A position where I can expand my administrative skills and progress my career within Customer service and Management.
Overview
21
21
years of professional experience
Work History
Revenue Cycle Sr. Supervisor
Infian LLC
06.2021 - Current
Ensure the responsibilities, authorities, and accountability of all direct subordinates are defined and understood by the associates
Trains and mentor subordinates
Actively assist in the cross-training of employees within the company
Work with the client teams to maintain and improve consistent income and adequate control of their A/R
Assure that all daily checks and balances are in place and carried out
Analyze and define improvements to the company's process flows and or software system
Document in writing any procedural changes and discuss communications changes with staff
Reviews monthly the client's Executive Summaries- outlining areas for improvement
Sets and achieves realistic closing dates for clients based on the workload of Team Lead, and Follow-up
Coordinates all aspects of daily work to ensure goals and time frames are met
Prepares and attends weekly and monthly client meetings
Keeps accurate documentation regarding all correspondence from and to clients
Reports the status of all clients to Revenue Cycle Director at least monthly and more often if requested.
Revenue Cycle Team Lead
Infian LLC
02.2020 - 06.2021
Process Dialysis claims to Governmental and Commercial Insurance companies electronically and manually with ICD-10 and CPT guidelines
Research claim denials, submit appeals and refund request
Assign daily workflow to team members, QA productivity, assist with training and questions daily
Communicate with client’s researching patient insurance, authorizations, Explanation of benefits, tracking of accounts receivable to ensure accuracy
Track billing issues and trends with insurance companies
Process month end reports, supporting clinical and financial data.
Pre- Service Team Lead
UHS - Universal Health Services
12.2014 - 01.2020
Supervised 30 staff members who schedule radiology patient appointments, gather patient demographic information, and prepare patient insurance benefit breakdown
Processed staff payroll and manger PTO request and call outs
Screened hiring applicants and conducted interviews
Managed Training, 90 day reviews, discipline action, daily QA and performance reviews
Processed Insurance authorizations for high tech radiology procedures
Researched monthly insurance denials
Have extensive knowledge of ICD-10 and CPT coding guidelines.
Medicaid Billing Specialist
UHS- Universal Health Services
02.2012 - 11.2014
Processed Medicaid claims electronically with ICD-9 and CPT coding guidelines, Mailed claims on UB-04 manually with medical records
Researched claim denials, submitted appealed electronically and manually
Completed all payor specific edits identified through the billing system
Resolved issues associated with incomplete claims including follow up of non-transmitted claims
Recorded daily productivity of claims billed and assured proper documentation in the notes of the patient accounting systems.
Pre- Service Specialist
UHS- Universal Health Services
09.2009 - 02.2012
Received inbound patient calls to schedule high tech radiology appointments
Performed scheduling, pre-registration and if needed insurance verification within 24 hours of receipt of reservation/notification for both inpatient and outpatient services
Contacted physician to resolve issues regarding prior authorization or referral forms
Contacted patient in a timely and courteous manner to confirm or obtain missing demographic information within Cerner, Invision PDIX, quote/collect patient payment and instruct patients on where to present at time of appointment.
Office Manager
Vista Dental
Richmond, Virginia
05.2008 - 04.2010
Scheduled patient appointments, greeted patients, registered and collected information as well as co-payments
Answered telephone and directed calls as needed
Called patients to remind them of upcoming appointments
Entered insurance company payments
Entered in patient treatment plans for doctor
Also chair side assist with doctor: X-ray Certified
Supervised two staff members
Directly billed patients insurance plans to receive payment via mail and websites.