Summary
Overview
Work History
Education
Skills
Work Availability
Software
Timeline
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Erika Garner Bacote

Erika Garner Bacote

Revenue Cycle Supervisor
Tappahannock,VA

Summary

Veteran Billing Supervisor successful at operating department efficiently. Knowledgeable about invoicing, payment processing and account reconciliations. Accounts receivable expertise and 25 years of experience in billing and payments. Versed in Medical Platforms: Epic, Athena, GE Centricity and IDX

Overview

25
25
years of professional experience

Work History

Revenue Cycle Out of Network Manager

Savida Health
Nashville, TN
02.2022 - 11.2023
  • Achieved successful contract negotiations by thoroughly reviewing and analyzing proposals, agreements, and terms. Successfully managed high volumes of contracts simultaneously while meeting tight deadlines and ensuring accuracy. Proactively identified potential contractual issues, addressing them before escalation into more significant problems. Resolved contractual disputes, minimizing potential risks and financial losses.
  • Developed process and technology implementation strategies. Organized and updated databases, records and other information resources.
  • Created reports, presentations and other materials for executive staff. Processed self-pay accounts for analytics to VP for month end using Excel and Athena.
  • Developed and documented network policies, procedures and standards. Authored front desk manual of all accepted insurances, how to access and card review references.
  • Onboarded and trained new staff to keep team efficient and prepare team members to effectively handle demands of simultaneous and large-scale contracts.
  • Coordinated regular contract reviews to identify areas for improvement or renegotiation opportunities.
  • Implemented 5 project management techniques to overcome obstacles and increase team productivity.
  • Provided expert guidance on contractual matters to project managers, facilitating smooth project execution.
  • Improved efficiency of contract management processes through implementation of 1 centralized database system.

Front Office Supervisor

Medical Imaging Of Fredericksburg Lee's Hill (MIF LLC)
Fredericksburg, VA
03.2019 - 12.2021
  • Oversaw work processes and performed quality control tasks to increase revenue and reduce production times.
  • Supervised and assisted 12 to 14 Office Coordinators for 2 (King George and Lee's Hill) multi-modality
  • Collaborated with relevant service line leaders to help ensure successful initiatives where conversion is required
  • Kept high average of performance evaluations. Reduced wait times for patients by optimizing check-in process and effectively managing patient flow.
  • Interacted with vendors and departments regarding sourcing, pricing, contracting, purchasing, and related issues
  • Provided productivity reports to assess best practices and achieve optimal performance standards and remain on budget. Analyzed data related to administrative costs and spending trends to prepare budgets for personnel.
  • During Covid19 reduced modalities to create optimal settings for most affected patients in areas for continual care. Adjusted hours, distancing practices, and staffing levels to aid leadership and techs to ensure adequate coverage for up 100 patients per day with varying degrees of illness
  • Conducted medical necessity assessments prior to patient arrival with techs
  • Managed Lyra, Radiology PACS, EPIC and Phreesia environments to ensure tests are properly conducted, distributed, and closed after physician transcription
  • Prepared reports to assist business leaders with key decision making and strategic operational planning.
  • Organized meetings for executives and coordinated availability of conference rooms for participants.
  • Improved office operations by automating client correspondence, record tracking and data communications.
  • Conducted regular performance evaluations for front office staff to foster professional growth and development opportunities.
  • Evaluated existing operational procedures for potential improvements leading to increased efficiency within front office.
  • Provided backup to front desk to step in to assist with various tasks whenever employee was absent or at lunch.
  • Hired, managed, developed and trained staff, established and monitored goals, conducted performance reviews and administered salaries for staff.
  • Standardized office structures and processes to promote collaboration and increased performance.
  • Dispersed petty cash to employees and collected and managed receipts.
  • Supervised and guided new employees and responded quickly to questions to improve understanding of job responsibilities.
  • Completed bi-weekly payroll for 12 employees.

Revenue Cycle /Medicare –Behavioral Health-Transplant Supervisor

Medstar Georgetown University Hospital
Arlington, VA
11.2002 - 02.2019
  • Applied strong leadership talents and problem-solving skills to maintain 12 member team efficiency and organize workflows. Managed Care Billing and Single Case Agreements.
  • Enforced rules and regulations outlined in company manual to set forth expectations comprehensibly and consistently.
  • Supported daily operation and productivity of Medicare and Transplant case management, ensuring accuracy, consistency, and adherence to policies, procedures, and standards
  • Reviewed and applied fixes for appeals which may be complex, high profile, and/or precedent setting some of which may also include legal or risk management issues
  • Generated reports detailing findings and recommendations. Partnered with hospital management to ensure that SOP processes are consistent across department and partnered with departments to fulfill service level agreements
  • Optimized and validated all reimbursement accuracy and recovered underpayments managing contract management team
  • Evaluated worker's compensation claims for accurate billing, and procedural note addendums
  • Served as project manager with Department of Veterans
  • Services to ensure timely payment and tracking of authorizations via spreadsheet and meetings
  • Partnered with Medicare and Medicaid agencies to ensure patient eligibility requirements were met and if not assisted patient with special circumstance waivers or letters of agreement with those agencies
  • Collected, arranged, and input information into database system. Billed all services for mental health departments to Board of Prisons.
  • Established performance metrics for revenue cycle team, consistently tracking progress towards goals and making adjustments as needed. Enhanced communication within team by holding regular meetings and encouraging open dialogue among all members.

Education

Certificate -

Anne Arundel Community College
Anne Arundel, MD

Certificate -

Georgetown University
Washington, DC

High School Graduate -

Spingarn High School
Washington, DC
01.1986

Skills

    • Accounts receivable management
    • Revenue Forecasting
    • Performance Management
    • Process Improvement
    • Cross-Functional Teamwork
    • Complex Problem-Solving
      • Technical understanding
      • Advanced problem solving
      • Procedure Development
      • Contract Administration
      • Records and Database Management
      • Professional and Courteous

Work Availability

monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Software

Epic

Athena

Meditech

GE Centricity

Lyra

Timeline

Revenue Cycle Out of Network Manager

Savida Health
02.2022 - 11.2023

Front Office Supervisor

Medical Imaging Of Fredericksburg Lee's Hill (MIF LLC)
03.2019 - 12.2021

Revenue Cycle /Medicare –Behavioral Health-Transplant Supervisor

Medstar Georgetown University Hospital
11.2002 - 02.2019

Certificate -

Anne Arundel Community College

Certificate -

Georgetown University

High School Graduate -

Spingarn High School

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Erika Garner BacoteRevenue Cycle Supervisor