Summary
Overview
Work History
Education
Skills
Certification
Accomplishments
Timeline
Generic

Darren Maxey

Atlanta,USA

Summary

Results-driven professional with broad experience in revenue cycle management, and a commitment to enhancing organizational success. Demonstrates strong problem-solving, teamwork, and project management skills in a fast-paced environment. Proven ability to build lasting relationships with clients, while maintaining high attention to detail and accuracy. Eager to contribute expertise within a dynamic company that values continuous learning and adaptability.

Overview

10
10
years of professional experience
1
1
Certification

Work History

Physician Denial Management Specialist Lead

Northside Hospital
Atlanta, GA
07.2024 - Current
  • Monitors progress and ensures precise reprocessing of claims within designated projects.
  • Monitors AR to alert the Physician Denial Management Supervisor of trends and problem areas as they relate to denials and claims processing issues.
  • Assists in the monitoring of reimbursement reports to ensure claims are being paid according to the client contract summaries.
  • Reviews and summarizes trend data to identify patterns
  • Partners with supervisor for providing analytical details to Coordinator and Revenue Cycle Manager
  • Supports Physician Denial Management Supervisor in training and mentoring staff
  • Embraces best practices, and promotes process improvement
  • Stimulated employee performance to consistently meet or excel in productivity benchmarks.

Insurance Follow Up Collector - Physician Billing

Northside Hospital
Atlanta, GA
03.2023 - 07.2024
  • Examine account details from multiple sources, like online data, hard copy reports, and billing forms, for payer discussions.
  • Places telephone calls to appropriate insurance companies and/or patients to obtain payment arrangements on outstanding accounts.
  • Rebill accounts as necessary.
  • Monitor delinquent accounts, and escalate follow-up activity as appropriate.
  • Analyze account details to verify the accuracy of adjustments.
  • Utilizes an online system to pre-list accounts for potential write-off.
  • Refer accounts to the appropriate departments for necessary actions to be taken (i.e., financial class changes, balance transfers, electronic rebilling of accounts, etc.).
  • Responds to inquiries from insurance companies about account status and payment terms.
  • Documents information on reviewed accounts and actions taken using an online system.

Concierge

Stratton Amenities
Atlanta, GA
09.2022 - 10.2023
  • Greet and direct tenants and visitors with a friendly and positive attitude
  • Coordinate, place, and manage catering orders for office building tenants
  • Exceed tenants' and guests' expectations by providing anticipatory service
  • Build and maintain strong relationships with tenants, vendors, and contractors
  • Maintain confidentiality of tenant information
  • Uphold professional telephone etiquette and message delivery
  • Accurately log guest packages, ensure timely delivery, and perform package inventory audits
  • Monitor lobby and surveillance cameras to ensure tenant safety and security
  • Control access throughout the shift, ensuring only authorized tenant and guest entry
  • Caution individuals behaving in an unsafe or inappropriate manner
  • Perform all other duties as assigned

Teller

Wells Fargo
Atlanta, GA
11.2022 - 03.2023
  • Support customer engagement by processing teller transactions, sharing digital solutions, and making appropriate introductions to bankers
  • Complete operational activities while minimizing risks under established policies
  • Perform routine transactional, operational, and customer support tasks efficiently through knowledge of bank procedures and products, as well as partners across the organization
  • Receive direction from managers and exercises judgment within defined policies and procedure
  • Escalate questions and issues to more experienced roles
  • Interact with customers and individuals to demonstrate care, build relationships, and complete requested transactions
  • Identify information and services to meet customer’s financial needs

Patient Access Supervisor

Community Health Network
Indianapolis, IN
06.2021 - 07.2022
  • Provided appropriate guidance on a day-to-day basis under the leadership of the Patient Access Director
  • Performed first line management operations with the department including planning, staffing, disciplining, evaluation, problem-solving and other tasks as assigned
  • Fulfilled responsibilities of assigned staff on an ongoing basis
  • Coordinated the patient access process with physicians, nursing and other service areas while promoting guest satisfaction
  • Responsible for review and maintenance of department staffing
  • Required to take call rotation including Holidays
  • On-Call Weekend rotation
  • Assist with covering sites as needed
  • Performed other related duties as assigned

Lead Patient Access Representative

Community Health Network
Indianapolis, IN
07.2018 - 06.2021
  • Coordinate all aspects of Patient Access in a manner that ensures a customer-focused quality conscious work climate
  • Provide continuous training and feedback to the appropriate staff and management team
  • Assist with the onboarding process and training for our department's new hires
  • Assist clinics with coverage on an as needed basis
  • Create and present training material
  • Revenue cycle process (scheduling, pre-registration, insurance verification and submitting/obtaining authorizations)
  • Audit patient accounts and review those audits with each staff member monthly
  • Run and create reports in EPIC
  • Lead the team using PRIIDE values
  • Work a variety of work queues (i.e., Patient, Referral, Claim Edit and Account work queues)
  • CHAA Certified

Patient Access Representative

Community Health Network
Indianapolis, IN
05.2015 - 07.2018
  • Accurately identifies and enters patient demographics, insurance, and financial information for outpatient benefits
  • Obtains patient identification and insurance cards
  • Scans appropriate information into patient’s account
  • Verifies the validity of written orders, and accurately transcribes written orders in EMR
  • Accurately scans appropriate documentation into EMR
  • Determine self-pay versus third party payer
  • Collects out of pocket patient responsibility or deductibles and provides receipts to patient and or guarantor
  • Collects and provides receipts for co-payments and deposits
  • Answers phone in a prompt patient-focused manner
  • Schedule interpreter services as needed
  • Obtains pre-certification or notification information from insurance companies or physician offices and provides feedback to Case Management for follow-up when necessary
  • Ensures that all necessary information is obtained, including but not limited to any necessary authorizations, reaching out to physician offices and or insurance companies when needed
  • Utilizes AIDET in all interactions with patients and their families, co-workers, as well as internal and external customers
  • Always adhered to network PRIIDE Values and Standards of Behavior
  • Practices proficient customer-service skills by greeting and treating all patients and staff with dignity and respect
  • Performed other related duties as assigned

Education

Business Administration -

Ivy Tech Community College
Indianapolis, IN
05.2022

Skills

  • Denial management
  • Microsoft Office
  • Insurance verification
  • Patient billing
  • Customer service
  • Staff training
  • Process improvement
  • Attention to detail
  • Claims processing
  • Report generation
  • Patient registration
  • Registration and scheduling
  • EPIC System
  • Centricity
  • Med-Metrix
  • One content
  • Document retention
  • Power Chart
  • Athena
  • STAR
  • Wells Fargo Lockbox
  • Blackboard
  • Canvas

Certification

  • Certified Healthcare Access Associate (CHAA) - April 2021; Renewed on April 2023

Accomplishments

  • Awarded to be a part of the National Society of Leadership and Success Group in May of 2020. This group provided a step-by-step program to individuals wanting to build and achieve goals within a leadership role.
  • Achieved recognition for creating and training the hospital's maternity ward on a process for NICU authorizations
  • Received Lead Patient Access Representative of the year award in 2021
  • Earned a Patient Access Supervisor Role in 2021 and my six facilities were recognized and awarded for being top performers in all aspects of patient access

Timeline

Physician Denial Management Specialist Lead

Northside Hospital
07.2024 - Current

Insurance Follow Up Collector - Physician Billing

Northside Hospital
03.2023 - 07.2024

Teller

Wells Fargo
11.2022 - 03.2023

Concierge

Stratton Amenities
09.2022 - 10.2023

Patient Access Supervisor

Community Health Network
06.2021 - 07.2022

Lead Patient Access Representative

Community Health Network
07.2018 - 06.2021

Patient Access Representative

Community Health Network
05.2015 - 07.2018

Business Administration -

Ivy Tech Community College

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