Felica Mack
Augusta
Summary
Dynamic Business Office Manager at Harborview Health Systems with a proven track record in optimizing revenue cycle management and enhancing compliance. Expert in medical billing and accounts receivable, demonstrating strong problem-solving and leadership skills. Achieved a significant reduction in claim rejections through strategic process improvements and staff training.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Business Office Manager
Harborview Health Systems
Augusta
04.2023 - Current
- Managed daily business office operations for a long-term care facility, ensuring compliance with Medicare, Medicaid, and private insurance regulations
- Manage accounts payable/receivable functions, processing invoices, payments, and collections in a timely manner.
- Managed daily business office operations for a long-term care facility, ensuring compliance with Medicare, Medicaid, and private insurance regulations.
- Verified insurance benefits and authorizations for Medicare Part A, Medicare Advantage, Managed Care, and Commercial plans
- Collaborated with Admissions, Nursing, and Social Services to ensure accurate payer transitions and documentation.
- Posted payments, reconciled accounts, and resolved billing discrepancies in a timely manner.
- Utilized PCC (PointClickCare) to manage resident census, payer sources, and billing accuracy
Warranty Administrator
Club Car/ Spherion Staffing
Evans
01.2019 - 04.2023
- Processed and submitted warranty claims in compliance with OEM guidelines, achieving a higher claim approval rate.
- Reviewed repair orders (ROs) and service contracts to determine warranty eligibility, reducing rejected claims.
- Utilized warranty software for submissions, process payments, and manage labor time guides.
- Maintained warranty records and performed audits, ensuring compliance with warranty policies and standards.
- Collaborate with technicians to verify proper documentation for warranty reimbursements.
- Coordinate with manufacturer and vendors to ensure timely claims approval and parts reimbursement.
- Maintain warranty records and perform audits, ensuring compliance with manufacturer policies and dealership standards.
- Process 250-300 warranty claims per week, maintaining an increased approval rate.
Medical Billing Manager
TruTherapy LPC
Augusta
12.2017 - 03.2019
- Supervised and led a team of medical billing specialists, overseeing end-to-end billing processes to strengthen operational efficiency and decrease claim rejections
- Conducted comprehensive audits to identify coding errors and discrepancies, amplified regulatory compliance and minimizing financial losses.
- Designed and implemented training programs on proper documentation practices and coding guidelines, leading to an improvement in staff productivity.
- Optimized revenue cycle management through the integration of automated claims submission and payment posting systems, streamlining payment accuracy.
- Ensured timely electronic claims submission to insurance carriers using various clearinghouses and direct connections, reducing claim processing time.
- Standardized coding and billing procedures to maintain compliance with industry regulations, decreasing audit risks and elevated revenue integrity.
- Proactively managed accounts receivable by implementing strategic follow-up processes on unpaid claims, decreasing the backlog.
Revenue Cycle Supervisor
Medac Anesthesia Billing
North Augusta
03.2012 - 01.2017
- Collaborated with internal departments to resolve complex billing inquiries and disputes, ensuring high levels of customer satisfaction and client retention.
- Created and standardized invoice templates, streamlining the billing process and reducing manual data entry.
- Generated detailed monthly reports on key performance metrics such as invoice accuracy rate, average days outstanding, and collection rates to drive strategic financial decisions.
- Identified and implemented process improvements within the billing department, resulting in an increase in productivity and reduced operational costs.
- Coordinated with cross-functional teams to ensure accurate coding of expenses, enhancing client invoicing precision and reducing disputes.
- Monitored aging accounts receivable balances and implemented proactive measures to address overdue payments, improving collection rates.
- Managed accounts receivable through meticulous tracking of payments, follow-up on outstanding balances, and initiating effective collection strategies.
Education
Associate's degree - BUSINESS ADMIN (ASSOCIATE OF BUSINESS ADMIN)
AUGUSTA STATE UNIVERSITY
Augusta, GA01.2002
Skills
- Customer service
- Data Entry
- Administrative experience
- Medical records
- Problem solving
- Microsoft PowerPoint
- Accounts receivable
- Office experience
- Microsoft Word
- Medical terminology
- EMR Systems
- Medical Office Experience
- Windows
- Insurance Verification
- Typing
- Productivity software
- Conflict management
- Medical Coding
- Time management
- Medical Billing
- Supervising experience
- Analysis skills
- Account reconciliation
- Medical collection
- Word processing
- Customer support
- Microsoft Office
- Medical billing
- Revenue cycle management
- Insurance verification
- File systems maintenance
- Office administration
- Staff training and development
- Operations management
Certification
Driver's License
Personal Information
- Willing To Relocate: Anywhere
- Authorized To Work: US for any employer
Timeline
Business Office Manager
Harborview Health Systems
04.2023 - Current
Warranty Administrator
Club Car/ Spherion Staffing
01.2019 - 04.2023
Medical Billing Manager
TruTherapy LPC
12.2017 - 03.2019
Revenue Cycle Supervisor
Medac Anesthesia Billing
03.2012 - 01.2017
Associate's degree - BUSINESS ADMIN (ASSOCIATE OF BUSINESS ADMIN)
AUGUSTA STATE UNIVERSITY