Chandra M Grant
BOCA RATON,FL
Summary
Collaborative leader with dedication to partnering with coworkers to promote engaged, empowering work culture. Documented strengths in building and maintaining relationships with diverse range of stakeholders in dynamic, fast-paced settings.
Overview
11
11
years of professional experience
Work History
Billing/Authorization Manager
National Spine and Pain Center
05.2019 - 12.2023
- Administers the general accounting, patient business services, including third-party reimbursement, financial, and statistical reporting functions of the outpatient surgery centers/physician offices in accordance with established policies and accounting procedures
- I sever as liaison for other departments to provide service and support in registration/financial processes
- Ensures that time-of-service collections are maximized and monitors area compliance and progress towards goals
- Responsible for monitoring and key performance indicators relative to eligibility verification, time of service collections trends, precertification, and referral management as assigned with a team of 24 associates.
- I Assists with maintaining procedures for daily time-of-service cash collections, providing feedback, education and corrective action as needed in the following areas: financial counseling/eligibility processes, Financial Hardship, Implementation of optimal cash controls, Good Faith Estimate solutions and identifies all patients that are uninsured/under-insured to evaluate ability to pay for services
- Participates in committees, projects, initiatives both within the clinics and with external organizations to foster team approach to ensure continuous improvement of operations
- Denial management related to demographics, eligibility, coordination of benefits, and referrals I decreased the denial rate by 43%.
- I ensure claims are clean before submission to Clearinghouse, with clean clam rate been 93%.
- Complete Weekly/Month Reports via Excel
- I Address Patient Concerns Regarding Clams, Billing and Authorization
- Success with Denial Reduction and improved cash flow
- Strong Knowledge of Billing/Revenue Cycle
- I Oversees all assigned staff and workflows associated with patient eligibility, time of service collections, good faith estimates, and precertification
- Oversees all Human Resources functions within areas of responsibility including hiring, coaching and counseling, employee development, levels of staffing, terminations, evaluations and employee satisfaction issues to maintain performance levels and quality work environment
- Interfaces with other departments, physicians, and staff, as well as external vendors to promote communication, develop improved operations and maintain high quality service to all
- Maintain up-to-date knowledge of health care industry trends, regulations, third party payers etc., to communicate and make operational changes as needed
- Assists with the development of standardizing workflow regarding RCM
- Played a Key Role in the success of our Denial Reduction Ratio to Approvals.
- Increased team productivity by implementing streamlined processes and effective communication strategies.
- Achieved departmental goals by developing and executing strategic plans and performance metrics.
- Enhanced customer satisfaction by resolving disputes promptly, maintaining open lines of communication, and ensuring high-quality service delivery.
- Developed a strong company culture focused on employee engagement, collaboration, and continuous learning opportunities.
- Managed budgets effectively, ensuring optimal financial performance while investing in necessary resources for business growth.
- Led change management initiatives to drive organizational transformation without compromising employee morale or productivity levels.
- Cultivated partnerships with external stakeholders to maximize business opportunities and extend network reach within the industry sector.
- Conducted competitive analysis to identify market trends and capitalize on emerging opportunities for growth.
Amerisource Bergen/ Account Manger
Amerisource Bergen
01.2013 - 05.2019
- Maintained daily contact with Pharmacy Rep, Physicians and Office Staff
- Reviewed/Approved Copay Assistance
- Provided written and verb al feedback to associates, managers, and clients weekly
- Oversaw benefits and verification while providing the appropriate feedback to patients, pharmacy rep, and medical personnel
- Travel to regions ensuring the highest customer/patient service is been delivered.
- Obtained Authorizations/Benefit Verifications
- One on One Contact with Patient's to Determine Benefit Eligibility
- Reviewed Medicare/Medicaid Benefits
- Conducted regular account reviews to identify areas for improvement and opportunities for upselling or cross-selling services.
- Streamlined communication processes between departments, improving efficiency in handling customer inquiries and concerns.
- Coordinated with marketing team on targeted campaigns, increasing sales opportunities within the preferred accounts portfolio.
- Provided ongoing support to clients throughout the sales lifecycle, ensuring a high level of customer satisfaction at all times.
- Served as the primary point of contact for customers within the preferred accounts segment, fostering trust-based relationships that contributed to company success.
- HUB/Pharmacy Benefits/Specialty Pharmacy
- Collaborated with internal and external partners.
- Enhanced customer satisfaction by addressing and resolving account issues promptly and professionally.
- Developed strong client relationships, resulting in increased loyalty and retention rates.
- Collaborated with cross-functional teams to ensure seamless service delivery for preferred accounts.
- Implemented strategic account plans to drive revenue growth and achieve sales targets.
Education
Associate of Science - Health Administration
Rowan Community College
Concord, NCSkills
- Client Relationship Builder
- Strong Leadership
- Innovative Problem-Solving
- Strong Analytical and Problem-Solving Skills
- Sound Knowledge of Health Insurance
- Knowledge of Claim Submission
- Stakeholder Management
- People Management Skills
- Performance Management
- Workforce Management
- Staff Development
- Customer Relationship Management (CRM)
- Performance Evaluations
- Project Planning
- Analytical and Critical Thinking
Timeline
Billing/Authorization Manager
National Spine and Pain Center
05.2019 - 12.2023
Amerisource Bergen/ Account Manger
Amerisource Bergen
01.2013 - 05.2019
Associate of Science - Health Administration
Rowan Community College
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