Summary
Overview
Work History
Education
Skills
Professional Accomplishments
Timeline
Certification
Generic

Debbie Knox

Summary

Management professional with extensive experience in development, motivation, and leadership. Exceptional background in Customer Service and Expert in analyzing existing operations and implementing effective systems, strategies, and process to improve organizational performance. Creative and accomplished in identifying and capturing market opportunities to accelerate expansion, increase revenue and improve profit contributions. Resourceful Purchasing Agent responsibly and proficiently procures materials necessary for operations. Performs detailed cost analyses and negotiates with vendors using skilled problem-solving abilities. Experienced evaluator of supplier performance and maintains constant awareness of inventory levels.

Overview

10
10
years of professional experience
1
1
Certification

Work History

Logistics/Contract Specialist

S&K Aerospace
07.2023 - Current
  • Involved in full procurement cycle by planning, reviewing, awarding, administering and closing out contract to achieve seamless transition of procurement.
  • Closely monitored and evaluated contract performance to determine regulatory compliance and necessary amendments.
  • Created and prepared specific contracts to present to senior management.
  • Negotiated with bidders to achieve fair, reasonable and positive outcomes.
  • Tracked resolution status on critical contracts and issues for program management staff.
  • Assisted in expansion efforts by positioning contracts and executing paperwork as quickly as possible.
  • Maintained digital and paper and contractual files, ensuring compliance with regulatory mandates and company policies.
  • Managed bidding process and award of purchases and delivery orders for construction contracts.
  • Addressed contract disputes and provided advice and guidance to resolve issues.
  • Stored and filed contract documents in orderly, organized systems.
  • Provided exceptional customer service to diverse clientele even in high-stress environments.
  • Reviewed current contracts to identify upcoming contract expirations and coordinated with stakeholders to analyze contract renewals and re-negotiation.

Director of Revenue Cycle

Hemophilia of Georgia
09.2019 - 09.2022
  • Manage the revenue cycle for all pharmacy operations to ensure timely billing and collecting, identifying claims processing and payer contractual problems, and implementing solutions for improvement
  • Operating as a CBO for 8 contract pharmacies
  • Perform all duties in compliance with all applicable laws and regulations
  • Oversee, bill, and collect Medicare, Medicaid, and commercial claims for all pharmacies
  • Manage verification of coverage, billing and collecting claims for contract pharmacy accounts
  • Ensure compliance with Medicare, Medicaid, and commercial provider manuals
  • Manage, develop, and implement collection procedures that mitigate the risk of potential billing errors
  • Analyze A/R aging reports and other data analysis to monitor department trends and meet or exceed objectives (i.e., collection days, bad debt, payer audits, etc)
  • Supervise, train, and evaluate members of the Accounts Receivable team
  • Prepare responses for auditors as requested during the annual financial audit
  • Assist Controller when changing banking institutions pertaining to Medicare and Medicaid electronic payments or for other insurance companies
  • Maintain inventory in accounting software for all companies for pricing and adding new NDC numbers.
  • Assessed current revenue cycle procedures and implemented improvements to foster efficiency.
  • Monitored and guided revenue cycle operations.
  • Supported clinical team members with revenue cycle procedures and addressed issues.
  • Completed financial reporting and analysis for billing revenue cycle.
  • Identified discrepancies between budgetary targets and actual revenue and expenses.
  • Checked payroll, vendor payments, commissions and other accounting disbursements for accuracy and compliance.
  • Prepared internal and regulatory financial reports, balance sheets and income statements.
  • Developed strategic plans for day-to-day financial operations.
  • Supported financial director with special projects and additional job duties.
  • Established internal audit procedures to validate and improve accuracy of financial reporting.

Supervisor of the Centralized Business Office

US Health Vest- Smyrna, GA (Acquired Ridgeview Institute)
01.2018 - 03.2019
  • Work with the director of the business office, the local CFO's of three hospitals and the corporate CFO to transition the business office from one hospital to four hospitals using a centralized business office approach
  • This new CBO included the complete startup of the revenue cycle for two new hospitals
  • Took office from a manual batch posting to an automated batch posting
  • This was done by creating a public key between SSI and Med host to allow 835 files to come into Med host and then dropped into SSI
  • This increased the efficiency of the cash poster by a measurable 500%
  • Conducted audits on all aged accounts with collectors to assist with possible methods to resolve balance and prevent an increase in bad debt
  • Evaluate gaps in collector productivity and created new time management procedures to maximize the effectiveness of each individual collector
  • Created and maintained corporate cash log that tracked the departments billing number, denials and overturns, and cash collected per payer including self-pay
  • This Document was then reported to corporate CFO on a weekly A/R call with business office director, local CFO's, local CEO's and corporate CFO
  • Supervised 22 employees following the revenue cycle from registration, billing, cash posting and collections
  • Directly Manage 15 FTE's which include, six collectors, three billers and three payment posters.
  • Updated reports, managed accounts, and generated reports for company database.
  • Oversaw office inventory activities by ordering and requisitions and stocking and shipment receiving.

Lead for Billing and Claim Follow-ups

Ridgeview Institute- Smyrna, GA (Acquired by US Health vest)
06.2017 - 01.2018
  • Assured compliance with applicable billing laws and regulations and to maximize revenue
  • Supervised twenty-two employees following the revenue cycle from registration, billing, and collections
  • Responsible for billing all claims for 3 hospitals using the UB04 form and The SSI Group clearinghouse averaging $8million weekly
  • Researched and resolved billing discrepancies to enable accurate billing.
  • Assisted with billing inquiries and provided timely responses to enhance customer satisfaction.
  • Resolve any issues that occur within the billing system with SSI to ensure daily transmission of claims
  • Self-managed the batch creation process from the RCM system (MedHost)
  • Manually view every claim to catch known issues and indicate to management potential trends that could cause a delay in reimbursement
  • Manually review all rejection reports to quickly identify claims that did not get out the door and claims that made it to the insurance company but rejected
  • Constantly review HCPCS codes and CPT codes to ensure we are using the most appropriate codes available
  • Worked closely with the CFO to manage the A/R and reduce write-offs, and income overstatements
  • Audit accounts to ensure proper charges were placed on accounts per H.I.M
  • Developed and updated billing policies and procedures to identify trends and ensure clean claims
  • Analyzed monthly A/R aging reports and reviewed with Account Follow-up Reps to determine areas of improvement and appropriate action plans
  • Oversaw the day-to-day operations of the account follow-up, collections and refunds processes
  • Advanced knowledge of third-party insurance plan types: HMO, PPO, POS, and Indemnity
  • Counseled patients financially regarding outstanding charges and effectively resolve problems via the highest customer service skills and etiquette
  • Took appropriate actions to resolve problems causing delays in reimbursement.

Sr. Office Administrator

Hanger Clinic
01.2014 - 06.2017
  • Provide the highest level of customer service to patients, fellow employees and referral sources through the coordination and administration of the 'front office' activities
  • Typical responsibilities include all aspects of the clinic administrative operations from scheduling appointments, validating insurance and payment authorization, processing payments, performing account collections, responding to telephone inquiries
  • Ensure billing for all services provided is accurate, timely and fully documented
  • Provide efficient cash collection through excellent reimbursement practices while ensuring compliance with relevant laws, regulations and established Company policies and compliance programs
  • EMR Next Gen
  • Reviews charge information to ensure accuracy per payer requirements; makes corrections as needed
  • Manages services in progress and updates to accounts receivable (AR) once items are delivered, maintaining AR levels over 120 days at or below target level
  • Responsible for reviewing claim edits and resolving them, working claim rejections and denials, performing voids and corrections as necessary
  • Generating reports to ensure that claims are processed within timely filing limits
  • Responds to inquiries from customers or external collection resources.
  • Oversaw office inventory activities by ordering and requisitions and stocking and shipment receiving.
  • Updated reports, managed accounts, and generated reports for company database.

Education

Medical Administration, Insurance, Billing

Olympia College (Graduate)
Chicago, IL
01.2005

Skills

  • Financial Management
  • Contract Development
  • Operating Practices
  • Contract Proposals
  • Risk Identification
  • Strategic Planning
  • Contract Performance Monitoring
  • Research and Analysis

Professional Accomplishments

  • Eighteen consistent years of being an office administrator professional.
  • A solid history of having the ability to use all organizational resources to solve problems.
  • Proven ability to take the initiative to develop ways to monitor productivity level.
  • Strong belief in patient/client centered care and Communication skills
  • Combined with the ability to coordinate the efforts of many to meet organizational goals.
  • Productive and efficient work habits without supervision. Self -motivator with high energy.
  • I am very knowledgeable with EMR products Next Gen and EPIC
  • National Certified Phlebotomist

Timeline

Logistics/Contract Specialist

S&K Aerospace
07.2023 - Current

Director of Revenue Cycle

Hemophilia of Georgia
09.2019 - 09.2022

Supervisor of the Centralized Business Office

US Health Vest- Smyrna, GA (Acquired Ridgeview Institute)
01.2018 - 03.2019

Lead for Billing and Claim Follow-ups

Ridgeview Institute- Smyrna, GA (Acquired by US Health vest)
06.2017 - 01.2018

Sr. Office Administrator

Hanger Clinic
01.2014 - 06.2017

Medical Administration, Insurance, Billing

Olympia College (Graduate)

Certification

  • Certified Phlebotomy Technician, National Healthcare Association

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Debbie Knox