Summary
Overview
Work History
Education
Skills
Timeline
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Briana Pena

Lavon

Summary

Encouraging manager and analytical problem-solver with talents for team building, leading and motivating, as well as excellent customer relations aptitude and relationship building skills. Proficient in using independent decision making skills and sound judgement to positively impact company success. Dedicated to applying training, monitoring and morale-building abilities to enhance employee engagement and boost performance.

Overview

8
8
years of professional experience

Work History

AR Supervisor

Ut Southwestern Medical Center
11.2023 - Current
  • Mentors junior staff members and Onshore leadership, sharing best practices in insurance denial follow-up and collections techniques
  • Conducts regular account reviews to identify quality and efficiency training opportunities
  • Streamlined workflows by identifying bottlenecks in existing systems and proactively addressing these challenges through appropriate solutions implementation.
  • Evaluates employee performance and conveys constructive feedback to improve skills.
  • Developed and implemented business strategies to achieve business goals and stay competitive.
  • Established team priorities, maintained schedules and monitored performance.

RCM Manager

Mindpath Health
04.2022 - 02.2023
  • Lead multiple operational groups (Onshore/Offshore) consisting of 16 AR associates in revenue cycle management to meet monthly KPI's
  • Created and implemented team structure and training to ensure proper root cause analysis of insurance claim rejections and denials resulting in creation of payer specific edits to reduce claim rejection volume and denial mitigation.
  • Cultivated positive team spirit y providing accurate, effective and timely support
  • Built strong rapports with key RCM managers achieving effective collaboration and creation of RCM policies and procedures
  • Demonstrated a high level of initiative and creativity while tackling difficult tasks

RCM QA Supervisor

US Anesthesia Partners Of TX
10.2021 - 04.2022
  • Lead a team of 7 quality assurance associates in accurately auditing and providing educational feedback to revenue cycle staff
  • Successfully trained and developed the QA team through providing my knowledge of commercial and government payer policies, procedures and resources resulting in effective QA feedback improving revenue cycle operations and performance
  • Partnered with QA manager to develop QA tracking mechanisms to assist with timely and informative month;y report outs to RCM managers and directors

Accounts Receivable Supervisor

US Anesthesia Partners Of TX
10.2019 - 10.2021
  • Lead multiple operations (onshore/offshore) in revenue cycle management to maximize production results
  • Developed relationships with RCM departments on national scale to align AR workflows, quarterly bonuses, and create training documentation
  • Communicated cross-departmentally to identify training opportunities for process improvement
  • Implemented simplistic team structure, weekly working sessions, and processes for AR root cause analysis and reporting resulting in system automation, payer specific edits achieving 75% reduction in insurance denial volume, higher clean claim rate
  • Conducted census, financial and insurance reports of payors to determine necessary actions for overdue or credited accounts

Financial Services Manager

StrideCare
01.2019 - 10.2019
  • Established and maintained EFT/EDI connections with third party payers
  • Maintained visibility into banking accounts and verification of third party payments and remits are accounted for, reconciled, and applied to patient accounting systems promptly
  • Created reporting mechanisms to track and trend posted and unposted payments as well as outstanding accounts receivables and credit balances
  • Identified trends to improve internal processes and clinical workflows aimed at increasing first pass payment rate and reducing overall aging of AR proposing payer specific claim edits to reduce rejection and denial rates


AR Team Lead

Steward Healthcare
09.2018 - 01.2019
  • Provided subject matter expertise on commerical and government payers to revenue cycle associates to ensure proper root cause analysis of insurance denials
  • Developed a successful training program for current AR associates and new talent resulting in clear understanding of the AR role and expectations
  • Partnered with key revenue cycle managers to develop efficient workflows and streamline procedures

Senior AR Specialist

United Surgical Partners
11.2015 - 09.2018
  • Maintained excellent financial standings by working closely with bookkeeper to process business transactions.
  • Handled day-to-day accounting processes to drive financial accuracy.
  • Implemented process improvements that led to reduced errors in invoicing and increased effectiveness in collections efforts.
  • Assisted in the development of departmental policies and procedures to improve overall efficiency within the AR team.

Education

High School Diploma -

North Garland High School
Garland, TX
05.2006

Skills

  • Goal Oriented
  • Strategic Planning
  • Performance Management
  • Data Analysis
  • Conflict Resolution
  • Effective Leadership
  • Interpersonal Communicator
  • Problem Solving
  • Proficient in Microsoft Office Applications

Timeline

AR Supervisor

Ut Southwestern Medical Center
11.2023 - Current

RCM Manager

Mindpath Health
04.2022 - 02.2023

RCM QA Supervisor

US Anesthesia Partners Of TX
10.2021 - 04.2022

Accounts Receivable Supervisor

US Anesthesia Partners Of TX
10.2019 - 10.2021

Financial Services Manager

StrideCare
01.2019 - 10.2019

AR Team Lead

Steward Healthcare
09.2018 - 01.2019

Senior AR Specialist

United Surgical Partners
11.2015 - 09.2018

High School Diploma -

North Garland High School

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Briana Pena