Hi, I’m
Cheryl Brewer
Revenue Cycle Management
Benton,AR
Summary
Results-driven and experienced in financial statement review, auditing and reporting. Well-versed in producing reports, evaluating department operations and handling month- and yearend closings. Meticulous, conscientious and methodical in approach. Exceptional abilities in conducting research, problem-solving and prioritizing simultaneous tasks. Leverages resourcefulness, critical thinking skills and superior work ethic for top job performance. Authorized to work in the US for any employer.
Overview
15
years of professional experience
1
AAPC Certification (CPB)
5
years of post-secondary education
Work History
Advanced Pathology SolutionsNorth Little Rock, AR
Revenue Cycle Manager
2020 - Current (5 years & 3 months)
Job overview
- Analyze business processes to identify cost savings and operational efficiencies.
- Assess current revenue cycle procedures and implement improvements to foster efficiency.
- Analyze denial trends, identify root causes, and implement corrective actions to prevent future denials.
- Assist with billing inquiries and provide timely responses to enhance customer satisfaction.
- Create financial dashboards to provide insights into key performance indicators.
- Enroll providers and Medicaid, Medicare, and private insurance plans.
- ERA / EFT enrollment.
- Establish internal audit procedures to validate and improve accuracy of financial reporting.
- Hire, manage, develop and train staff, establish and monitor goals, conduct performance reviews and administer salaries for staff.
- Identify payment trends and adjust billing processes accordingly to retain customers.
- Identify, research, and resolve billing variances to maintain system accuracy and currency.
- Implement project management techniques to overcome obstacles and increase team productivity.
- Monitor and guide revenue cycle operations for anatomic and molecular pathology lab with an average of $60 million annual revenue.
- Negotiate client contracts.
- Prepare itemized invoices for individual client contracts, averaging $300,000/month.
- Process patient and third party payer refunds.
- Provide excellent customer service, developing and maintaining client relationships.
- Quality check insurance eligibility on accessions, make updates, and send claims to billing software - approximately 30,000 claims/month.
- Research and resolve billing discrepancies to enable accurate billing.
- Reviewed and maintained Charge Description Master (CDM) data to ensure the accuracy of charges and correct coding assignments.
- Run aging and other A/R reports and assign follow up duties to the billing team.
- Update, adjust, and post payments to patient accounts.
- Work closely with clients to resolve coding/billing issues.
- Work directly with lab and pathologists to ensure accurate coding and billing.
- Work directly with COO to determine coding policies and procedures.
- Work effectively with medical payers nationwide such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
- Work regularly in the following: AthenaOne, Availity, CardPointe, CaseManager, CAQH, LIMS, MedEvolve, Modio, NextGen, PECOS, Xifin, Zoho.
Team CPRLittle Rock, AR
Provider Network Specialist
2019 - 2020 (1 year)
Job overview
- Attended HR conferences to recruit clients for SygnifiCare Provider Network.
- Developed and implemented quality assurance processes to check accuracy of claims processing.
- Enrolled providers and Medicaid, Medicare, and private insurance plans.
- Implemented improvement initiatives and developed compliance testing program to monitor and identify gaps in new and existing practices.
- Managed workload and priorities to meet claims processing meet deadlines.
- Printed and reviewed monthly patient aging report and communicated with insurance providers to resolve denied claims.
- Utilized specialized software to process incoming workers' comp claims, enter data and generate reports.
Alltel Communications, IncLittle Rock, AR
Analyst II - Property Mangement
2005 - 2008 (3 years)
Job overview
- Contacted clients with past due accounts to formulate payment plans and discuss restructuring options.
- Gathered, evaluated and summarized account data in detailed financial reports.
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
- Reconciled accounts receivable ledger to verify payments and resolve variances.
- Resolved payment issues with landowners and performed reconciliation of accounts.
Dialysis Clinic, IncNashville, TN
Corporate Billing Team Leader
2003 - 2005 (2 years)
Job overview
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Conducted training and mentored team members to promote productivity and commitment to friendly service.
- Established open and professional relationships with team members to achieve quick resolutions for various issues.
- Facilitated meetings with staff members and management.
- Generated reports and analyzed trends to maximize reimbursement and reduce claim denials.
- Precisely completed appropriate claims paperwork, documentation and system entry.
- Prepared billing statements for patients and verified correct diagnostic coding.
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
Pathfinder, IncJacksonville, AR
Accounts Receivable Specialist
2001 - 2003 (2 years)
Job overview
- Analyzed accounts to verify and/or proof entries, processed deposits, month- and year-end closing, prepared reports for annual audit.
- Posting and reconciliation of accounts, focusing on Medicaid and Medicare programs.
- Researched and balanced aging reports, processing refunds for various insurances when overpaid.
- Routine billing (electronic and paper) of all services Pathfinder provided, including day care, preschools, adult programs, nursing homes, therapy, x-rays, lab, and mental health services.
Education
University of Central ArkansasAR, 72035
Bachelor's Degree from Finance
1993 - 1998 (5 years)
Skills
- Cash Flow Management
- Claims Processing
- Contract Preparation
- Credentialing oversight
- Deadline-oriented
- Management collaboration
- Medical coding knowledge
- Meticulously detail-oriented
- Operations Management
- Patient account management
- Procedure optimization
- Proficient in Multiple Billing & EHR Systems
- Provider enrollment
- Regulatory Compliance
- Revenue Cycle Management
- Revenue Enhancements
- Teamwork and Collaboration
Certification
- AAPC Certified Professional Biller (CPB), 09/01/22, Present
- Workforce Alliance for Growth in the Economy, Present
Timeline
Revenue Cycle Manager
Advanced Pathology Solutions
2020 - Current (5 years & 3 months)
Provider Network Specialist
Team CPR
2019 - 2020 (1 year)
Analyst II - Property Mangement
Alltel Communications, Inc
2005 - 2008 (3 years)
Corporate Billing Team Leader
Dialysis Clinic, Inc
2003 - 2005 (2 years)
Accounts Receivable Specialist
Pathfinder, Inc
2001 - 2003 (2 years)
University of Central Arkansas
Bachelor's Degree from Finance
1993 - 1998 (5 years)
Assessments
- Spreadsheets with Microsoft Excel, Proficient, 03/01/24
- Written communication, Proficient, 03/01/24
- Protecting patient privacy, Proficient, 03/01/24
- Medical terminology, Proficient, 03/01/24
- Clinical judgment, Proficient, 03/01/24
- Attention to detail, Proficient, 03/01/24
- Medical receptionist skills, Proficient, 03/01/24
- Principles of accounting, Proficient, 06/01/23
- Medical billing, Proficient, 03/01/24
- Management & leadership skills: Impact & influence, Proficient, 03/31/24
- Supervisory skills: Motivating & assessing employees, Proficient, 03/31/24
- Working with MS Word documents, Proficient, 03/31/24
References
Available upon request
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