EARLE W. FIELD
Baltimore,MD
Summary
Results-driven healthcare revenue cycle professional with over 10 years of leadership in billing operations and insurance reimbursement. Streamlined processes enhance reimbursement and ensure regulatory compliance while improving customer satisfaction. Implemented strategic improvements that reduced A/R and led cross-functional teams to achieve operational success.
Overview
1
1
year of post-secondary education
17
17
years of professional experience
Work History
Patient Account Specialist II
Mt. Washington Pediatric Hospital
04.2026 - Current
- Work aged hospital receivable utilizing A/R reports, received correspondence and other department inquiries
- Review and assess adjudicated claims for timely and proper payment of outstanding balances
- Researched, corrected, and resubmitted unpaid claims to facilitate timely payments
- Facilitated timely adjustment requests to maintain account accuracy
- Verify validity of account balances by researching, reviewing and ensuring accuracy of charges, payments and adjustment posting and ensure account balances are assigned to the correct payer buckets
- Review and interpret Explanation of Benefits (EOB) for denials and underpayment of codes
- Research and resolve denials and underpayments with insurance carriers
- Identified trends in payer denials to inform corrective actions and improve claim outcomes
- Confirmed insurance eligibility and verified carrier policy for referral and authorization requirements for claim adjudication.
- Submit carrier appeals and reconsideration requests in a timely manner
- Identify and submit the required insurance refund request to refund specialist according to policy and procedure
- Serve as a customer service representative for patient inquiries/calls
- Attend quarterly payer meeting with respective payers
Billing and Equipment Manager
Northern Pharmacy
02.2025 - 10.2025
- Allocated staffing and training resources while providing ongoing support to optimize billing process and enhance organizational effectiveness.
- Disseminated resources including staffing and training, and provided support to serve the best interest of the organization and the billing process.
- Identified impediments to productivity and patient care and assisted with the development and implementation of solutions to outstanding concerns, including implementation of policies and procedures.
- Facilitated regular meetings with managers and employees to discuss concerns and evaluate performance against established metrics for volumes, financials, and customer issues.
- Conducted regular meetings with managers and employees to address concerns and review established baselines for volumes, financials, and customer related issues.
- Managed escalated customer complaints, achieving satisfactory resolutions to improve customer satisfaction.
Director of Revenue Cycle Management
Clinical Associates
10.2022 - 09.2024
- Coordinated solutions for operational challenges at Clinical Associates sites and departments focused on the revenue cycle.
- Resolved operational issues and impediments to productivity and successful workflow within the sites or departments.
- Distributed resources such as staffing, training, and provider support to enhance the efficiency of the billing process.
- Identified impediments to productivity and patient care and assisted with the development and implementation of solutions to outstanding concerns, including implementation of policies and procedures.
- Conducted regular meetings with managers to address concerns and review established baselines for volumes, financials, and provider related issues.
- Monitored and ensured completion of initiatives related to annual budgets, schedule maximization, and operational KPIs.
- Oversaw budget management processes to ensure cost efficiency.
- Collaborated with Managers to adhere to the operating budget and financial goals of the organization.
- Standardized billing protocols by correcting variations in coding and documentation, ensuring compliance and accuracy throughout the billing process.
- Participated and actively contributed to strategic decision making related to the billing and collection process.
- Facilitated, implemented and provided templates for large scale claim appeals.
Reimbursement Specialist
Maxim Healthcare
Columbia, MD
04.2017 - 10.2022
- Collaborated with 10-50 health care professionals to process and post revenue details.
- Recommended process changes to resolve recurring billing issues, streamline billing processes, reduce retrospective authorizations, improve patient satisfaction, and maximize cash flow for timely posting.
- Collected all necessary information for proper charge entry and billing; reconciles dollar amounts on batch reports, adds and corrects diagnosis codes, adds and corrects ICD-10 codes, corrects missing/incorrect elements to submit electronic billing.
- Ensured documentation such as nursing notes, worker timecards, authorizations, and purchase orders to complete accurate billing and collections.
- Generated claims and invoices accurately from various payer sources through mail, fax, web portal, or electronic clearinghouse.
- Responsible for providing adequate responses regarding billing inquiries from the Reimbursement Manager. Maintained cooperative working relationships with all customers (including patients and outside contacts.) and responded to requests for information promptly and courteously.
- Acted as a subject matter expert regarding contracts to enhance billing accuracy and compliance.
- Provided expertise in handling claim denials and appeals.
Service Coordinator Manager
Numotion
Windsor Mill, MD
10.2014 - 12.2015
- Directed a team of 25 employees, including establishing efficient workflow processes, monitoring productivity, and implementing modifications to improve the overall effectiveness of personnel and activities. This increased customer satisfaction rate by 50%
- Developed strong relationships with internal teams and external clients through regular communication and support.
- Communicated departmental objectives through regular updates and correspondence to align team efforts with organizational goals.
- Created client satisfaction reports, recommending improvements and presenting findings at monthly director meetings to drive actionable changes.
- Established strategic objectives by gathering and evaluating information on needed services and insurance coverage to inform decision-making.
- Created reports for client satisfaction, making recommendations for areas that can be improved, and presenting the information at a monthly meeting with the directors.
- Established strategic objectives by gathering pertinent information, identification, and evaluation of services needed and covered by insurance.
- Provided guidance on understanding contracts and agreements to ensure compliance and clarity.
Billing and Coding Specialist
Numotion
Windsor Mill, MD
08.2012 - 10.2014
- Examined diagnosis codes for accuracy, completeness, specificity, and appropriateness according to services rendered, assigning additional codes and modifiers to enhance coding accuracy.
- Examined diagnosis codes for accuracy, completeness, specificity, and appropriateness according to services rendered and assigned additional codes and modifiers in support existing codes.
- Evaluated provider charges' accuracy, including dates of service, procedures, level of care, locations, diagnoses, patient identification, and provider signature.
- Interacted with insurance companies to resolve discrepancies in payments.
- Updated and managed diagnosis lists, coordinated coding audits, and conducted qualitative analyses of discharged charges to ensure compliance and accuracy.
- Followed and maintained currency on coding, sequencing, and procedures' best practices and updates.
Customer Service Representative
Johns Hopkins Healthcare
Glen Burnie, MD
04.2010 - 08.2011
- Facilitated communication between patients, families, visitors, and healthcare team members to enhance customer service.
- Addressed a broad spectrum of needs and/or concerns professionally, friendly, and efficiently.
- Performed various customer service activities to assist medical, nursing, and administrative staff in meeting unit, department, or institutional needs.
- Instructed families and visitors on hospital procedures and logistics, ensuring adherence to policy and enhancing visitor understanding.
- Documented and elevated customer complaints to management for resolution.
Education
Certified Billing And Coding - Medical Billing and Coding Specialist
TESST College of Technology
Baltimore, MD 11.2011 - 08.2012
Skills
- CMS-1500 forms
- CPT and ICD-9 coding
- Medical Terminology
- Medical Laws and Ethics
- Proficient with Microsoft Word, Excel, PowerPoint, and Outlook Use of TSD software, Windows, XP, WEBBEST, Keane, Smart, Vision, NextGen, Brightree, and internet
- CPR and First Aid Certified
Timeline
Patient Account Specialist II
Mt. Washington Pediatric Hospital
04.2026 - Current
Billing and Equipment Manager
Northern Pharmacy
02.2025 - 10.2025
Director of Revenue Cycle Management
Clinical Associates
10.2022 - 09.2024
Reimbursement Specialist
Maxim Healthcare
04.2017 - 10.2022
Service Coordinator Manager
Numotion
10.2014 - 12.2015
Billing and Coding Specialist
Numotion
08.2012 - 10.2014
Certified Billing And Coding - Medical Billing and Coding Specialist
TESST College of Technology
11.2011 - 08.2012
Customer Service Representative
Johns Hopkins Healthcare
04.2010 - 08.2011