Denise Sterling
Charlotte,North Carolina
Summary
Proven track record of efficiently managing accounts receivable processes, enhancing collection procedures, and reducing outstanding balances. Demonstrated ability to lead teams and implement process improvements with excellent attention to detail and problem-solving skills. Strong background in guiding teams, managing complex projects, and achieving strategic objectives. Excels in developing efficient processes, ensuring high standards, and aligning efforts with organizational goals. Collaborative approach and commitment to excellence are well-known.
Overview
26
26
years of professional experience
Work History
Senior AR Supervisor
VIRTUAL BUSINES OFFICE
06.2021 - 11.2024
- Supervises and mentors the RCM collections staff and Account analyst
- Performs routine performance evaluations, offers constructive criticism, and establishes development strategies to improve team capabilities and efficiency
- Organizes and facilitates team meetings to ensure consistency with organizational goals and objectives
- Designs and executes training initiatives to ensure the team remains informed about the most recent industry standards and regulatory updates
- Appropriately prioritize and coordinate team tasks, workflow, systems and procedures in accordance with department practices and goals
- Ensures that all billing and collections activities comply with federal, state, and payer-specific regulations
- Collaborates with the compliance team to stay informed about changes in healthcare laws and payer requirements
- Performs regular audits of collections processes to ensure accuracy and compliance
- Addresses and resolve any issues related to claims denials, underpayments, or patient disputes
- Collaborates with clients, clinical teams, and offshore vendors to ensure seamless integration and alignment of revenue cycle processes
- Works closely with the Medical Records department to guarantee timely submission of required documentation
- Compiles and presents month-end reports for client meetings
- Manages HR related tasks including timecard approvals, monitoring attendance, and managing leave requests
- Assist Revenue Cycle Manager in hiring activities, evaluating employee performance and disciplinary actions/terminations when necessary
- Facilitates regular communication with HR to address team-related issues and ensure compliance with policies and procedures
Supervisor
VIRTUAL BUSINES OFFICE
01.2022 - 06.2022
- Before advancing to the senior supervision role, this position involves overseeing staff and their workloads while monitoring individual and team performance against established key performance indicators
- It includes building and managing high-performing teams to ensure quality service delivery to clients by identifying and nurturing future leaders, promoting a collaborative team environment, encouraging diverse perspectives to foster innovation, and offering timely, constructive feedback to team members regarding their daily tasks and responsibilities
- Additionally, it entails providing relevant updates on engagement progress and challenges to the appropriate leadership, adhering to project policies and procedures in line with payer guidelines and client expectations, creating and reviewing engagement documents and deliverables, and offering project oversight and technical expertise on complex projects within a quantitative framework
Revenue Cycle Team
Gentem Health
04.2021 - 09.2021
- This was a temporary role focused on ad hoc front-end projects aimed at process improvement
- The position contributed to enhancing the overall clean claim rate
- Responsibilities included implementing strategies to optimize operational efficiency
Authorization Manager
Kindred at Home
12.2019 - 04.2021
- Oversaw daily eligibility and authorization processes to optimize operational efficiency
- Mentored and evaluated direct reports on eligibility and authorization standards, ensuring compliance with policies and facilitating communication with insurance providers
- Managed the appeal process for Medicaid claims and provided support to branch management on eligibility and authorization matters
Revenue Cycle Supervisor
Ensemble Health Partners
08.2016 - 12.2019
- Supervised and cultivated a team of 15-25 associates, overseeing account evaluations and providing training to tackle new challenges
- Partnered with Denials Management to assess and resolve denial trends, encouraging team members to suggest enhancements to processes
- Facilitated daily meetings to focus on training priorities and review team cash goals, while building strong connections with supporting departments and conducting quality assurance on accounts to maintain performance standards
AR Representative
Ensemble Health Partners
08.2015 - 08.2016
- Follow-up on unpaid claims for Managed Medicaid programs
- Engaged with patients to gather accurate insurance details and confirm eligibility, while addressing account discrepancies and assisting with financial aid and payment plans
- Edited and submitted claims, followed up with insurers, managed appeals and denials, and collections
Team Coordinator
Premier Source
06.2013 - 07.2015
Billing Accounts Manager
Physicians Billing and Collections
03.1999 - 06.2013
Education
Medical Assistant And Billing -
Mandl School of Allied Health
New York, NY09-1996
High School Diploma -
Mt Vernon High School
Mount Vernon, NY01-1993
Skills
- Strong communication skills
- Payment reconciliation
- Performance metrics monitoring
- Accounts receivable management
- Dispute resolution
- Collection strategies
- AR reporting
- Month-end closing
- Research skills
- Teamwork and collaboration
- Problem-solving abilities
- Attention to detail
Timeline
Supervisor
VIRTUAL BUSINES OFFICE
01.2022 - 06.2022
Senior AR Supervisor
VIRTUAL BUSINES OFFICE
06.2021 - 11.2024
Revenue Cycle Team
Gentem Health
04.2021 - 09.2021
Authorization Manager
Kindred at Home
12.2019 - 04.2021
Revenue Cycle Supervisor
Ensemble Health Partners
08.2016 - 12.2019
AR Representative
Ensemble Health Partners
08.2015 - 08.2016
Team Coordinator
Premier Source
06.2013 - 07.2015
Billing Accounts Manager
Physicians Billing and Collections
03.1999 - 06.2013
Medical Assistant And Billing -
Mandl School of Allied Health
High School Diploma -
Mt Vernon High School
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