COREY LEAR
Arlington,TX
Summary
Laboratory and Anesthesia Billing/Management Professional with 15+ years of proven success in Revenue Cycle Management and more.
Overview
19
19
years of professional experience
Work History
REVENUE CYCLE MANAGER
BILLINGMANAGER, APOLLO LABORATORIES
01.2017 - Current
- Manage the revenue cycle process
- Correct & Submit charges daily
- Analyze A/R & Worker’s Comp Issues
- Correct & resubmit clearinghouse rejections
- Write & process appeals
- Approve/deny payment proposals from various entities
- Oversee medical records requests and follow ups
- Address patient issues via phone calls & correspondence
- Post all payments & credit cards
- Balance billing system to bank totals at month-end—Run month-end reports
- Approve patient statements & balances-negotiate payment plans & hardships
- Maintains contact with the software vendor to implicate updates and billing issues
- Verify and enter new billing codes and panels
- (Clinical & Toxicology)
- Reconciling charges from various laboratory management systems & reference labs
- Process provider enrollment applications for state Medicaid carriers including Texas
- Advise Sales Team on payment trends and payer mixes
- Maintain an open line of communication with clients and make contact on a regular basis to address and resolve their concerns, in conjunction and coordination with the Director & Chief Financial Officer
- Manage legal cases for clients with extensive auto injuries
- Submitting charges to Attorneys involved
- Preparing affidavits when requested
- Negotiating payments with Attorneys as cases settle
- Contributes to and participates in employee training and hiring
- Assist lab accessioners with insurance issues and training
- Notify Director & Executives of all billing issues that may impact cash flow.
TEAM LEAD / ACCOUNT MANAGER
FTGU MEDICAL
01.2016 - 01.2017
- Company closed & I went to work for this lab client listed above)
- Implemented the first lab client for the company from the start
- Performed all research for coding / billing guidelines
- Assisted with the interface for charges/manually keyed the first two months of charges
- Worked with software vendor on statement setup and informational letter to patients
- Hired staff of 4 to assist with the revenue cycle process
- Established the billing process and collected 400- 600k monthly for this lab client
- Managed all A/R processes, coding, training, & provider relations
MEDAC Inc
01.2011 - 01.2016
- Set individual goals with team members to manage client accounts and resolve specific client related problems
- Direct accountability for the training of team members
- Train satellite employees and provide them with guidelines needed to do their job efficiently
- Work with the Provider Enrollment Department to ensure provider numbers are correct and enrollments are completed on time
- Make sure the teams have a list of carriers with whom their clients are contracted
- Maintain an open line of communication with clients and make contact on a regular basis to address and resolve their concerns, in conjunction and coordination with the responsible Practice Manager
- Maintain an open line of communication with team members
- Process month end responsibilities on a timely and accurate basis
- Be proactive to resolve client issues
- Professional representation of Medac, Inc
- Handling of client, patient, physicians, and Medac information in a confidential, professional manner
- Exhibit an assertive attitude in recognizing problems, suggesting solutions and overall system improvements
- Coordinates and collects Anesthesia charges from 1100 providers in 10 states
- Contributes to and participates in employee training and employee relations programs
- Maintain an open line of communication with the Practice Manager of each account
- Notify Practice Manager of all billing issues that may impact cash flow or other key indications of performance.
Account Manager/Satellite Office Manager
01.2005 - 01.2016
R Supervisor
MEDAC MEDICAL BILLING CO
01.2007 - 01.2011
- Assisted patients with co payments, Medicare deductibles, interact with insurance carriers, hospital administrators, and third-party administrators
- Train & supervise new employees
- Audit staff’s daily production to ensure that company’s expected standards of quality and accuracy are met
- Review A/R levels to recognize and address any trends or potential problems
- Regularly communicate with physicians to disclose any new and/or pertinent information
- Answer phones, data entry, post payments, work accounts receivables, and apply recoups
- Review and correct insurance denials for prompt payment to accounts as well as contact insurance carriers with issues pertaining to claims
- Assist Attorneys with Lien and Workers Comp cases.
Customer Service, Billing Specialist
MEDAC MEDICAL BILLING CO
01.2005 - 01.2007
- Assisted patients with co payments, Medicare deductibles, interact with insurance carriers, hospital administrators, and third-party administrators
- Train & supervise new employees
- Audit staff’s daily production to ensure that company’s expected standards of quality and accuracy are met
- Review A/R levels to recognize and address any trends or potential problems
- Regularly communicate with physicians to disclose any new and/or pertinent information
- Answer phones, data entry, post payments, work accounts receivables, and apply recoups
- Review and correct insurance denials for prompt payment to accounts as well as contact insurance carriers with issues pertaining to claims.
Education
Science, Business
Augusta State University
Degree - undefined
Augusta Technical Institute
1995
undefined
University of Georgia
1989
Skills
- Account Analysis Expertise
- Firm-Level Financial Assessment
- Customer Communication
- Revenue Performance
- Billing Cycle Performance
- Customer Accounts Management
- Financial Reporting and Analysis
- Spreadsheet Tracking
Timeline
REVENUE CYCLE MANAGER
BILLINGMANAGER, APOLLO LABORATORIES
01.2017 - Current
TEAM LEAD / ACCOUNT MANAGER
FTGU MEDICAL
01.2016 - 01.2017
MEDAC Inc
01.2011 - 01.2016
R Supervisor
MEDAC MEDICAL BILLING CO
01.2007 - 01.2011
Account Manager/Satellite Office Manager
01.2005 - 01.2016
Customer Service, Billing Specialist
MEDAC MEDICAL BILLING CO
01.2005 - 01.2007
Science, Business
Augusta State University
Degree - undefined
Augusta Technical Institute
undefined
University of Georgia
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