Quality-driven Reimbursement Manager with exemplary skills in supervising talented team and providing required training. Meticulous professional accurately reviewing patient accounts and assisting with issue resolution. Delivering exemplary talents in the revenue cycle to drive corporate success.
Overview
13
13
years of professional experience
8
8
years of post-secondary education
Work History
Supervisor of Reimbursement
Guardant Health
11.2017 - Current
Managed a team of 20
Spearheaded a team to grown into a fully functioning department.
Recruited, hired and terminated employees
Managed a yearly and quarterly budget for our department goals.
Reduced errors in billing submissions through regular staff training and implementation of quality control measures.
Supervised a team of reimbursement specialists, ensuring timely and accurate processing of claims.
Collaborated with other department supervisors to optimize cross-functional operations and improve overall efficiency.
Improved reimbursement processes by analyzing and streamlining workflow procedures.
Reduced errors in reimbursement claims through rigorous attention to detail and thorough documentation.
Managed a team of reimbursement specialists, providing guidance and support for optimal performance.
Streamlined communication between departments involved in the reimbursement process, fostering collaboration and accuracy.
Developed comprehensive training materials for new hires, resulting in a more efficient onboarding process.
Monitored industry trends and regulatory changes to stay current on best practices for reimbursement management.
Analyzed data to identify patterns and opportunities for improvement within the reimbursement process.
Implemented new software solutions to automate aspects of the reimbursement workflow, increasing overall productivity.
Conducted regular audits of reimbursement activities, identifying areas for improvement and implementing corrective actions as needed.
Maintained up-to-date knowledge on national healthcare policies affecting reimbursements, advising senior leadership on necessary adjustments or updates to internal processes accordingly.
Held weekly staff meetings and implemented team building exercises, which promoted positive working environment.
Claims Specialist
CHI Baylor St. Luke's Medical Center
11.2015 - 10.2017
Improved claim processing efficiency by streamlining workflows and implementing time-saving strategies.
Reduced claim processing errors by conducting thorough investigations and accurately interpreting policy details.
Enhanced customer satisfaction with timely communication, empathy, and clear explanations of claim outcomes.
Collaborated with cross-functional teams to optimize claims handling procedures, resulting in improved productivity.
Managed a high volume of claims effectively by prioritizing tasks and maintaining excellent organizational skills.
Settled complex claims fairly by applying critical thinking, negotiation skills, and detailed knowledge of insurance policies.
Senior Patient Access Coordinator
Trinity Mother Frances Health System
08.2011 - 11.2015
Improved patient satisfaction by addressing concerns promptly and empathetically.
Streamlined appointment scheduling for increased efficiency and reduced wait times.
Worked with all insurance plans to validate benefits
Developed educational materials to help patients better understand their financial responsibilities and treatment options.
Coordinated multidisciplinary care, connecting patients with appropriate specialists and support services.
Streamlined registration processes for increased efficiency and reduced wait times.
Streamlined patient registration processes by implementing efficient data collection methods and reducing wait times.
Improved patient satisfaction scores by actively addressing concerns and providing prompt assistance during the check-in process.