Centricity, Epic, Media Pac, Athena
CAROLYN BRANCH
Elmhurst,IL
Summary
Experienced Supervisor leading team members on-time job completion. Assign tasks, train employees, provide feedback, mediate interpersonal conflicts and implement company procedures. Excellent communication and listening skills. Provide leadership and vision which drives teams to meet goals.
Overview
19
19
years of professional experience
6
6
years of post-secondary education
1
1
Certification
Work History
RCM Supervisor
Regent ASC Surgical Center
08.2022 - Current
- Monitor workflow to improve employee time management and increase productivity by decreasing claim denials by 15%
- Managed to decrease customer complaints to 3 per day, resolved issues, and adjusted policies to meet changing needs
- Evaluate employee performance and coach and train to improve weak areas
- Maintain clean and well-organized production areas to avoid violations or unnecessary work delays due to hazards or inefficient layouts
- Apply strong leadership talents and problem-solving skills to maintain team efficiency and organize workflows
- Maintain compliance with company policies, objectives, and communication goals
- Identify issues, analyze information, and provide solutions to problems-excellent verbal and written communication skills.
Medical Billing Manager
Heartland Health Center
03.2016 - 08.2022
- Serve as the first point of contact for all litigation, including workers' compensation, bankruptcies, medical malpractice lawsuits, and auto accidents; provided detailed reports for attorneys and testified in court on behalf of the organization
- Negotiate all insurance contracts to ensure in-network coverage for patients, including workers' compensation
- Supervise a team of eight staff members handling all training and issue resolution
- Proactively identify and resolve complex issues impacting operations management and business direction
- Monitored multiple databases, Centricity, Epic, and Alert MD to watch company.
Senior and Lead Biller
Heartland Health Centers
10.2012 - 03.2016
- Create secondary and tertiary Standard Operating Procedures to increase revenue and patient base
- Built and implemented new training and updated existing training for staff insubordinate and peer roles
- Prepare daily, weekly, and monthly finance reports for revenue writing for the CEO and CFO
- Facilitate patient accounting operations from claim submittal to payment reimbursement.
Patient Accounting/Followup Representative
University of Illinois, Chicago Medical Center
01.2005 - 10.2012
- Bills insurance for Medicare, Medicaid, and all Commercial claims
- Facilitate patient accounting operations by submittal of clean claims to third-party payers through electronic transmission and paper processes
- Responsible for overall billing tasks regarding payment, editing, and processing claims
- Develop and maintain courteous and effective working relationships.
Education
MBA: Business Management -
Keller Graduate School of Management
Bachelor of Science: Technical Business Management - undefined
DeVry University
Associate of Applied Science - Business Economics
Olympia College
Burr Ridge, IL 05.2001 - 05.2007
Skills
Staff Development & Training
Project Management
Accuracy and Efficiency in Accounts Payable/Receivable
Documentation
Hiring & Onboarding Staff
Motivational Leadership
Key Performance Indicators (KPIs)
Business Development
Staff Management
Data Analytics
Process Monitoring and Improvement
Financial Management
Websites
History
08/2022, Current, RCM Supervisor, Regent ASC Surgical Center, Westchester, IL
Roles And Responsibilities
- Monitor workflow to improve employee time management and increase productivity by decreasing claim denials by 15%.
- Managed to decrease customer complaints to 3 per day, resolved issues, and adjusted policies to meet changing needs.
- Evaluate employee performance and coach and train to improve weak areas.
- Maintain clean and well-organized production areas to avoid violations or unnecessary work delays due to hazards or inefficient layouts.
- Apply strong leadership talents and problem-solving skills to maintain team efficiency and organize workflows.
- Maintain compliance with company policies, objectives, and communication goals.
- Identify issues, analyze information, and provide solutions to problems-excellent verbal and written communication skills.
- Utilize online web applications, including EPIC, One Source, and various insurance companies, to complete and speed up follow-up calls by 24 hours.
- Bill/Re-bill different payers. Appeal claims when necessary.
- Resubmit claims after editing or denial to achieve financial targets and reduce errors
- Develop SOPs
Accomplishments
- Achieved 25% more in reimbursement by completing billing secondary billing with accuracy and efficiency.
- Supervised team of 10 staff members.
- Achieved reduction of errors by 13% introducing Experian One Source software for eligibility and verification tasks.
- Documented and resolved workflow issues which led to better efficiency of staff.
Affiliations
- Project Management Institute
Software
Paam
Certification
[Area of certification] Training - HST
Dancing, cooking and traveling
I am a great cook that love to share different dishes with family and friends. To see the love on their faces are priceless. I enjoy dancing, although I am not great at it. I do have rhythm and look sexy while in motion. Traveling the world is so magical seeing the way other gorgeous people spend their time, days going about their day.
Timeline
RCM Supervisor
Regent ASC Surgical Center
08.2022 - Current
Medical Billing Manager
Heartland Health Center
03.2016 - 08.2022
Senior and Lead Biller
Heartland Health Centers
10.2012 - 03.2016
Patient Accounting/Followup Representative
University of Illinois, Chicago Medical Center
01.2005 - 10.2012
Associate of Applied Science - Business Economics
Olympia College
05.2001 - 05.2007
MBA: Business Management -
Keller Graduate School of Management
Bachelor of Science: Technical Business Management - undefined
DeVry University