Giamarcel Ravenell
Burleson,TX
Summary
Results driven medical biller with several years of hands-on experience in account management, revenue generation and medical billing and coding. Accomplished in developing strategies to improve workflows and processes and actualizing procedures to enhance revenue generation. Demonstrated leadership skills guide teams towards success, optimize performance and sustain organizational success.
Overview
20
20
years of professional experience
Work History
A/R Manager for Skilled Nursing Facilities
Conquest Healthcare
Fort Worth, Texas
05.2023 - Current
- Preparing and submitting billing data and medical claims to insurance companies
- Ensuring the patient’s medical information is accurate and up to date
- Preparing bills and invoices, and documenting amounts due for medical procedures and services
- Collecting and reviewing referrals and pre-authorizations
- Monitoring and recording late payments
- Following up on missed payments and resolving financial discrepancies
- Examining patient bills for accuracy and requesting any missing information
- Investigating and appealing denied claims
- Helping patients develop patient payment plans
- Maintaining billing software by updating rate change, cash spreadsheets, and current collection reports
- Enrollments for Payors
- Bad Debt Logs
Internal Control for Central Business Office
Cornerstone Health Group
Dallas, Texas
01.2019 - 06.2023
- Prepare month-end and closing journal entries, reports and balance sheet for Bad Debt
- Maintain the billing and statements process for A/R status, Bad Debt and develop weekly cash flow statements for patients
- Work with Collection Agency to maintain accurate statements and balance going out to patients
- Conducted training and evaluation for Medicare, Medicaid and Commercial regarding to Bad Debt
- Chargemaster updates with charges and coding
- Post adjustment and/or write off for Medicare, Medicaid, Commercial and Private
- Handled calls to address customer inquiries and concerns
- State Reporting for 17 facilities
- Monitored outstanding invoices and performed collections duties
- Generated financial statements and reports detailing accounts receivable status
- Allowance for Bad Debt
- Chargemaster Inpatient and Outpatient
- Provides data and financial analysis in support of external customer requirements, Group/Corporate data calls and audit requests
- Cost Reporting accounting, revenue recognition, variance analysis, and cash flow management (to include timely unbilled analysis/reconciliations)
- Collaborates with Corporate Compliance to support all Medicaid & Medicare audits, reviews and examinations conducted by internal audit staff
- Directs and oversees internal Medicaid & Medicare risk assessments, to ensure that appropriate staff are fully aware of objectives and that they can produce and maintain suitable records, reports, and files which adequately document planning, execution, and reporting for all relevant activities pertaining to the regulations, including documentation and storage of policies and procedures
- Develops and implements internal compliance monitoring procedures
- Ensures conclusions, findings and recommendations for improvement or corrective action are appropriately presented to management staff for review, and verify that all findings are accurate, complete and objective
Billing Specialist
Cornerstone Health Group
Dallas, Texas
06.2005 - 01.2020
- Work A/R for all LTAC, SNF and Rehab facilities for Medicare and Medicaid for 18 facilities
- Responsible for all collection activity on identified accounts including denials, appeals
- Resolves electronic claim rejections and EOB denials in a timely manner
- Responsible for following up on all accounts every 3 days until the claims are paid
- Perform claim appeals as required
- Regularly contact Medicare and Medicaid for resolution to claims not paid
- Prepare and submit bad debt packets to be submitted for outstanding balances
Education
High School Diploma -
Trimble Techincal High School
Fort Worth, TX05-1988
Skills
- Hospital RCM
- Credit balance
- Federal, state, and payer regulations
- Medicare Bad Debt
- Billing and Claim Analysis
- CPT codes
- ICD-9
- ICD-10
- MedHost
- DDE
- Denials
- Insurance Reimbursement
- Audit preparation
- Collection strategies
- Accounts receivable management
- Manage Care
- Medicare
- Commercial and Private Pay
- Waystar
- Point Click Care (PCC)
- Cash Posting/Reconciliations
Timeline
A/R Manager for Skilled Nursing Facilities
Conquest Healthcare
05.2023 - Current
Internal Control for Central Business Office
Cornerstone Health Group
01.2019 - 06.2023
Billing Specialist
Cornerstone Health Group
06.2005 - 01.2020
High School Diploma -
Trimble Techincal High School
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