CARLA T. MCKINLEY
Tampa,FL
Summary
Ready to offer exceptional leadership and planning abilities to take on new role in SNF/ALF setting. Demonstrated expertise in cultivating and managing exceptional teams to meet and exceed demanding targets. Well-versed in healthcare standards and market trends.
Overview
21
21
years of professional experience
1
1
Certificate
Work History
Revenue Cycle Specialist
Florida Orthopedic Institute
09.2022 - Current
- Identified and resolved payment issues between patients and providers.
- Balanced and reconciled accounts.
- Reached out to insurance companies to verify coverage.
- Contacted responsible parties for past due debts.
- Collaborated with other business analysts to streamline tasks and duties in effort to improve overall efficiency.
- Tracked and reported variances between revenue plans and actuals.
- Used Athena health to identify financial trends.
Director of Associate Development
Superior Residences Of Brandon
02.2022 - 09.2022
- Collaborated with management and fellow supervisors to organize operations and achieve demanding schedule targets.
- Identified and eliminated safety risks through additional training.
- Motivated employees through special events and incentive programs.
- Streamlined HR efficiencies, coordinated new hire orientations and provided onboarding and training for 45 new employees.
- Initiated and maintained workers compensation cases for tracking, reporting and legal mechanics.
- Facilitated onboarding sessions and on-the-job training for new hires bolstering position knowledge and skillset.
- Maintained payroll and benefits for employees in various locations, minimizing financial discrepancies through detailed program management.
- Briefed new hires on essential job information, such as company policies, employment benefits and job duties.
- Attended meetings, seminars and workshops to enhance knowledge of bookkeeping functions and other job duties.
Business Office Manager
Radiant Healthcare Of Brandon
06.2021 - 10.2021
- Oversaw office inventory activities by ordering and requisitions and stocking and shipment receiving.
- Delivered performance reviews, recommending additional training or advancements.
- Established workflow processes, monitored daily productivity and implemented modifications to improve overall performance of personnel.
- Communicated corporate objectives to various divisions to meet deadlines and adhere to company budgets.
- Updated reports, managed accounts and generated reports for company database.
- Maximized cash flow through optimal billing and collection processes.
- Established team priorities, maintained schedules and monitored performance.
- Trained and developed personnel to improve safety, employee relations and resolve resident issues.
Business Office Manager
Carrington Place of St. Pete
02.2018 - 02.2020
- Recruited, hired, trained and supervised administrative office staff of 4.
- Monitored and evaluated personnel performance to complete yearly reviews, recommend advancement or address productivity concerns.
- Planned and coordinated logistics and materials for board meetings, committee meetings and staff events.
- Contacted patients regarding unpaid and underpaid accounts to resolve any issues.
- Maintained good communication between department heads, medical staff and governing boards by attending board meetings and synchronizing interdepartmental functions.
- Identified process improvements in day-to-day functioning of department.
- Oversaw private and MCR billing, payroll, AP, and AR and verified that proper procedures were followed.
Business Office Manager
Greystone Healthcare Management
10.2016 - 11.2017
- Established efficient workflow processes, monitored daily productivity and implemented modifications to improve overall effectiveness of office personnel and activities.
- Communicated corporate objectives across all divisions through regular correspondence and scheduled follow-up.
- Recruited, hired, trained and supervised administrative office staff of 3.
- Identified and analyzed rejection patterns, partial denials, and denials from third parties to improve existing processes.
- Negotiated with account holders to devise repayment plans and minimize collections receivables.
- Consistently complied with applicable laws and regulations and ensured facility adhered to Medicare and Medicaid regulations.
- Routinely collaborated with department managers to correct problems and improve services.
Business Office Manager
Senior Care Group Inc
01.2016 - 09.2016
- Maintained good communication between department heads, medical staff and governing boards by attending board meetings and synchronizing interdepartmental functions.
- Routinely collaborated with department managers to correct problems and improve services.
- Consistently complied with applicable laws and regulations and ensured facility adhered to Medicare and Medicaid regulations.
- Oversaw private and MCR billing, payroll, AP, and AR and verified that proper procedures were followed.
- Identified and analyzed rejection patterns, partial denials, and denials from third parties to improve existing processes.
- Maximized cash flow through optimal billing and collection processes
Billing Specialist
Chapters Health System
12.2014 - 01.2016
- Accurately posted and sent out all medical claims.
- Posted and adjusted payments from insurance companies.
- Meticulously identified and rectified inconsistencies, deficiencies and discrepancies in medical documentation.
- Submitted electronic/paper claims documentation for timely filing.
- Actively maintained current working knowledge of CPT and ICD-9 coding principles, government regulation, protocols and third party requirements regarding billing.
- Prepared billing correspondence and maintained database to organize billing information.
Regional Billing Coordinator
Genesis Healthcare
08.2009 - 11.2014
- Consistently complied with applicable laws and regulations and ensured facility adhered to Medicare and Medicaid regulations.
- Identified and analyzed rejection patterns, partial denials, and denials from third parties to improve existing processes.
- Submitted electronic/paper claims documentation for timely filing.
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
- Meticulously identified and rectified inconsistencies, deficiencies and discrepancies in medical documentation.
- Posted and adjusted payments from insurance companies.
- Accurately posted and sent out all medical claims.
Medical Billing Specialist
JJ DeLong & Associates, Inc
05.2009 - 07.2009
- Accurately posted and sent out all medical claims.
- Posted and adjusted payments from insurance companies.
- Accurately posted surgeries, hospital visits and payments for assigned carriers.
- Printed and reviewed monthly patient aging report and solicited overdue payments.
- Submitted electronic/paper claims documentation for timely filing.
- Examined patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under their policies when applicable.
Medical Billing Specialist
Dr. Barry Brooks and Associates
01.2009 - 04.2009
- Scheduled appointments, registered patients and distributed sample pharmaceuticals as prescribed.
- Accurately posted and sent out all medical claims.
- Posted and adjusted payments from insurance companies.
- Accurately posted surgeries, hospital visits and payments for assigned carriers.
- Printed and reviewed monthly patient aging report and solicited overdue payments.
- Prepared patient charts, pre-admissions and consent forms as necessary.
- Examined patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under their policies when applicable.
Medical Billing Specialist
Associates In Orthopaedics Inc
12.2001 - 01.2009
- Evaluated patients' financial status and established appropriate payment plans.
- Actively maintained current working knowledge of CPT and ICD-9 coding principles, government regulation, protocols and third party requirements regarding billing.
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
- Posted and adjusted payments from insurance companies.
- Accurately posted and sent out all medical claims.
- Scheduled appointments, registered patients and distributed sample pharmaceuticals as prescribed.
Skills
- Billing and collection procedures expert
- Familiar with commercial and private insurance carriers
- Insurance and collections procedures
- Understands insurance benefits
- Office management professional
- Composed and professional demeanor
- Research and data analysis
- Cash Flow Management
- Compensation and Benefits Administration
- Policy Improvement Recommendations
- Employee Referral Programs
- Accounts Payable and Accounts Receivable
Affiliations
Florida Assisted Living Association
Small Assisted Living Coalition
Timeline
Revenue Cycle Specialist
Florida Orthopedic Institute
09.2022 - Current
Director of Associate Development
Superior Residences Of Brandon
02.2022 - 09.2022
Business Office Manager
Radiant Healthcare Of Brandon
06.2021 - 10.2021
Business Office Manager
Carrington Place of St. Pete
02.2018 - 02.2020
Business Office Manager
Greystone Healthcare Management
10.2016 - 11.2017
Business Office Manager
Senior Care Group Inc
01.2016 - 09.2016
Billing Specialist
Chapters Health System
12.2014 - 01.2016
Regional Billing Coordinator
Genesis Healthcare
08.2009 - 11.2014
Medical Billing Specialist
JJ DeLong & Associates, Inc
05.2009 - 07.2009
Medical Billing Specialist
Dr. Barry Brooks and Associates
01.2009 - 04.2009
Medical Billing Specialist
Associates In Orthopaedics Inc
12.2001 - 01.2009
Associate of Arts - HEALTHCARE ADMINISTRATION
Hillsborough Community College - Brandon Campus
Certification
- Core Training Program Certified 3/31/2023
Hobbies
Financial contributor to several local charities. Volunteered with various Tampa Bay community outreach projects.
Part time international traveler, local enthuiast
Open to new places, faces, cuisines, and cultures. Work is what I do to afford who I am authentically.
Hobbies
Financial contributor to several local charities. Volunteered with various Tampa Bay community outreach projects.
Part time international traveler, local enthusiast
Open to new places, faces, cuisines, and cultures. Work is what I do to afford who I am authentically.
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