Professional healthcare administrator with deep expertise in patient account management. Skilled in revenue cycle optimization, billing, and collections. Strong focus on team collaboration and driving results, with adaptability to changing needs. Known for effective communication, problem-solving abilities, and leadership in achieving operational efficiencies.
Overview
17
17
years of professional experience
Work History
Patient Account Supervisor
Health First Medical Group
04.2024 - Current
Creates an engaging positive work climate; inspires and motivates individuals and the team to achieve outstanding performance
Performs all aspects of human resources including supervise, interview, hire, orientation, performance management, development, recognition, feedback, time keeping, mid-year and annual associate evaluations, and disciplinary actions
Responsible for supervising, interviewing, hiring, orienting, developing, ongoing/mid-year/annual performance management, feedback time keeping, coaching and disciplinary actions and retention of associates
Responsible for training new employees and holds periodic in-house training sessions for staff as well as cross training in order to provide coverage at all times
Completes special projects as assigned, and all additional tasks as assigned by Director/Manager
Identifies structure and acquires resources required to accomplish performance goals
Revenue Cycle Lead
Health First Medical Group
12.2022 - 04.2024
Analyzed and monitored revenue cycle performance to identify and resolve areas of opportunity to decrease denials
Coordinated with other departments and offices to ensure timely and accurate coding/billing of services
Managed cross-functional efforts to increase efficiency and effectiveness of revenue cycle systems and processes
Coordinated RCM training with new on coming offices on how to work the system and billing holds
Revenue Cycle Specialist II
Health First Medical Group
09.2016 - 12.2022
Demonstrate thorough knowledge of complex insurance correspondences to include explanation of benefits, remittance advices, and denial letters
Verify insurance benefits, understanding insurance payments, denials, and correspondences through advance understanding and ability to navigate payer websites and vendor applicable systems
Analyzes and performs efficient problem, account activity research, identifies solutions, and initiates appropriate course of action
Utilize knowledge in identifying trends resulting from payer and/or system error, working with payer representative, leadership, and system to resolve
Working with coding and leadership to ensure billing is consistent with payer specific guidelines
Detects and corrects edits claims prior to submission/transmission of claims, and verifies confirmation received on transmitted claims
Ability to multitask and prioritize tasks to accomplish and maintain goals
Apply logic and critical thinking to identify payer trends resulting in payment delays
Resolution of credits and issuance of refunds to insurance companies
Assist with training and mentoring of new hires
Ensure compliance with state and federal laws regarding all aspects of role
Front Desk Administrator
PSJ Pediatrics
04.2014 - 09.2016
Responsible for greeting customers as they arrive at the office and making them feel comfortable while waiting for an appointment
Answering the phones and scheduling appointments
Checking in/outpatients and directing them to appropriate staff
Calling patients to confirm upcoming appointments
Verify insurance with commercial and Medicaid
Collect all co-pays, deductibles, and co-insurance
Processing Insurance Claims
Fulfill administrative tasks and bookkeeping
Service Lead (Cash Office)
Winn-Dixie
06.2008 - 04.2014
Responsible for overall front-end operations including customer service, loans and pickups, Western Union service, Money Orders, check cashing
Oversee daily store accounting functions to ensure office opens and closes properly with shift’s monetary transactions reconciled
Address customer issues/complaints immediately and resolve to full satisfaction of customer
Perform Service Area Manager Job duties in their absence to include check approvals, refunds, and overrides
Support Store Manager with the management of inventory, pricing integrity, labor, security, and expense control
Responsible for training and development of team members to increase productivity and provide customers with the highest level of service
Education
High School Diploma -
Rockledge High School
Rockledge
05-2010
Skills
Strong empathy
HIPAA compliance
Healthcare industry
Medical billing
Team collaboration
Insurance billing
Timeline
Patient Account Supervisor
Health First Medical Group
04.2024 - Current
Revenue Cycle Lead
Health First Medical Group
12.2022 - 04.2024
Revenue Cycle Specialist II
Health First Medical Group
09.2016 - 12.2022
Front Desk Administrator
PSJ Pediatrics
04.2014 - 09.2016
Service Lead (Cash Office)
Winn-Dixie
06.2008 - 04.2014
High School Diploma -
Rockledge High School
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