Goal-oriented individual searching for an opportunity to expand my professional knowledge and use my leadership, creativity, and problem-solving skills to become the Verification Supervisor.
Overview
14
14
years of professional experience
Work History
Revue Cycle Supervisor
04.2025 - Current
Facility Managed accounts receivable aging, ensuring timely follow-up on outstanding balances and prompt resolution of discrepancies.
Performed root cause analysis to identify issues affecting revenue cycle performance, implementing corrective actions to drive improvement.
Monitored department KPIs and employee performance and adjusted plans to meet daily and monthly goals.
Responsible for the overall process and procedures related to A/R and billing.
Development and leadership of team members involved in the billing process.
Develops and monitors departmental goals/objectives to meet companywide goals.
Continuously assesses and improves the department's performance using KPIs.
Works extensively with Operations leadership on cross department projects.
Develops and implements billing policies, procedures and systems ensuring timely and clean claim.
Resolution Specialist
Acadian Ambulance
05.2016 - 04.2025
Run utilization reports gathering all transports that are covered under the CBSs or Contract agreement.
Review to make sure invoices meets the billing criteria by repricing charges, and ensure invoice is in the correct billing cycle.
Monitor payment variance with resolution.
Assisting employees with problematic issues related to billing.
Review correspondence including buyouts, closures and bankrupts relating to Facilities.
Communicate with the VP and Business Development Coordinator for escalated disputes.
Prepare monthly Reports for Administration Review.
Review Timely Filing, NMN, ATAC and OPS write off reports.
Audit specialist invoices and document errors and provide training if need.
Team Lead when supervisors and or Manager is unavailable.
Contract Billing Specialist
05.2014 - 10.2016
Prepare billings both Daily and Monthly for Hospitals, Nursing Homes, Private Industry, Governmental Agencies, and Van Transports.
Facility Deposits –Reconcile.
Payment Review of Unacceptable or Questionable Payments.
Review Overpayments and Processing of Refunds to Facilities.
Inbound calls relating to Facilities.
Correspondence relating to Facilities.
Pre-verification on the payer types of Governmental Agency or Private Industry.
ATAC Specialist
05.2013 - 10.2014
Ensure that all appropriate information is documented in CAD prior to dispatch.
Schedule transports in CAD.
Determine whether or not patients will meet medical necessity guidelines for transport.
Verification of patient insurance.
Provide billing-related guidance to operations and the business development team as needed.
Provide price quotes for all private pay.
Obtaining pre-authorizations for non-emergency ambulance and wheelchair transports.
Medicaid eligibility specialist
Texas Health and Human Service
11.2011 - 01.2013
Interviewing clients/responsible parties.
Documenting/ analyzing information gathered.
Providing information and referral services to clients and providers.
Approve or Deny applications accordingly to Medicaid eligibility criteria.