DONNA L SHERRY
Waukesha,WI
Summary
SUMMARY OF KNOWLEDGE / EXPERTISE -
Exceptional Customer Service, A/R - A/P Analysis,
Extensive Revenue Cycle, Billing/Coding/Claims
HC Compliance
HIGHLIGHTS OF QUALIFICATIONS -
Methodical Revenue Cycle Specialist with strong attention to detail and in-depth understanding of billing procedures. Excellent planning and problem-solving abilities. Prepared to bring 20 years of related experience to a dynamic position with room for career growth.
Overview
19
19
years of professional experience
Work History
Revenue Cycle Specialist
SAINT JOHN'S On The LAKE -
Milwaukee, WI
Dec.2019 - Jan.2022
- Utilize knowledge/expertise to set-up internal Clinic billing, transition effectively two software conversions
- Responsible for all aspects of claims process, f/u, reconciliation, education with providers & co-workers relating to appropriate CPT/ICD10 coding and denials, compliance, customer service and more.
- Balanced and reconciled accounts.
- Identified and resolved payment issues between patients and providers.
Revenue Cycle Project - Temporary
COLUMBIA MEDICAL CLINICS -
01.2019 - 06.2019
- Centralized billing with six locations, Dept staff of six, Company going through transition to ‘Best Practice'
- Audit accounts for optimal reimbursement, staff training, provider education relating to appropriate coding level of service, responsible for all aspects of revenue cycle.
Revenue Cycle Specialist
ROSE CITY URGENT CARE AND FAMILY PRACTICE -
Jun.2014 - Dec.2018
- Correct coding, claim denials/rejections, full cycle billing, provider education, regular review of EOB's, training, updating/change of master fee schedule, carrier correspondence, account adjudication/reconciliation, collections
- Growth with company from one and a half clinics to current five
- Working remote the last two years.
AR Supervisor
PROVIDENCE HEALTH SERVICES -
Portland, OR
Sep.2012 - Jun.2014
- Team of 20, assigned ‘special projects' relating to or relating to problem solving, AR review, increase revenue, handle denial of claims, report processing with corrections of multiple locations
- Built highly-efficient administrative team through ongoing coaching and professional development opportunities.
- Optimized organizational systems for payment collections, AP/AR, deposits, and recordkeeping.
Healthcare Consultant
HEALTHCARE RESOURCES -
Aug.2002 - May.2014
- Multiple projects, clients, needing help/information relating to staff training, coding for optimal reimbursement, maintaining overhead costs, AR
- Analysis, appropriate staff to accommodate business size, creating policies/procedures, updating financial forms to simplify registration process, customer service scripting for gleaning proper patient/insurance/collection data
- Produced detailed and relevant reports for use in making business decisions.
- Assisted with regulatory issues such as compliance.
Education
High School Diploma -
CENTRAL HS
West Allis, WISkills
- Medical Billing
- Charge Capturing
- Best Practices and Standards
- Claims Review
- Insurance Verification
- Past Due Balance Management
- Team Training and Mentoring
- Financial Problem Assessments
- Analyze Financial Records
Timeline
Revenue Cycle Specialist
SAINT JOHN'S On The LAKE -
Dec.2019 - Jan.2022
Revenue Cycle Project - Temporary
COLUMBIA MEDICAL CLINICS -
01.2019 - 06.2019
Revenue Cycle Specialist
ROSE CITY URGENT CARE AND FAMILY PRACTICE -
Jun.2014 - Dec.2018
AR Supervisor
PROVIDENCE HEALTH SERVICES -
Sep.2012 - Jun.2014
Healthcare Consultant
HEALTHCARE RESOURCES -
Aug.2002 - May.2014
High School Diploma -
CENTRAL HS
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