Summary
Work History
Education
Skills
Qualifications Summary
Professional Development
Accomplishments
Timeline
Generic

Beth Mock

Summary

* Reliable Educator * Seasoned Analyst * Compassionate Leader * Results Oriented *SOP Development

Work History

Process Improvement Analyst – Quality Team

Laboratory Corporation of America 1996-Present
Burlington, NC
  • Responsible for participating in continuous improvement efforts as directed
  • Complete total quality improvement projects aligned with business strategies
  • Analyze improvement programs and potential results
  • Assist with the maintenance of performance metrics to measure program success
  • Responsible for monitoring and directing improved quality of audit team
  • Participates in discussion and collaboration with Quality Manager and Production Supervisor/Manager to drive process improvements for production
  • Monitoring and directing continuous improvement efforts with Operations
  • Lead team calibration meetings as directed by the Quality Manager
  • Problem solves issues to determine the root cause
  • Contact appropriate personnel when needed and recommend solutions to leadership
  • Complete other tasks as delegated from Quality Manager
  • Liaison between audit team and management
  • Responsible for creating audit projects
  • Responsible for maintaining the audit mailbox which includes answering general SOP questions from management and auditors
  • Develop Training Module
  • Calibrate with audits and management over quality issues.

Quality Auditor-Third Party Ops

Laboratory Corporation of America
Burlington, NC
  • Identify, document and distribute audit observations and issue audit reports to employees and management to help maintain quality within our billing procedures
  • Review, submit and track corrective action plans for processing denials within Third Party Billing to improve overall quality and accuracy
  • Perform Quality Audits on Project Specialist macros for processing and submit corrective actions
  • Perform Quality Audit training to new Auditors on all Third Party Billing departments we currently audit
  • Shared billing knowledge with RevFinder/Change Healthcare’s Business Development Manager, LabCorp’s Analyst and Management to determine whether CHC is providing us with the best and most accurate patient insurance information for billing.

Medicare, Medicaid, Medicaid HMO and Managed Care Operations Specialist

Laboratory Corp Of America
  • Research and process denials from all Third Party carriers in order to implement the proper billing processes to increase revenue and reduce inventory
  • Use and develop TurnStyle macros to help streamline operating processes
  • Work Projects to help create new Workflow SOPs resulting in an increase in productivity and revenue
  • Assist with Special Projects inside and outside the Medicare Department as required due to backlog, including Pre-Pay, N Status, Other Miscellaneous, Duplicate Denials, Filters and RFR PI63
  • Work directly with Analysts and Insurance carriers to research and problem solve denial issues to help lower DSO and increase A/R monies received
  • Access carrier websites for additional information regarding claims/denials
  • Maintain website addresses, users and passwords for multiple departments to use
  • Train new employees and act as a strong Team Player that employees can come to when the Supervisor is unavailable.

Collections and CSSR (Patient Services)

  • Dealt extensively with outside collection agencies such as Equifax and Trans Union to assure proper payment from patients and account removals from credit reports
  • Researched and processed bankruptcies, unidentified cash reports and patient collection accounts
  • Trained on-site representatives from outside collection agencies to assure proper procedures and guidelines were followed in negotiating payments on patient collection accounts
  • Researched and processed patient calls and correspondence
  • At times processing credit card payments, posting credit/debit adjustments and filing insurance
  • Maintained production, cash and inventory logs upon Supervisor’s absence.

Education

General Clerk and Law Enforcement Training -

Governmental Career Development Program
01.2010

Associates of Business Administration -

Alamance Community College
01.2003

Skills

  • Data Analysis
  • Process Optimization
  • Training Leadership
  • Relationship Building
  • Customer Service
  • Email Communications
  • People Leadership
  • Quality Reporting
  • Conflict Resolution
  • Operations Management
  • Change ManagemenT
  • Document Research

Qualifications Summary

  • Research / Analysis / Quality Audits
  • Customer Service / Collections
  • Oral / Written Communications
  • Workflow / Developing SOP’S
  • Training Leader
  • Queries in MS Access
  • TurnStyle / Macros / SAS
  • Knowledge / Experience of LEAN
  • Knowledge of DSO, Bad Debt and Cash goals

Professional Development

  • Third Party Billing Training, Third Party Cash Posting and Explanation of Benefits Training including Denials and Adjustments
  • Group Greatness, Who Moved My Cheese?, Get Paid 1 and 2
  • Civility in the Workplace, Yes We Can and FISH
  • Career Management in Billing Operations and Strength Finder
  • LEAN

Accomplishments

· DRIVE 2011 Graduate

· Multiple Employee of the Month Awards and POP Winner

· Develop Training Module for Audit Department

Timeline

Process Improvement Analyst – Quality Team

Laboratory Corporation of America 1996-Present

Quality Auditor-Third Party Ops

Laboratory Corporation of America

Medicare, Medicaid, Medicaid HMO and Managed Care Operations Specialist

Laboratory Corp Of America

Collections and CSSR (Patient Services)

General Clerk and Law Enforcement Training -

Governmental Career Development Program

Associates of Business Administration -

Alamance Community College

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Beth Mock