Greta Fleckinger
Medical Billing
Mesa,AZ
Summary
I am looking for a Part time remote Data entry position. I have been in the Medical field for 30 years, and have extensive knowledge in data entry Medical billing, cash posting, running reports, and analyzing data for performance improvement.
Overview
23
23
years of professional experience
Work History
Integrations and Revenue Manager, RCM
Transformations Care Network
1 2021 - Current
- Manage RCM policies and procedures as they relate to Acquisitions, DeNovo starts, and new Integrations for growing Behavioral Health company
- Much of my time is spent running reports, identifying issues, providing Sr
- Leadership with analytics and data necessary for process improvement.
RCM Supervisor, Billing & Collections
NEPHROLOGY PRACTICE SOLUTIONS / DAVITA
04.2017 - 01.2021
- Supervise the billing and collections team for 10 Nephrology practices across the Untied States
- Updated and implemented policies and processes to ensure proper billing of clean claims
- Worked with leadership to identify billing issues, and changes in payor requirements
- Track and denials to identify key trends in order to increase revenue and reduce denials, processed and analyzed reports to identify key issues
- Work with payors in 10 states including Medicare and Medicaid.
Billing Supervisor
OPTION ONE/EPIC MEDICAL SOLUTION
05.2016 - 04.2017
- Supervise the billing team for the DME division of a national home healthcare company
- Updated and implemented processes to ensure proper billing of clean claims
- Worked with leadership to identify billing issues, fee schedule updates, and changes in payor requirements
- Track and denials to identify key trends in order to increase revenue and reduce denials
- Worked with payors in 8 states including Medicaids, Commercial plans, and Medicare.
Revenue Qualifications Supervisor
MEDONE HEALTHCARE
01.2014 - 05.2016
- Supervised the Revenue Qualifications Team which includes Confirmation, Payor Change, Suspend, and Held accounts
- Implement and update processes to accommodate a growing company
- Respond to all Medicare audits, and keep track of revenue activity, and suspend which increased AR collections.
Quality Assurance Specialist
APRIA HEALTHCARE
01.2011 - 01.2013
- Was asked to step in and become Medicare account specialist to assist the Compliance team in resolving internal and external audit requests
- Request documentation from physicians and hospitals to resolve Medicare audits for PSW Division
- Identify errors, complete refunds and adjustments, send requests for coaching when issues are identified
- Extensive Medicare training in the Tempe CCC.
Resolution Specialist
APRIA HEALTHCARE
01.2010 - 01.2011
- Reviewed patient accounts for non-Government payors to determine major issues and concerns with certain high dollar focus payors
- Identified many areas of concerns with outsourced collections agency, trained oversees team, was key member in identifying the Resolution Specialist process with Management.
Regional Compliance Analyst
APRIA HEALTHCARE
01.2007 - 01.2010
- Oversaw Medicare compliance for 76 branches in the California and SWT regions, and Tempe, AZ Billing Center
- Train and direct employees in increasing and ongoing changes with Medicare and Medicaid
- Monitored compliance with company policies and procedures among regional billing center and branches
- Analyze patient charts to ensure Medicare and Medicaid Compliance.
Revenue Qualifications Supervisor
APRIA HEALTHCARE
01.2006 - 01.2007
- Oversaw an average of 20 employees- presenting action plans, increase productivity, review and implement new processes to qualify revenue prior to billing.
Collections Supervisor
APRIA HEALTHCARE
01.2005 - 01.2006
- Supervised a team of 10 employees, increased productivity, decreased total AR by collections and tracking and trending open AR
- Identified collections issues, and contacted insurance companies to resolve
- Extensive knowledge in insurance billing procedures.
Billing Center Staff Member
APRIA HEALTHCARE
01.2002 - 01.2004
Education
High School Diploma -
Antioch High School
Antioch, CA 05.2001 -
Skills
Extensive computer skills
Microsoft Word
Microsoft Excel
Excellent oral and written communication skills
Excellent Training ability
Innovative Leadership
Training
Relationship Building
Medicaid Compliance
Medicare Compliance
Mentoring and Coaching
Microsoft Excel proficiency
Seminarsandconferences
- Lean Six Sigma Yellow Belt Certification- MGMA
- Lean Six Sigma Green Belt Certification- MGMA
- Various Leadership and Management Seminars
- Noridian DMAC Medicare Conferences
References
- Nicole Garrison, (240) 409-8839
- Mario Reyna, (281) 923-3524
Timeline
RCM Supervisor, Billing & Collections
NEPHROLOGY PRACTICE SOLUTIONS / DAVITA
04.2017 - 01.2021
Billing Supervisor
OPTION ONE/EPIC MEDICAL SOLUTION
05.2016 - 04.2017
Revenue Qualifications Supervisor
MEDONE HEALTHCARE
01.2014 - 05.2016
Quality Assurance Specialist
APRIA HEALTHCARE
01.2011 - 01.2013
Resolution Specialist
APRIA HEALTHCARE
01.2010 - 01.2011
Regional Compliance Analyst
APRIA HEALTHCARE
01.2007 - 01.2010
Revenue Qualifications Supervisor
APRIA HEALTHCARE
01.2006 - 01.2007
Collections Supervisor
APRIA HEALTHCARE
01.2005 - 01.2006
Billing Center Staff Member
APRIA HEALTHCARE
01.2002 - 01.2004
High School Diploma -
Antioch High School
05.2001 -
Integrations and Revenue Manager, RCM
Transformations Care Network
1 2021 - Current
Similar Profiles
Theofanis BabasidisTheofanis Babasidis
Outpatient Therapist at Transformations Care NetworkOutpatient Therapist at Transformations Care Network
Elijah Carrasquillo (Eli)Elijah Carrasquillo (Eli)
TMS Medical Technician at Transformations Care NetworkTMS Medical Technician at Transformations Care Network
Anika CharlesAnika Charles
Mental Health Therapist (LCSW) at Transformations Care NetworkMental Health Therapist (LCSW) at Transformations Care Network