CAROLYN E. BRANCH
Hillside,IL
Believe those who are seeking the truth. Doubt those who find it.
André Gide
Summary
Insightful Manager with experience directing and improving operations through effective employee motivational strategies and strong policy enforcement. Proficient in best practices, market trends and regulatory requirements of industry operations. Talented leader with analytical approach to business planning and day-to-day problem-solving. Hard-working Supervisor with exceptional experience leading teams, delivering results and exceeding expectations. Creative and motivated leader adept at utilizing exceptional design and planning strengths to accomplish complex projects. Skilled in teaching new concepts and best practice strategies.
Overview
19
19
years of professional experience
1
1
Certificate
Work History
RCM Supervisor
Regent ASC Surgical Center
Westchester, IL
08.2022 - Current
- Monitored workflow to improve employee time management and increase productivity. To decrease claim denials by 15%.
- Managed to decrease customer complaints to 3 per day, resolved issues, and adjusted policies to meet changing needs.
- Evaluated employee performance and coached and trained to improve weak areas.
- Maintained clean and well-organized production areas to avoid violations or unnecessary work delays due to hazards or inefficient layouts.
- Applied strong leadership talents and problem-solving skills to maintain team efficiency and organize workflows.
- Maintained compliance with company policies, objectives, and communication goals.
- Identified issues, analyzed information, and provided solutions to problems.
- Excellent communication skills, both verbal and written
Insurance Recovery Specialist
Nationwide Credit & Collections
Oak Brook, IL
07.2020 - 08.2020
- Completed insurance verification two weeks out from service day.
- Contacted insurance companies via telephone regularly
- Utilized online web applications, including EPIC, One Source, and various insurance companies, to complete and speed up follow-up calls by 24 hours.
- Bill/Re-bill various payers
- Appeal claims when necessary.
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt
- Developed new SOPs
Medical Billing Manager
Heartland Health Centers
Chicago, IL
04.2018 - 03.2020
- Lead team of eight staff members handling up to $7 million in monthly reimbursements
- Certified Medical Biller and Coder authorized to code procedures and manage patient charts
- Established insurance verification and pre-authorization system to determine eligibility thereby decreasing rejections and denials by more than 75%
- Reconcile major insurance payers’ statements and payments
- Enforce operational compliance with state and federal laws and Managed Care Organizations’ standards
- Manage corrected claims insurance and schedule claims for payments
Medical Billing Supervisor
Heartland Health Center
Chicago, IL
03.2016 - 04.2018
- Served first point of contact for all litigation including workers’ compensation, bankruptcies, medical malpractice lawsuits, and auto accidents; provided detailed reports for attorneys and testified in court on behalf of organization
- Negotiated all insurance contracts to ensure in-network coverage for patients including workers’ compensation
- Supervised team of eight staff members handling all training and issue resolution
- Proactively identified resolved complex issues impacting operations management and business direction
- Monitored multiple including databases Centricity, Epic, and Alert MD to monitor company inventory
- Oversaw various billing projects from conceptualization to completion
- Managed over 50 customer calls per day.
Senior and Lead Biller
Heartland Health Centers
Chicago, IL
10.2012 - 03.2016
- Created secondary and tertiary Standard Operating Procedure to increase revenue and patient base
- Built and implemented new training and updated existing training for staff insubordinate and peer roles
- Prepared daily production reports for management and monthly encounter and revenue reporting for Chief Executive Officer
- Facilitate patient accounting operations from claim submittal to payment reimbursement
- Verified accuracy of accounts payable payments, resulting in 15% reduction in payment errors and check reissues
- Audited and corrected billing and posting documents for accuracy
- Handled account payments and provided information regarding outstanding balances
- Processed payment via telephone and in person with focus on accuracy and efficiency
- Reconciled accounts receivable to general ledger
- Monitored outstanding invoices and performed collections duties
- Disbursed petty cash by recording entries and verifying documentation
Patient Accounting/Followup Representative
University of Illinois, Chicago Medical Center
Chicago, IL
01.2005 - 10.2012
- Bills insurance for Medicare, Public Aid, and all Commercial claims
- Facilitate patient accounting operations by submittal of clean claims to third-party payers through electronic transmission and paper processes,
- Responsible for overall billing tasks regarding payment, editing, and processing
- Maintain consistent collection follow-up with representatives of insurance companies or self-insured groups by phone or mail regarding accounts with outstanding balances.
- Developed and maintained courteous and effective working relationships
- Participated in team projects, demonstrating ability to work collaboratively and effectively, decreasing secondary payer claim rejections by 10%.
Education
MBA - Business Management
12-2022
- Dean's List
- Health Administration Master's Certificate
Bachelor of Science - Technical Business Management
03-2020
- Dean's List 2019- 2020
Associate of Applied Science - Medical Insurance Billing And Business Office
05-2008
Skills
- Staff Development & Training
- Office Management
- Accounts Payable/Receivable
- Hiring & Onboarding Staff
- Bookkeeping, Payroll & Records Management
- Project Management
- Accuracy and Efficiency in Documentation
- Motivational Leadership
- Key Performance Indicators (KPIs)
Certification
- Project Management Certification - Association for Project Management (APM)
- Chartered Wealth Manager - American Academy of Financial Management (AAFM)
- CPR Certification - AHA Healthcare Provider
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
RCM Supervisor - Regent ASC Surgical Center
08.2022 - Current
Insurance Recovery Specialist - Nationwide Credit & Collections
07.2020 - 08.2020
Medical Billing Manager - Heartland Health Centers
04.2018 - 03.2020
Medical Billing Supervisor - Heartland Health Center
03.2016 - 04.2018
Senior and Lead Biller - Heartland Health Centers
10.2012 - 03.2016
Patient Accounting/Followup Representative - University of Illinois, Chicago Medical Center
01.2005 - 10.2012
Keller Graduate School of Management - MBA, Business Management
DeVry University - Bachelor of Science, Technical Business Management
Olympia College - Associate of Applied Science, Medical Insurance Billing And Business Office
- Project Management Certification - Association for Project Management (APM)
- Chartered Wealth Manager - American Academy of Financial Management (AAFM)
- CPR Certification - AHA Healthcare Provider
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