Davis DeBrady
Parrish,FL
Summary
Meticulous Revenue Cycle Manager pursuing an opportunity to apply strong knowledge of accounts receivable. Diligent and structured with a proven history of implementing improvements to increase financial performance and achieve company objectives. Offering over 22 years of experience across all departments with in the revenue cycle wheel.
Overview
18
18
years of professional experience
1
1
Certification
Work History
National Revenue Cycle Director
Refresh Mental Health
Sarasota, FL
12.2016 - Current
- Responsibilities include daily transmission of claims for multiple practices
- Monitoring denial trends
- Management of accounts receivables
- Assisting staff with questions and training
- Meet with practice managers and regional Vice Presidents to discuss and identify collection trends and resolve issues
- Analysis of monthly reports and assisting with month end process
- Development of junior staff/team members to ensure their success and the organization's success.
Business Analyst/Patient Accounts Supervisor
Howard University Faculty Practice Plan
Washington, DC
06.2012 - 12.2016
- Supervised 9 employees that are responsible for the verification of insurance benefits, customer service, payment and denial posting
- Submitted claims through practice management system
- Corrected rejected claims from clearing house
- Ensure that all payments and denials are processed in a timely manner
- Assisted with difficult patient and client issues as needed
- On request produce a variety of weekly daily and monthly reports for physicians and department supervisors
- Oversaw daily lock box and deposit reconciliation for the practice
- Analyzed and identified payer trends to include Medicaid and Medicare
- Training of new staff
- Monitoring of individual staff member's performances rewarding and disciplining as deemed fit.
Patient Account Representative III
INOVA Health Systems
Falls Church, VA
06.2011 - 05.2012
- Submitted and followed up on current and delinquent Medicare and major managed care product claims
- Verified diagnosis along with cpt & modifier combinations in order to obtain the proper reimbursement from Medicare and contracted Medicare HMO companies
- Submitted medical reimbursement appeals using Medicare re-determination forms
- Billed and followed up with supplemental and secondary insurances
- Negotiated and monitored payments on delinquent patients accounts
- Addressed patient account discrepancies and facilitated any necessary appeals and adjustments
- Exceeded departmental goals.
Credit & Collections Manager
Medical Faculty Associates
Washington, DC
10.2006 - 03.2011
- Managed a team of 30 patient account representatives who were responsible for the collection efforts from all major insurance carriers to include Medicare Part B and all Washington, DC and Maryland Medicaid products
- Responsibilities included the oversight of monthly and yearly collection goals as determined by the Operations director
- Analyzed and assisted with the resolution of reimbursement and coding issues within the organization based on weekly and monthly payer denial trends via canned system reports
- Maintained and analyzed monthly credit balance reports to ensure payments were properly posted and refunds distributed accordingly
- Audited account adjustments to ensure proper actions were taken in order to effectively resolve account balances
- Conducted interviews and assisted with the training of new hires
- Introduced and maintained departmental policies and procedures
- Monitored employees through the use of progressive disciplinary action
- Completed annual performance evaluations.
Education
George Washington High School
Skills
- Microsoft Office (10 years)
- Payer path Allscripts (5 years)
- CPT 4, ICD 9 & 10 coding (10 years)
- Various Practice Management systems to include IDX, AllScripts PM, IDX ETM (10 years)
- Microsoft Excel
- Data entry
- Medical billing
- Account management
Certification
Secret Clearance
Military Service
United States Marine Corps, United States, E-4 Corpral, 11/01/97, 11/01/01, Oversaw a department of four to six Marines within the separations payment department, audited all claims to ensure proper payments were distributed to separating Marines, Honorable Discharge, Good Conduct Medal
Personal Information
Title: Experienced Medical Biller
Timeline
National Revenue Cycle Director
Refresh Mental Health
12.2016 - Current
Business Analyst/Patient Accounts Supervisor
Howard University Faculty Practice Plan
06.2012 - 12.2016
Patient Account Representative III
INOVA Health Systems
06.2011 - 05.2012
Credit & Collections Manager
Medical Faculty Associates
10.2006 - 03.2011
George Washington High School
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