Carri Gleason
Smyrna,TN
Summary
I have always taken pride in the work I do and feel blessed to be a part of an industry that is constantly growing and allows growth in me as well. I take pride in delivering exceptional results in all that I do. In addition to my vast number of years in the Healthcare Industry, I have completed a number of educational programs centered on medical coding and billing, physician relationships, and revenue cycle management. Over my career I have had a number of increasingly demanding positions both in healthcare and retail sales. My passion for practice/business development continues to be my biggest accomplishment.
Overview
29
29
years of professional experience
Work History
Collections-Specialty AR
Tennessee Oncology
02.2020 - Current
- Accounts Receivable/Collections
- Insurance Appeals/All Payers
- Review and Rehabilitate Insurance denials
- Worked closely with Lab Authorization Team to establish appeal letters on denied authorizations
- Month End Reporting on Path/Lab Accounts Receivable trends/issues
- Research all payer LCD/NCD policies
- Provided feedback to management staff on global issues related to Path/Lab AR
Studio Manager
OVME Aesthetics
02.2019 - 09.2019
- Oversee 3 ESTHETICIANS, 4 Nurse Injectors and 1 Physician Assistant
- Charge Entry
- Accounts Receivable
- Accounts Payable
- KPI Reporting
- Monthly Sales Goals
- Payroll
- Product/Injectable Ordering
- Inventory Controls
- Inventory Recording
- Staffing
- Studio Development
Business Manager
Nashville Plastic Surgery
08.2013 - 01.2019
- Practice Build Out/Development
- Implementation of Cash controls
- Skin Care Sales
- Balance and Reconcile Bank Statements/Credit card statements
- Clinical staff supervision
- Oversee daily practice operations
- Payroll
- Development of Inventory controls
- Medical Billing/Coding
- Charge Entry
- On-Call schedules
- Surgery Scheduling
- Prior Authorizations
- MU Tracking
- Assist in clinic
- Marketing
- Revenue Cycle Management
- Product/Injectable Ordering
Medical Consultant
Competitive Solutions
01.2013 - 08.2013
- Revenue Cycle management for out of state medical/surgical practices
- Billing/Coding
- Charge Entry
- Accounts Receivable/Insurance collections/Patient collections
- Surgery Scheduling
- Provider interim billing services
- Chart Reviews/Fee Schedule Reviews
- Refund Analysis
- Advise client on appropriate cash controls/Front Desk procedures
- Analyze a/R Reports to detect correct billing trends
Practice Manager
Franklin Urological Associates
08.2008 - 09.2012
- Oversee operations for three PHYSICIANS’, PA, and 13 Employees
- Revenue cycle Management
- Charge Entry
- Surgery Scheduling
- Precertification
- Insurance contracts/Credentialing
- Accounts Receivable/Insurance collections/patient collections
- Patient statement report
- Monthly Financials
- Implementation of CT Machine and regulatory registration/compliance
- Payroll
- Prepared yearly tax returns with accountants
- Quarterly Payroll tax Returns
- Coding/Billing audits
- Charge Entry
- Balanced and reconciliation of bank accounts/credit card statements
Consultant
Medical Practice Solutions/DVF Medical Practice Services
10.2007 - 09.2011
- Provided consultation service for multi-specialty medical practices
- Billing/Coding
- Revenue Cycle management
- Refunds
- In-House Medicare/Medicaid Resource
- Analysis of payor fee schedules
Office Manager/ Charge Entry/Specialty Billing Coordinator
HCA Physician Services
09.2003 - 10.2007
- Company Overview: Each position was promotion related
- Billing and Coding
- E&M/Procedure Code Auditing
- Revenue Cycle Management
- Review and Rehabilitate insurance denials
- Charge Entry
- AR/AP
- Each position was promotion related
Charge Entry / Insurance Verification Specialist
Anesthesia Medical Group
07.2000 - 09.2003
- Charge Entry/Billing/Revenue Cycle Management – Pediatric Rehabilitation
Charge Entry/Billing/Revenue Cycle Management
Centennial Medical Center
02.1999 - 11.1999
Emergency Room Registrar /Charge Entry Billing Clerk
Ball Memorial Hospital
05.1996 - 02.1999
Education
TCAT- Aesthetics - Aesthetics
Tennesse College of Applied Technology
Nashville 01.2018
GCI-Aesthetics - Aesthetics
Georgia Career Institute
Murfreesboro, TN01.2018
Main Event Management - Management
HCA Healthcare
Nashville, TN01.2004
Model Netics - Model Netics Completion
HCA Healthcare
Nashville, TN01.2003
CPC Certification - CPC Certification
AAPC
Nashville, TN01.2002
High School Diploma -
Wapahani
Selma, IN01.1996
Skills
- Practice/Business development/Management
- Retail Sales/Retail Management
- Medical Coding/Billing/Charge Entry
- Revenue Cycle Management
- Surgery scheduling
- Inventory Tracking
- Financial Reporting
- Medical Practice Consulting
- EMR/Clearinghouse implementation
- Physician/Practice Credentialing
Timeline
Collections-Specialty AR
Tennessee Oncology
02.2020 - Current
Studio Manager
OVME Aesthetics
02.2019 - 09.2019
Business Manager
Nashville Plastic Surgery
08.2013 - 01.2019
Medical Consultant
Competitive Solutions
01.2013 - 08.2013
Practice Manager
Franklin Urological Associates
08.2008 - 09.2012
Consultant
Medical Practice Solutions/DVF Medical Practice Services
10.2007 - 09.2011
Office Manager/ Charge Entry/Specialty Billing Coordinator
HCA Physician Services
09.2003 - 10.2007
Charge Entry / Insurance Verification Specialist
Anesthesia Medical Group
07.2000 - 09.2003
Charge Entry/Billing/Revenue Cycle Management
Centennial Medical Center
02.1999 - 11.1999
Emergency Room Registrar /Charge Entry Billing Clerk
Ball Memorial Hospital
05.1996 - 02.1999
TCAT- Aesthetics - Aesthetics
Tennesse College of Applied Technology
GCI-Aesthetics - Aesthetics
Georgia Career Institute
Main Event Management - Management
HCA Healthcare
Model Netics - Model Netics Completion
HCA Healthcare
CPC Certification - CPC Certification
AAPC
High School Diploma -
Wapahani
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