Deann R Redman
Richardson,TX
Summary
Revenue Cycle Management Specialist driven by background in leading teams within fast-paced environment, with focus on fostering collaboration and achieving project goals. Developed skills in communication and conflict resolution, aiming to transition into new field where these strengths are applicable. Seeking opportunities to leverage transferable skills in dynamic and results-oriented setting.
Overview
24
24
years of professional experience
Work History
Director
CARE Corps
10.2023 - Current
- Managed Food Pantry Operations feeding over 290 families per month
- Prepared Communications
- Managed front desk Coordinator
- Organized Food drives
- Organized annual Angel Tree Program
- Managed Local Community Service
- Part of CARE Church Staff and activities
- Cultivated relationships with clients
- Managed relationship with North Texas Food Bank
- Fund raising
- Implemented new intake processes
- Integrated new filing systems
- Networked with other helping agencies in the metroplex
- Oversaw Financial Assistance Dept
- Managed cost control and set budgets for Food Pantry and Financial Dept
- Initiated Quarterly Board Meeting to address issues and keep board informed of all operations
Administration Services Contracted
PROSHRED
08.2021 - 03.2022
- Company Overview: Administration Services Contracted
- Created daily and monthly invoices
- Entered Subcontractor invoicing
- Posted checks and credit cards to QuickBooks
- Prepared banking deposits
- Maintained AR at 30 days phone calls, emails, and letters
- Collected on aging accounts
- Quoted purge jobs
- Worked with new clients and initiated contracts with management
- Answered phones
- Assisted with drop off services and processed invoicing and payments
- Assisted with scheduling jobs
- Administration Services Contracted
Team Lead Cash Services-Reimbursement
AMERISOURCE BERGEN/US Bio Services
07.2013 - 12.2018
- Oversaw posting operations of a team of 7 ensuring efficiency with posting cash, payment corrections, and adjustments per company standards
- Resolved issues with team members and escalated to supervisor if necessary to ensure checks balanced and deadlines were met
- Manually posted over 6 million dollars per month specializing in Major Medical, and Medicare, and PBM’s
- Balanced AR weekly with reports to ensure closing deadlines for month end, quarter end, and year end were met while coordinating with Finance Department
- Worked Special projects for collections to resolve credit balances on all payers
- Directed team efforts to meet project deadlines and optimize workflow.
- Managed daily operations for ensuring consistent achievement of objectives.
- Enhanced productivity with effective delegation of tasks and responsibilities.
- Improved team performance by mentoring staff and providing constructive feedback.
Cash Services-Reimbursement Counselor
AMERISOURCE BERGEN/US Bio Services
07.2013 - 12.2018
- Posted over 5 million dollars monthly in Major Medical, Medicare, 340B, and PBM
- Knowledgeable in Revenue Cycle Management
- Provide exceptional customer service to internal and external customers
- Tracked cash posting issues and reported solutions to management
- Independently and effectively resolved advance payment posting issues with minimal supervision
- Worked special projects for accuracy invoiced nursing visits, credits, recoupments and services billed
- Ensured accuracy of reimbursement claims by meticulously reviewing documentation.
- Improved efficiency in claim processing by collaborating with insurance providers.
- Provided detailed explanations of reimbursement procedures, enhancing patient satisfaction.
Collections-Reimbursement Counselor
AMERISOURCE BERGEN/US Bio Services
07.2013 - 12.2018
- Performed all duties related to collections including but not limited to patient insurance verification, pre-authorization, billing, rebilling, appealing denials, and EDI and ERAs through clearinghouse
- Provided quality customer service
- Investigated and coordinated with inter department associates to obtain medical records to resolve accounts
- Collected over $950,000 in revenue, resulting in zero balances to over 100 accounts with minimal supervision
- Revenue Cycle Management experience from authorization, service, billing, and collection deadlines
- Communicated with patients and payers to resolve balances in timely manner and submitted appeals as required and escalated to legal for further processing as required
- Improved patient satisfaction by coordinating reimbursement processes and addressing inquiries promptly.
- Facilitated insurance claims submissions for patients to ensure timely approvals.
- Resolved reimbursement issues with thorough research and communication with insurance providers.
- Streamlined reimbursement workflows to enhance efficiency and reduce delays.
Assistant Billing Manager
ACCUHEALTH, INC.
06.2001 - 04.2013
- Initiated and investigated Personal Injury, Worker's Compensation, and Department of Labor claims
- Billed for services with proper documentation with CPT/ICD9, 10 and HCPC knowledge
- Preauthorized services with verified supporting documentation
- Trained all new employees of software and business procedures
- Billed and collected all payers up to 90% of billed services of 3 million to 4 million per year
- Implemented the EDI process and worked with Jopari to process claims
- Knowledge of EDI and ERA transaction, CPT codes and ANSI codes
- Working knowledge of A/R processes and billing and collections deadlines
- Initiated payment plans with patients and negotiated settlements with commercial payers
- Credentialed doctors and maintained current accreditations and applied to networks
- Ensured employee files held correct information for HR
- Prepared payroll taxes and filed quarterly returns - W2’s and 1099’s
- Posted, balanced and deposited daily receivables
- Reconciled bank statements in QuickBooks
- Wrote causation letters for the doctors when needed from patients or attorneys
- Worked closely with doctors on documentation for medical necessity
- Addressed issues concerning flow of patients
- Assisted in driving routes and scheduling
- Organized yearly Holiday party’s
- Transcriptionist for 3 years
- Trained new staff members on billing procedures, ensuring a smooth transition into their roles.
- Participated in cross-functional teams to troubleshoot complex billing issues.
- Continuously updated job knowledge by attending professional development workshops and networking events.
- Developed customized reporting tools for internal stakeholders to analyze financial performance more effectively.
- Provided backup support for other finance functions when needed, demonstrating flexibility within the organization.
- Streamlined billing processes by implementing new software, resulting in increased efficiency and accuracy.
- Improved cash flow with diligent follow-up on overdue payments and prompt resolution of disputes.
- Identified opportunities for process improvement, presenting recommendations to management for consideration.
- Enhanced customer satisfaction by providing clear explanations of charges and addressing inquiries promptly.
- Reduced invoice errors by closely monitoring data entry and conducting regular audits of billing records.
- Maintained strict confidentiality of client information, adhering to company policy and industry regulations.
- Supported audit preparations by gathering relevant documentation and verifying transaction details.
- Managed relationships with third-party vendors involved in the billing process, maintaining open lines of communication.
- Increased efficiency by developing standardized templates for recurring invoices and reports.
- Served as a liaison between the billing department and other departments, fostering effective communication.
- Reviewed billing problems, researched issues, and resolved concerns.
Education
High School -
Richardson High School
Richardson, TexasSkills
- Outlook
- Personal Computers
- Excel
- Word
- Access
- Verbal and written communication
- Decision-making
- Strategic planning
- Operations management
- Attention to detail
- Problem-solving
- Teamwork and collaboration
Timeline
Director
CARE Corps
10.2023 - Current
Administration Services Contracted
PROSHRED
08.2021 - 03.2022
Team Lead Cash Services-Reimbursement
AMERISOURCE BERGEN/US Bio Services
07.2013 - 12.2018
Cash Services-Reimbursement Counselor
AMERISOURCE BERGEN/US Bio Services
07.2013 - 12.2018
Collections-Reimbursement Counselor
AMERISOURCE BERGEN/US Bio Services
07.2013 - 12.2018
Assistant Billing Manager
ACCUHEALTH, INC.
06.2001 - 04.2013
High School -
Richardson High School
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