Diane Quail

Oversees patient registration, scheduling, and insurance verification processes.

Tracks, monitors, and ensures resolution of appropriate referral acquisitions by staff.

Verified that prior authorizations were correctly obtained to prevent claim denials.

Oversees and coordinates the preparation and disposition of timely and accurate transcription and filing of medical treatment documentation.

Monitored adherence to regulatory standards in patient registration and billing.

Sets and introduces organizational goals, objectives, policies, and procedures.

Evaluated performance and recommended actions to optimize productivity.

Managed end-to-end hiring process for new team members.

Design new policies including their training for staff.

Initiates purchase requests following thorough resource utilization assessments.

Executed various assigned tasks efficiently.

• Developed strategies to reduce denials, improve accounts receivable, and enhance revenue cycle performance.
• Handled month-end and year-end closings.
• Oversaw the complete lifecycle of revenue operations.
• Created comprehensive reports highlighting essential metrics such as days in accounts receivable and denial rate.
• Coordinated preparation of external audit materials and external financial reporting.
• Facilitated implementation of electronic health record system upgrades to optimize revenue cycle activities.
• Reviewed patient billing information to ensure accuracy and compliance with federal and state regulations.
• Provided revenue cycle process support to all clinical personnel, including resolving procedure challenges.
• Developed and implemented financial strategies to maximize profits and reduce costs.
• Analyzed financial reports on a regular basis to identify areas of improvement in the revenue cycle process.
• Analyzed competitors and market trends to facilitate business growth.
• Checked payroll, vendor payments, and other accounting disbursements for accuracy and compliance.
• Generated reports highlighting crucial metrics like days in accounts receivable.

• Directed billing operations, optimizing workflow and technology to exceed performance benchmarks
• Fostered a collaborative environment, regularly convening staff to ensure alignment with revenue cycle objectives
• Monitored and reported on key performance indicators, driving data-driven decision-making and continuous progress
• Developed strategies to reduce denials, improve accounts receivable, and enhance revenue cycle performance.
• Completed month-end and year-end closings, kept records audit-ready and monitored timely recording of accounting transactions.
• Oversaw the complete lifecycle of revenue operations.
• Generated reports detailing key metrics such as days in accounts receivable and denial rate.
• Assisted with theimplementation of electronic health record system upgrades designed to optimize revenue cycle activities.

• Executed effective billing and collection strategies, ensuring timely and accurate claim submissions
• Resolved coding discrepancies, enhancing the accuracy of billing and minimizing the occurrence of denials
• Identified areas where process improvements can be made within the revenue cycle.
• Compiled data into weekly and monthly reports outlining performance metrics related to revenue cycle activities.
• Reviewed costs, expenses and revenues associated with construction projects.
• Assessed requisitions each month to ensure accuracy and reconciled transactions.
• Evaluated financial and operational performance of companies facing financial difficulties to determine possible remedies.

• Managed account reconciliation and resolved receivable discrepancies, ensuring financial integrity
• Supported the transition to bulk billing, streamlining the collections process and improving cash flow
• Analyzed changes in policies, procedures, and regulations affecting billing operations.
• Submitted claims to insurance companies.
• Reviewed purchase orders, sales tickets, and charge slips to compute fees or charges due.
• Communicated with insurance representatives to complete claims processing or resolve problem claims.
• Monitored customer account details for non-payments, delayed payments, and other irregularities.
• Submitted appeals using provider portals and phone communication.
• Verified accuracy and integrity of motor vehicle and workers' compensation claims through careful research and analysis.
• Handled billing, waivers, and claims for private and commercial clients.
• Investigated past-due invoices and delinquent accounts to generate revenues and reduce the number of unpaid and outstanding accounts..
• Verified patient eligibility, coverage details, and payment information.

• Executed comprehensive medical billing with firm accuracy.
• Conducted data analysis to generate statistical reports.
• Expedited payments by verifying the accuracy and currency of vendor information.
• Handled account preparations facilitating financial audits.
• Reconciled codes against services rendered.
• Addressed customer inquiries regarding services, bills, and payments.
• Managed daily workflow processes associated with invoice creation and distribution.
• Accurately input procedure codes, diagnosis codes, and patient information into billing software to generate up-to-date invoices.
• Input details into accounts and tracked payments.

• Facilitated professional interaction with patients and staff regarding billing processes.
• Prepared accounts for comprehensive financial review.
• Speeded up payments by ensuring vendor data accuracy.
• Reconciled codes against services rendered.
• Addressed customer inquiries about services, bills, and payments quickly.
• Managed daily workflow processes associated with invoice creation and distribution.
• Accurately input procedure codes, diagnosis codes, and patient information into billing software to generate up-to-date invoices.
• Input details into accounts and tracked payments.
• Assessed billing statements for correct diagnostic codes and identified problems with coding.