Chantale Denis
Miramar,FL
Summary
Dynamic Senior Collections Specialist with a proven track record at ABA Center Of Florida, excelling in debt negotiation and dispute resolution. Enhanced collection strategies, reducing outstanding receivables significantly. Skilled in credit analysis and fostering client relationships, driving successful payment agreements while ensuring compliance with regulatory standards.
Overview
28
28
years of professional experience
Work History
Senior Collections Specialist
ABA Center Of Florida
09.2024 - Current
- Managed full-cycle collections process to ensure timely recovery of outstanding debts.
- Developed and maintained positive relationships with clients to facilitate payment agreements.
- Analyzed account statuses, identifying trends to optimize collection strategies.
- Collaborated with cross-functional teams to resolve disputes and improve customer satisfaction.
- Implemented process enhancements that reduced average days outstanding for receivables.
- Trained junior staff on effective collection techniques and best practices.
- Monitored compliance with regulatory requirements in all collection activities.
Senior Reimbursement Specialist
University of Miami Health System
07.2017 - 09.2024
- Analyzed reimbursement claims to ensure compliance with federal and state regulations.
- Collaborated with healthcare providers to resolve billing discrepancies and improve reimbursement cycles.
- Developed training materials for new staff, enhancing understanding of reimbursement policies and procedures.
- Streamlined claims submission process, reducing turnaround time for reimbursements significantly.
- Mentored junior specialists on best practices for effective claim management and resolution strategies.
- Implemented quality control measures to ensure accuracy in claim processing and documentation.
- Led initiatives to optimize revenue cycle operations, improving overall financial performance of department.
- Conducted audits of reimbursement processes, identifying areas for improvement and recommending strategic changes.
- Conducted regular audits of client accounts to identify discrepancies or potential issues requiring further investigation or resolution.
- Conducted comprehensive reviews of medical documentation to ensure appropriate levels of support were provided for each claim submitted.
- Managed high-volume claim submissions efficiently, reducing errors and ensuring timely reimbursements for clients.
- Participated in industry conferences and workshops, staying informed on the latest trends and developments in reimbursement processes.
- Coordinated with IT department to enhance the functionality of reimbursement software tools, increasing overall efficiency of the team''s operations.
- Served as a subject matter expert within the organization on complex reimbursement scenarios, consistently delivering accurate solutions.
- Enhanced revenue recovery rates for clients by identifying and resolving underpayments from insurance companies.
- Maintained up-to-date knowledge of coding changes, payer policies, and regulatory requirements to ensure compliance in all reimbursement activities.
- Identified opportunities for revenue growth by analyzing payer contracts and recommending adjustments to fee schedules and billing practices.
- Facilitated communication between clients and payers to resolve disputes over coverage determinations and negotiate favorable payment terms.
Patient Access Coordinator
Piedmont Healthcare Corporate
02.2011 - 05.2017
- Coordinated patient scheduling and registration processes to enhance operational efficiency.
- Managed insurance verification and benefit eligibility to streamline patient access services.
- Trained new staff on electronic health record systems for accurate data entry and retrieval.
- Enhanced communication between departments by regularly updating patient information and coordinating schedules.
- Reduced errors in billing processes by meticulously reviewing and verifying patient demographics and insurance information.
Patient Account Coordinator
Jackson Memorial Hospital
06.2002 - 01.2011
- Managed patient accounts, ensuring accurate billing and timely resolution of discrepancies.
- Coordinated insurance verifications, enhancing efficiency in patient admission processes.
- Facilitated communication between patients and healthcare providers to address account inquiries.
- Trained new staff on billing systems and patient account management protocols.
- Facilitated clear communication between patients, healthcare providers, and insurance companies to resolve discrepancies and maintain positive relationships.
Quality Analyst
Blue Cross and Blue Shield of Florida Inc.
03.1998 - 01.2011
- Conducted thorough analysis of quality assurance processes to ensure compliance with industry standards.
- Collaborated with cross-functional teams to identify and resolve operational discrepancies in service delivery.
- Developed and maintained comprehensive documentation for quality assurance protocols and procedures.
- Implemented process improvements that enhanced overall efficiency within quality control workflows.
- Mentored junior analysts on best practices in quality assessment and reporting methodologies.
- Utilized data analytics tools to identify trends and drive informed decision-making for quality enhancements.
Education
Associate of Science -
Clayton State University
Morrow, GA05-2014
Skills
- Payment processing
- Credit analysis
- Debt negotiation
- Dispute resolution
- Collection strategy
- Credit reporting
- Account reconciliation
- Account review
Timeline
Senior Collections Specialist
ABA Center Of Florida
09.2024 - Current
Senior Reimbursement Specialist
University of Miami Health System
07.2017 - 09.2024
Patient Access Coordinator
Piedmont Healthcare Corporate
02.2011 - 05.2017
Patient Account Coordinator
Jackson Memorial Hospital
06.2002 - 01.2011
Quality Analyst
Blue Cross and Blue Shield of Florida Inc.
03.1998 - 01.2011
Associate of Science -
Clayton State University