Summary
Overview
Work History
Education
Skills
References
Timeline
Generic

Bayli S. Wohlfarth

Owensboro,KY

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

12
12
years of professional experience

Work History

Hospital Billing Supervisor

Optum on behalf of Owensboro Health Regional Hospital
Owensboro, Ky
11.2022 - Current
  • Work directly with insurance companies, providers, hospital revenue cycle team members and patients to get insurance claims processed and reimbursed correctly
  • Monitor KPI's to increase revenue
  • Leading team towards payment issue resolves
  • Lead a team of 16 Collectors, operational workflows, billing guidelines and insurance follow-up best practices
  • 1:1 meetings with collectors to discuss performance, issues, barriers and successes
  • Escalation of issues to contracting team to resolve underpayment due to payor policy updates that are not in align with our contracted agreement
  • Proficient in Epic Hospital Billing, Outlook, Excel and Word
  • Track denials to resolve outstanding claims
  • Morning huddles to discuss metrics including monthly cash goal, CFB, claims edits, and DNB
  • Monitored accounts receivable aging reports to identify overdue payments, researched discrepancies, and took corrective action.
  • Developed and implemented billing procedures to ensure accurate invoicing and payment collection.

Server

Red Lobster
Owensboro, KY
02.2013 - Current
  • Basic computer access
  • Keeping a less bank for customer transactions
  • Maintaining a family friendly and clean atmosphere
  • Taking customer orders

Billing Specialist

Optum/ OH
Owensboro, KY
06.2017 - 11.2022
  • Verified insurance coverage and identified third-party payers for billing purposes.
  • Resolved discrepancies between customers' remittances and invoices received.
  • Answered customer inquiries regarding billings, payments, account status.
  • Investigated incorrect billings and processed refunds as necessary.
  • Provided support to other departments within the organization as needed.
  • Submitted claims to insurance companies.
  • Worked with team members to identify and develop process improvements.

Morton Family Dentistry
Henderson, Ky
01.2017 - 06.2017
  • Submitting dental claims to insurance
  • Follow up with insurance about outstanding claims
  • Verifying insurance coverage

Scheduling Coordinator

Advanced Eye Care Associates
Henderson, KY
02.2015 - 09.2015
  • Scheduling appointments in the system
  • Verifying eye coverage for eye appointments scheduled
  • Adding insurance information under pt chart information
  • Submitting coding from Dr onto insurance website for processing and payment of claim

Education

PJ's College of Cosmetology
Glasgow, KY
01.2007

High School Diploma -

Henderson County High School
Henderson, KY
01.2006

Skills

  • Claims Processing
  • Billing cycle management
  • Organization in the work place
  • People oriented
  • Easily adapt to new environments
  • Calm in stressful situations
  • Reporting skills
  • Expertise in Hospital billing
  • Strategic Decision-Making
  • Technical knowledge
  • Team Development

References

  • Megan, Nantz, 270-454-1720, 224 Watson Ln, Henderson, KY, 42420
  • Danny, Sallee, 270-816-4642, 1149 State Park Road, Lucas, KY, 42156
  • Melissa, Little, 270-827-3196, 3948 Melody Ln, Henderson, KY, 42420
  • Jackie, Dossett, 270-454-8184, Henderson, KY, 42420

Timeline

Hospital Billing Supervisor

Optum on behalf of Owensboro Health Regional Hospital
11.2022 - Current

Billing Specialist

Optum/ OH
06.2017 - 11.2022

Morton Family Dentistry
01.2017 - 06.2017

Scheduling Coordinator

Advanced Eye Care Associates
02.2015 - 09.2015

Server

Red Lobster
02.2013 - Current

PJ's College of Cosmetology

High School Diploma -

Henderson County High School

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Bayli S. Wohlfarth