Certified Professional Biller with a proven track record in revenue cycle management. Looking to contribute to company growth, help meet organizational goals, and empower others.
Overview
6
6
years of professional experience
1
1
Certification
Work History
RCM Supervisor
FirstSource
03.2024 - Current
Oversaw daily operations of the department, ensuring smooth workflow and timely completion of tasks.
Applied strong leadership talents and problem-solving skills to maintain team efficiency and organize workflows.
Handled customer complaints, resolved issues, and adjusted policies to meet changing needs.
Monitored workflow to improve employee time management and increase productivity.
Evaluated employee performance and coached and trained to improve weak areas.
Improved customer satisfaction with timely response to inquiries, addressing concerns, and finding effective solutions.
Increased team productivity by implementing efficient workflows and setting clear expectations for staff members.
Established performance metrics for the team, consistently tracking progress towards goals and making adjustments as needed.
Associate Manager RCM Reimbursement
Azalea Health Innovations
01.2022 - 02.2024
Maintain days in AR
Establish and maintain professional relationships with more than 60 clients
Identify and solve key cross-functional business challenges
Effectively handle internal and external company communications related to business objectives
Collaborate with other functional departmental leaders to align goals and streamline processes
Analyze and explain reports, including KPIs, to clients as well as customer success department
Develop and initiate plans of action when needed for continuous improvement
Build workflows to improve and expedite billing processes
Prepare and execute regular 1:1 meetings with all direct reports for performance review and feedback
Audit all denials worked by specialists for accuracy on corrected claim submissions and appeals.
Senior Reimbursement Specialist
Azalea Health Innovations
09.2019 - 01.2022
Follow up with all payers (commercial, Medicaid, Medicare, WC) for claims resolution and payment information
Identified, analyze, and research root cause of repeated denials and developed plan of action
Posted insurance payments as well as adjustments per payer EOB
Demonstrated working knowledge of CPT, ICD10, and HCPCS codes as well as regulatory coding changes
Interpreted and submitted medical records to all payers for reconsiderations and appeals
Ensured claims were billed with correct CPT, modifiers, and all required fields required by payer.
Upfront Review
American Homepatient
10.2018 - 09.2019
Processed incoming durable medical equipment orders including qualifying patients for equipment
Log CMNs, authorizations, and delivery tickets
Reviewed held claims or missing information needed for claim submission and worked with clients to obtain said information