Denise Watson
Corona,USA
Summary
Veteran Billing Manager focused on team efficiency and producing high-quality work. Excellent collaborator and relationship-builder familiar with compliance and documentation requirements. Enthusiastic about taking billing operations to the next level through proactive leadership and skilled problem solving.
Overview
30
30
years of professional experience
Work History
Supervisor Regulatory Billing
Providence Hospital/R1RCM
06.2024 - Current
- Oversaw daily operations of the billing department, ensuring smooth workflow and timely completion of tasks.
- Monitored performance metrics, identifying areas for improvement and facilitating corrective actions.
- Conducted performance evaluations for staff members, identifying areas of improvement and guiding professional development plans.
- Coordinated scheduling and resource allocation to optimize productivity across multiple shifts.
- Held daily morning huddle to review work volumes and daily goals.
Billing Manager
Medical Billing Services
09.2021 - 02.2024
- Provided ongoing professional development opportunities for staff members through workshops, seminars, and mentoring programs.
- Increased revenue by 35% within first year.
- Processed payroll and commissions and other accounting disbursements for accuracy and compliance.
- Analyzed business processes to identify cost savings and operational efficiencies.
- Improved overall financial reporting by streamlining control processes and reporting structures.
- Optimized resource allocation within department by analyzing workload trends and adjusting staffing levels accordingly.
- Implemented policies that improved accounts receivable collections, resulting in reduced outstanding balances and increased cash flow.
- Conducted performance reviews and implemented improvement plans.
- Boosted team productivity through effective delegation of tasks, setting performance targets, and providing constructive feedback.
- Excellent communication skills, both verbal and written.
- Self-motivated, with strong sense of personal responsibility.
- Identified issues, analyzed information and provided solutions to problems.
- Used strong analytical and problem-solving skills to develop effective solutions for challenging situations.
Revenue Cycle Supervisor
Radiology Partners
07.2019 - 04.2021
- Supervised team of 35 employees within demographic insurance billing department.
- Responsible for receiving charges through HL-7, resolving all demographic issues, EDI claims submission and resolving claim rejections.
- Close working relationships with project management for new implementations, client services and RCM analyst to resolve any electronic file issues.
- Provide direction to operating departments regarding methods to improve operating performance.
- Conducted interviews for new hires, payroll processing and yearly compensation cycle.
MIPS Manager/Billing System Administrator
Integrated Oncology Network
11.2018 - 07.2019
- Promoted from previous assignment of Revenue Cycle Analyst (Integrated Physician Support Services) to subsidiary company oversee responsibility of researching and plan development for physicians under MACRA/MIPS program for 22 cancer centers.
- Education training to physicians and staff on categories under MIPS programs for proper reporting.
- Reported progress regularly basis to Compliance Director, Board of Directors, CEO and compliance committees.
- Developed and coordinated multifaceted educational and training program that focuses on elements of program.
- Worked very closely with staff in training on data requirements to collect data in EHR systems to successfully report resulting in positive payment adjustment for all physicians.
- In addition to MIPS program, worked with billing department as system administrator; maintaining/updating all fees, CPT codes, ICD 10, and insurance plan updates.
- Coached billing staff on difficult appeals, resolution of EDI rejections, EDI/ERA set up and assisting in credentialing when needed.
Revenue Cycle Analyst
Integrated Physician Support Services
02.2013 - 11.2018
- Worked very closely with billing department as Billing Software Administrator maintaining and assigning appropriate access to all users.
- Obtain/maintain and update billing system with payment schedules, automatic write down based on insurance contracts.
- Set up and maintain ICD-10 and CPT codes.
- Research and resolve all EDI rejections.
- In addition to billing functions, responsibilities included physician credentialing for Physician groups practices in California, New York, Florida, Texas and Ohio.
- Submission of government credentialing applications, re-validations and EDI and ERA setup.
Medical Billing Manager
Radiation Oncology Inc
11.2004 - 02.2013
- Responsible for overseeing and managing billing team of 16 for Radiation Oncology center.
- Review and developed working plan to successfully bill and collect revenue for 6 cancer centers throughout California.
- Responsibilities included credentialing for all doctors, maintaining all licensure, re-validation for Medicare and submitting new applications for Medicare PTAN, applying for NPI when necessary, completing new physician/group contract, negotiating leader of agreements.
- Maintained and tracked physicians' licensure to assure that all licenses were up to date.
- Worked very closely with accounting department at month end closing, assuring that all collections received were accounted, and accurately posted in billing system, and balanced bank statements at month end.
Office Manager
Marcia Glenn, MD
11.1995 - 02.2004
- Responsible for overall management of Dermatology practice.
- Responsibilities included medical billing, scheduling appointments, collecting patient payments, assisting doctor in back office and payroll.
Education
Medical Assistant Certificate -
Bryman College
General Studies
Compton College
01.2017
Skills
- Revenue Cycle Management
- Staff Training
- Risk Analysis
- Collections Actions
- Decision-Making
- Attention to Detail
- Revenue Generation
- HIPAA Compliance Knowledge
- Insurance Negotiation
- Collections understanding
Timeline
Supervisor Regulatory Billing
Providence Hospital/R1RCM
06.2024 - Current
Billing Manager
Medical Billing Services
09.2021 - 02.2024
Revenue Cycle Supervisor
Radiology Partners
07.2019 - 04.2021
MIPS Manager/Billing System Administrator
Integrated Oncology Network
11.2018 - 07.2019
Revenue Cycle Analyst
Integrated Physician Support Services
02.2013 - 11.2018
Medical Billing Manager
Radiation Oncology Inc
11.2004 - 02.2013
Office Manager
Marcia Glenn, MD
11.1995 - 02.2004
General Studies
Compton College
Medical Assistant Certificate -
Bryman College
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