Summary
Overview
Work History
Education
Skills
Timeline
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Erin Roy

Aubrey,TX

Summary

Dynamic leader with a proven track record at Behavioral Innovations, enhancing regulatory compliance and streamlining provider enrollment processes. Expert in HIPAA compliance and credentialing oversight, I've successfully developed staff training programs, boosting team efficiency. Skilled in fostering provider relations and implementing accreditation standards, my approach significantly minimizes regulatory risks.

Overview

11
11
years of professional experience

Work History

Contracting & Credentialing Supervisor

Behavioral Innovations
09.2020 - Current
  • Conducted primary source verifications such as background checks and board certifications.
  • Hired, managed, developed and trained staff, established and monitored goals.
  • Developed internal requirements and standards to minimize regulatory risks and liability across programs.
  • Initiated new payer contracts, reviewed fee schedule for negotiations, and established payer representative relationships.
  • Maintained timelines and processes for payer enrollment with the team.
  • Built and implemented staff training processes and procedures.

Billing & Credentialing Specialist

Origins Behavioral Healthcare LLC
02.2019 - 09.2020
  • Enrolled providers and Medicaid, Medicare, and private insurance plans.
  • Ensured timely filing for all submitted claims.
  • Conducted reviews for patient refund analyses.
  • Monitored all claims for payment and accurate patient responsibility.
  • Completed all compliance and medical record audits.

Payment Collections Team Lead

Texas Pain Physicians
10.2017 - 02.2019
  • Responsible for all payment reconciliations with bank statements.
  • Conducted all new hire on boarding and training.
  • Monitoring productivity of individual team members.
  • Created and implemented payment and refund policies and procedures.
  • Weekly and monthly reporting with executive teams.


Billing Specialist

Majors Medical Service
12.2013 - 10.2017
  • Identified, researched, and resolved billing variances to maintain system accuracy and currency.
  • Researched and resolved billing discrepancies to enable accurate billing.
  • Prepared itemized statements, bills, or invoices and recorded amounts due for items purchased or services rendered.
  • Worked with multiple departments to check proper billing information.
  • Responded to customer concerns and questions on daily basis.
  • Audited and corrected billing and posting documents for accuracy.
  • Maintained accurate records of customer payments.

Education

Bachelor of Science - Business Administration And Management

University of Phoenix
Tempe, AZ
02.2023

Skills

  • Provider enrollment
  • Accreditation standards
  • HIPAA Compliance
  • Audit preparation
  • Employee Onboarding & Training
  • Background Checks
  • Credentialing oversight
  • Regulatory Compliance
  • Provider Relations
  • Insurance procedures
  • Medical Terminology

Timeline

Contracting & Credentialing Supervisor

Behavioral Innovations
09.2020 - Current

Billing & Credentialing Specialist

Origins Behavioral Healthcare LLC
02.2019 - 09.2020

Payment Collections Team Lead

Texas Pain Physicians
10.2017 - 02.2019

Billing Specialist

Majors Medical Service
12.2013 - 10.2017

Bachelor of Science - Business Administration And Management

University of Phoenix
Erin Roy