Heather L. Stanley
Cullman,AL
Summary
Dynamic and detail-oriented professional eager to contribute to the Centralized Pre Bill Team at CenterWell Home Health as a Pre Bill Specialist. Proven expertise in billing processes ensures accuracy and efficiency in all tasks.
Overview
27
27
years of professional experience
Work History
Branch Coordinator
CenterWell Home Health
Cullman, AL
01.2021 - Current
- Reduced the total number of orders outstanding from 217 to 118 and reduced the outstanding orders over 30 days old from 79 to 13
- Reduced the PDGM unbilled amount from $107,276.11 to $26,544.28
- Work with various departments to resolve any billing related issues that arise
- Generate billing reports daily to ensure claims are billed in a timely manner
Human Resources Designee
Kindred At Home
Cullman, AL
05.2019 - 01.2021
- Assisted new hires with completing their onboarding and orientation process
- Updated and maintained all personnel files and HCHB Worker Console information
- Performed a 100% audit on all personnel files and reviewed HR files for quarterly QAPI chart audits
Patient Service Coordinator
Kindred At Home
Cullman, AL
07.2018 - 05.2019
- Managed the schedules for all patients and clinicians
- Developed a new process for maintaining the client hospitalization log
- Processed incoming referrals and scheduled SOC/ROC visits
- Generated scheduling reports in HCHB to ensure visits were completed timely
Lead Representative
Sequence Health
Cullman, AL
09.2016 - 07.2018
- Supervised and assisted 25 call center representatives with any questions that they had
- Developed a new hire and orientation process, created training documents, and trained new associates
- Reviewed calls and appointments scheduled by call center representatives for accuracy and gave guidance when necessary to increase overall accuracy from 80% to 97%
- Generated and prepared reports to show call center outcomes
Senior Claims Analyst
Blue Cross Blue Shield of Alabama
Birmingham, AL
07.1999 - 10.2011
- Researched and resolved inquiries to process claims in an accurate and timely manner
- Worked with various groups and marketing to resolve escalated issues
- Tested and implemented new procedures and processes that were required by the Blue Cross Blue Shield Association
- Created Crystal reports, Excel reports, and Word Documents to show testing outcomes and claims impact of implemented procedures
Education
Associate of Applied Science - Health Information Management
Wallace State College
Hanceville, AL05.1999
Skills
- Knowledge of billing applications
- Excellent work ethic
- Claims management
- Strong organizational skills
- Detail-oriented data management
- Problem-solving
- Report generation
- Administrative support
Timeline
Branch Coordinator
CenterWell Home Health
01.2021 - Current
Human Resources Designee
Kindred At Home
05.2019 - 01.2021
Patient Service Coordinator
Kindred At Home
07.2018 - 05.2019
Lead Representative
Sequence Health
09.2016 - 07.2018
Senior Claims Analyst
Blue Cross Blue Shield of Alabama
07.1999 - 10.2011
Associate of Applied Science - Health Information Management
Wallace State College