Summary
Overview
Work History
Education
Skills
Volunteer Experience
Accomplishments
Affiliations
Certification
Languages
Timeline
Generic

Felicia Holmes

Plano,IL

Summary

Results-driven professional with expertise in management, cultural competency, risk management, customer service, and administration. Equipped with a strong desire to further develop skills and make a valuable contribution to a dynamic work environment in Health Care.

Overview

30
30
years of professional experience
1
1
Certification

Work History

Real Estate Broker

Coldwell Banker
04.2022 - Current
  • Responsible for facilitating transactions by connecting buyers, sellers, landlords, or tenants while ensuring all legal and financial processes are followed
  • I manage contracts, negotiate terms, oversee property listings, and provide guidance on pricing, marketing, and market conditions
  • I also supervise agents, ensure compliance with laws, and have the option to run my own brokerage or real estate firm
  • Key Responsibilities
  • 1 Facilitating Transactions: Connect buyers, sellers, landlords, and tenants to close property deals efficiently
  • Ensure all legal, financial, and contractual obligations are met
  • 2
  • Managing Contracts and Negotiations: Draft, review, and manage purchase agreements, leases, and other contracts
  • Negotiate terms to achieve favorable outcomes for your clients
  • 3
  • Overseeing Listings and Marketing: Set competitive prices and create marketing strategies to attract buyers or tenants
  • Manage property listings on the MLS and other marketing platforms
  • 4
  • Providing Market Guidance: Advise clients on current market trends, property values, and financing options
  • Help clients make informed decisions to maximize their investments
  • 5
  • Supervising Real Estate Agents: Train, mentor, and manage agents within your brokerage
  • Ensure agents follow industry regulations and best practices
  • 6
  • Ensuring Legal Compliance: Stay updated on real estate laws, zoning, and contract regulations
  • Ensure all transactions adhere to local, state, and federal laws
  • 7
  • Build relationships: Build relationships with clients, lenders, inspectors, and other industry professionals
  • 8
  • Client Relationship Management: Provide excellent customer service to build trust and retain clients
  • Handle any conflicts or challenges that arise during transactions
  • Advised clients on optimum buying and selling choices for maximum returns.
  • Negotiated real estate contracts to navigate transactions between buyers and sellers.
  • Conducted competitive market analysis to determine optimal pricing for properties.
  • Enhanced client satisfaction by providing comprehensive market analysis, tailored to their individual needs and preferences.

Revenue Cycle Manager

Greatland Home Health Services
08.2015 - 08.2016
  • Responsible for overseeing the entire financial process from patient registration to final payment, ensuring accurate billing, timely claims submission, and compliance with healthcare regulations
  • I monitor key performance metrics, manage denials, lead billing teams, and collaborate with departments to optimize revenue and reduce losses
  • Key Responsibilities of a Revenue Cycle Manager
  • Supervising the Revenue Cycle Process: Oversee all stages of the revenue cycle, including patient registration, billing, coding, claims submission, payment posting, and collections
  • Ensure compliance with insurance policies, healthcare regulations, and payer requirements
  • Managing Billing and Claims Processing: Monitor the accuracy of medical coding (e.g., ICD-10, CPT) to avoid claim rejections or delays
  • Ensure timely submission of insurance claims to maximize reimbursement
  • Work with insurance providers on claim disputes and appeals
  • Monitoring Revenue Cycle Performance: Track metrics such as days in accounts receivable (A/R), denial rates, and cash flow trends
  • Identify bottlenecks and implement process improvements to enhance revenue efficiency
  • Generate financial reports for upper management and stakeholders
  • Compliance and Risk Management: Ensure compliance with HIPAA, Medicare, Medicaid, and other payer regulations
  • Stay updated on changing healthcare policies and payment models
  • Mitigate risks by developing and enforcing internal policies
  • Managing Patient Accounts and Collections: Oversee patient payment plans and collections for outstanding balances
  • Improve patient communication and education regarding insurance coverage and payment options
  • Work with collections agencies for aged accounts when necessary
  • Denial Management and Claims Resolution: Analyze and reduce claim denials by investigating root causes
  • Coordinate with departments (e.g., coding, clinical teams) to resolve denied claims
  • Develop strategies to prevent future denials
  • Technology and Software Management: Implement and manage healthcare revenue management software (e.g., Epic, Cerner)
  • Coordinate with IT to maintain data accuracy and streamline processes
  • Train staff on billing and revenue cycle systems and tools
  • Team Leadership and Training: Lead and manage billing and collections teams
  • Conduct performance evaluations, set goals, and provide coaching to staff
  • Ensure the team is well-trained in regulatory changes and new billing procedures
  • Collaboration with Other Departments: Work closely with clinical, IT, and finance teams to align operational and financial goals
  • Collaborate with physicians and staff to ensure accurate documentation for claims
  • Developing Financial Forecasts and Budgets: Assist in forecasting revenues and setting financial goals for the organization
  • Contribute to budgeting processes by identifying opportunities for cost savings or revenue growth

Commercial Collections Supervisor

Fresenius Medical Care
03.2009 - 09.2012
  • Responsible for all aspects of commercial collections including approving write-offs adjustments, and assuring correct payment from our contracted payers
  • Key Accomplishments:
  • Collections Goals achieved for all quarters in 2009
  • Effectively training new and existing Patient Account Representatives on new Soarian System
  • Overseeing projects to work down accounts receivable in legacy system
  • Training and Developing the Patient Account Representatives and Senior Patient Account Representatives
  • Meeting with Managed Care to make sure contracted rates are reimbursed correctly by payers
  • Monthly meeting with UHC provider representative to discuss outstanding reimbursement issues
  • Holding weekly meetings with Patient Account Representatives to discuss high dollar and old dollar accounts and provide direction, focus, and trends
  • Processing accounts to assure appropriate Medicare bad debt write offs
  • Project Management-Blue Cross Blue Shield, Veterans Administration, Aetna

Billing Manager

Hofmaier Chiropractic
09.2008 - 07.2009
  • Responsible for Managing, Billing, Collections and overseeing day to day activities of the A/R Representatives and Chiropractic Assistants
  • Training staff on HIPAA regulations and enforcing Medicare billing practices and fraud and abuse guidelines
  • 1
  • Helped with implementation of electronic billing and posting cash
  • 2
  • Trained front desk on Insurance verification, obtaining authorizations, collecting co-payments and deductibles
  • 3
  • Helped with implementation of Reimbursement pro to help with collections
  • 4
  • HIPAA certified

Supervisor of Reimbursement (REGISTRY)

Advocate Home Care Products
08.2007 - 05.2008
  • Responsible for Managing, Billing, Collections and overseeing day to day activities of the Reimbursement Specialist
  • Key Accomplishments:
  • Implementing policies and procedures to enhance cash collections (within 1st two weeks of employment)
  • Collections goals achieved within 2 months of employment
  • Highest collection month for the year(October 2007)
  • Medicare, Blue Cross Blue Shield and Commercial Insurance collections increased consistently
  • Assuring all Associates have the necessary resources to complete assigned duties
  • Commercial Insurance collected 100% of their goal for 2007
  • DSO lowered significantly for all payers(Medicare 28 days)

Billing Manager

Your Doc
09.2006 - 08.2007
  • Responsible for all aspects of Billing, Accounts Receivable, Cash applications, Overpayments, Collection Accounts, and overseeing day to day activities of the Office Managers(6 locations)
  • Key Accomplishments:
  • Implementing policies and procedures to enhance cash collections
  • Training Physicians on Medicare’s E&M coding
  • Training personnel on Insurance verifications and obtaining prior authorizations
  • Monitoring reimbursement and assuring collections
  • Minimizing outstanding A/R
  • Developed new policy for intake processing
  • Managing Rejection and/or Bills holding report
  • Reviews and appeals
  • Occurrence web form to Manage multiple offices

Billing and Accounts Receivable Manager

Med star Medicar, LLC
08.2005 - 10.2006
  • Responsible for ensuring timely, accurate claim submission and cash collections
  • Key Accomplishments:
  • Assured that all associates remain well organized and that all paper flow procedures were followed
  • Monitor accuracy and completeness of order intake and billing information and respond accordingly
  • Work through appropriate supervisors/managers and personnel to update changes and/or mistakes
  • Assure that all associates are following the proper follow up procedures
  • Understanding of federal, state, and company policies and procedures
  • Assure that all staff members have the same understanding relative to their position
  • Verification and accuracy of billing
  • Insurance verification, obtaining prior authorizations and timely follow up parameters
  • Establishing objectives
  • Adhering to HIPAA and Illinois Public Aid guidelines

Billing Office Manager

Care Centers Health Systems, Inc.
07.1999 - 07.2006
  • Responsible for managing and ensuring the efficient billing operation of Care Centers Health Systems, Inc
  • Enteral Department
  • Key Accomplishments:
  • Trained all personnel on utilizing the medical reimbursement software and billing
  • Quality assuring system and patient information
  • Developing a compliance program for billing procedures
  • Providing ongoing training for employees and myself
  • Implementing procedures for billing and cash collections
  • A/R training (Including Medicare reviews and Public Aid audits)
  • Entering all pricing and allowable for medical equipment and supplies
  • Adhering to HIPAA, Fraud and Abuse regulations

Collection Supervisor

Mestamed
02.1999 - 07.1999
  • Responsible for supervising a 10 person billing department while actively billing IDPA and Medicare
  • Key Accomplishments:
  • Trained personnel on all aspects of accounts receivable functions
  • Reviewed large balance accounts to ensure payment
  • Assisted other collectors with collection issues
  • Supported other divisions with Medicare guidelines

Order Verification Manager

Ariston Healthcare Inc.
10.1996 - 07.1999
  • Responsible for managing the Billing and A/R department while quality assuring payment and coverage guidelines
  • Key Accomplishments:
  • Trained personnel on all aspects of order verification functions
  • Implementing policies and procedures for verifying commercial insurance
  • Restructuring and adding to the department to assure low revenue holding
  • Creating CMN’s
  • Assured payment of medical services

Medical Secretary

02.1995 - 10.1996
  • Responsible for assisting the Director of Nursing, maintaining employee files, time cards, death certificates, ordering medical supplies, pacemaker checks, scheduling Dr
  • Appointments, and assisting family and residents

Education

MBA - Healthcare Management

Capella University
01.2014

Skills

  • Lead Generation
  • Market Research
  • Agent and seller communications
  • Negotiation and Conflict Resolution
  • Problem-Solving and Critical Thinking
  • Knowledge of Healthcare Regulations and Compliance
  • Leadership and Team Management
  • Financial and Analytical Skills
  • Communication and Interpersonal Skills
  • Information Literacy

Volunteer Experience

Rush Copley Hospital, Aurora, IL, 04/01/12, 12/01/12

Accomplishments

  • One of my key accomplishments was developing a comprehensive revenue management manual for our healthcare department. This manual served as a vital resource for our team, standardizing processes across the revenue cycle—from patient registration to billing and collections.
  • This accomplishment not only improved our department's efficiency but also served as an essential training tool for new employees, fostering a culture of continuous improvement in revenue management.

Affiliations

  • National Association of Realtors

Certification

  • Commitment too Excellence (C2EX)
  • At Home With Diversity (AHWD)
  • Accredited Buyers Representative (ABR)

Languages

English
Full Professional

Timeline

Real Estate Broker

Coldwell Banker
04.2022 - Current

Revenue Cycle Manager

Greatland Home Health Services
08.2015 - 08.2016

Commercial Collections Supervisor

Fresenius Medical Care
03.2009 - 09.2012

Billing Manager

Hofmaier Chiropractic
09.2008 - 07.2009

Supervisor of Reimbursement (REGISTRY)

Advocate Home Care Products
08.2007 - 05.2008

Billing Manager

Your Doc
09.2006 - 08.2007

Billing and Accounts Receivable Manager

Med star Medicar, LLC
08.2005 - 10.2006

Billing Office Manager

Care Centers Health Systems, Inc.
07.1999 - 07.2006

Collection Supervisor

Mestamed
02.1999 - 07.1999

Order Verification Manager

Ariston Healthcare Inc.
10.1996 - 07.1999

Medical Secretary

02.1995 - 10.1996

MBA - Healthcare Management

Capella University
Felicia Holmes