implementation.
  • Established and Implemented billing reports such as Unbilled, aging, missed episodes etc to ensure accuracy and Increase revenue for the billing department.
  • Credentialing for all payors. Preparation of all correspondence associated with credentialing. Complying with all HIPPA/JCAHO rules and regulations. Negotiate rates for all non contracted payors.
  • Responsible for overseeing the set up for any new company purchased, setting up all necessary billing software, as well as served as the liaison between the purchaser and buyer of the companies. Ensuring all due diligence request was I order and
• • Oversees all billing department reports, billing audits as well as collection reports.
  • Weekly funding for the entire company. Exporting Oasis’s to both a funding company and the state.
• Ensure all activity related to collection efforts is documented thoroughly and follow best practice collection guidelines. They will analyze metrics to address trends to communicate with the client and assess strengths of team members to assist in development and allocation of resources to assure team and client success.
• Completed financial reporting and analysis for billing revenue cycle.
• Managed cross-functional teams to improve overall revenue cycle operations.

• Identified need for online billing; setup system and trained all billers on new billing process.
  • Reviews billing process and systems to ensure the most effective methods are maintained to meet both departmental goals.
  • Responsible for weekly and monthly audit and productivity reports as well as resolving any billing or claims issues.
  • Train, audit and evaluate staff, as manage all personnel related duties from Interviewing and hiring new employees.
  • Works with Patient Access Departments, Medical Records and Information System’s to ensure clean claims are being processed.
  • Reviews billing process and systems to ensure the most effective methods are maintained to meet departmental goals.
  • Supervise and maintain the productivity of all employees
  • Effectively manage areas of Patient Registration to ensure quality, productivity and customer service.
  • Responsible for Level ll Appeals and denials for Managed Care plans

• Provide departments with Medicare and other payer updates, notices and coverage changes which effect both billing and reimbursement.
• Work with both electronic billing vendor and payer to resolve billing issues..
• Provide strategic reimbursement advice to clients as well as direct reporting to all upper Management.
• Reviews weekly billing reports to ensure claims are claim and being processed in a timely manner.
• Worked Denials and Collections for Commercial and Medicaid

• Work with department managers and clients to Identify contract that have potential to recover revenue.
• Compared each account with it’s contract ensuring they were correctly billed and collected
• Assist in developing audit plans and conduct audits, to Identify gaps and gather Information to support revenue recovery from clients.
• Compiled and summarized data and prepared reports for management review.
• Claims follow up and collections on all accounts
• Cash Applications , Credit Balances and Month end close

• Review and verify accuracy of billing and coding
• preparing and submitting clean claims to various insurance companies either electronically or by paper within the appropriate turnaround time promised to the provider
• working in an A/R module or reviewing aging reports, researches and resolves credit balances by correcting payment errors or requesting refunds from the providers, correcting and resubmitting claims to third party payers as needed
• Train new employee in all aspects of their job.
  • Review the quality of patient registration documents on a daily basis.
  • Interview, hire, evaluate and counsel Patient Access staff members.
  • Work closely with managers to ensure all procedures regarding patient accounts are completed in a timely manner.
  • Ensure QA on registrations for all areas of registrations.
  • Responsible for all Departmental reports.
  • Claims Follow up and Appeals for accounts 180 days and over
• Identified trends in reimbursement denials, recommending process improvements to minimize future occurrences.