Brenda H Vaughn
Miamisburg,Oh
Summary
My objective is to further my career by continuing to secure challenging positions which will utilize my education and skills
Overview
27
27
years of professional experience
Work History
Patient Financial Services Billing Supervisor
Kettering Health
01.2023 - Current
- Supervise, train, and mentor 26 staff members daily
- Lead monthly one on one meetings with each staff member to review career goals and identify areas for coaching
- Manage time and attendance approval, tracking, and reporting
- Oversee and create productivity reports in EPIC ensuring quality of staff work
- Review/work Dept EPIC WQs
- When needed administered improvement action plans on resulting disciplinary actions; administer disciplinary action up to final written warnings
- Lead monthly staff meetings. Create agenda and PowerPoint slides to ensure information is shared while creating an open dialogue among staff
- Train and support HIPAA and state and federal regulations and compliance among staff
- Lead weekly meetings with Team Leads
- Directly support practices with denial review as well as billing corrections
- Handle daily questions/review from all staff
- Interview and hire for open positions
Patient Accounts Educator/Team Lead (Anthem and UHC)
Kettering Health
01.2022 - 01.2023
- Oversee 5 billers and 2 specialists daily
- Biweekly Team huddles
- Questions/review from specialists and billers
- AR/Follow Up Team Monthly Audits
- Work/maintain Specialized Non Gov WQ’s
- New Hire and Existing Ongoing Team Training
- Daily review of Teams WQ’s and Epremis hold codes
- Review WQ’s locating trends, correcting the trend, and education if needed
- All other duties and/or projects assigned by Supervisor/Manager
- Participate in monthly payer calls
- Reassign team WQ’s as needed to accommodate staffing issues, project deadlines
- Support Supervisor/Manager as needed in their absence
Patient Accounts Specialist (Commercial)
Kettering Health
01.2021 - 01.2022
- Coverage for Team Lead when absent
- Questions/review from AR representatives
- AR/Followup Team Audits
- Specialized Non Gov WQ’s
- Account/Follow up New Hire and Existing Team Training
- Aged AR Ownership
- Weekly review of team’s hold codes in Epremis
- Refund requests review approval/denial
- Review WQ’s locating trends, correcting the trend, and education if needed
- All other duties and/or projects assigned by Team Lead/Supv/Mgr
AR Representative (Anthem Denials)
Kettering Health
01.2020 - 01.2021
- Responsible for assigned Anthem Denial WQ’s
- Taking the necessary steps to ensure payment of claims through detail investigation and/or providing the required information/records needed
- Assist with any projects/requests from management
AR Representative (Anthem Followup)
Kettering Health
01.2019 - 01.2020
- Responsible for assigned Anthem Followup WQ’s
- Taking the necessary steps to ensure payment of claims through detail investigation and/or providing the required information/records needed
- Assist with any projects/requests from management
AR Representative (Medicaid, Medicaid HMO’s)
Kettering Health
01.2016 - 01.2019
- Responsible for assigned Medicaid WQ’s and High Dollar claim spreadsheet
- Taking the necessary steps to ensure payment of claims through detail investigation and/or providing the required information/records needed
- Assist with any projects/requests from management
Administrative assistant/Billing coordinator
Premier Fitness
01.2014 - 01.2016
- Handled and provided assistance for all incoming calls from clients as well as employees
- Responsible for daily reports of the previous days stats from 9 different locations
- Daily entry of contracts into Paramount billing system
- Daily cash/checks balances
- Maintained and Ordered the necessary supplies for all 9 locations
Manager, Publishing
The Berry Company
01.2000 - 01.2014
- Provided leadership, training, support to production staff to ensure all work was processed in an efficient, timely and accurate manner
- Planned and organized unit workflow, established appropriate controls to ensure commitments to external and internal customers were met
- Analyzed and developed solutions, both process and systematic to ensure continuous improvement in all phases of the production unit
- Responsible for production objectives to be completed in a timely fashion to meet unit production and quality standards
- Established work priorities within the team and assigned work to employees
- Provided appropriate feedback and counseling
- Handled all direct report problem situations
- Performed routine administrative duties such as interpret and implement company policies, including attendance polices
- Established workflow procedures both new and revising of existing processes and procedures
- Assigned workflow based on volumes
- Established appropriate controls to track monthly workflow , unit and individual productivity
- Provided timely and specific feedback to employees as well as mid year and year end evaluations
- Interviewed/hired/terminated as needed
Skills
- 20 years Management skills – numerous management seminars completed with 20 years management experience overseeing teams ranging from 10 direct reports to 30 direct reports
- Customer service skills
- Microsoft office software - Excel, Word, Power Point
- Experience utilizing many different systems including EPIC and multiple billing systems
- Excellent problem solving & trouble shooting skills
- Dedicated employee
Timeline
Patient Financial Services Billing Supervisor
Kettering Health
01.2023 - Current
Patient Accounts Educator/Team Lead (Anthem and UHC)
Kettering Health
01.2022 - 01.2023
Patient Accounts Specialist (Commercial)
Kettering Health
01.2021 - 01.2022
AR Representative (Anthem Denials)
Kettering Health
01.2020 - 01.2021
AR Representative (Anthem Followup)
Kettering Health
01.2019 - 01.2020
AR Representative (Medicaid, Medicaid HMO’s)
Kettering Health
01.2016 - 01.2019
Administrative assistant/Billing coordinator
Premier Fitness
01.2014 - 01.2016
Manager, Publishing
The Berry Company
01.2000 - 01.2014