Heidi Garner
Plano,TX
Summary
Dedicated Healthcare Administration professional with a background for optimizing revenue and operational efficiency. With a commitment to exceptional patient care, I excel in leading teams through complex billing processes and resolving challenges with ease. My hands-on experience in revenue cycle management, coupled with fostering relationships, enables me to navigate the intricacies of healthcare administration while ensuring compliance and driving company success.
Overview
6
6
years of professional experience
2
2
Certification
Work History
Revenue Cycle Manager
Hope Works Counseling
07.2022 - Current
- Negotiate Provider Contracts with insurance panels to maximize revenue
- Developed comprehensive reports for management detailing payroll expenses, trends, and projections.
- Maintain proof of clinician licenses and malpractice insurance and CAQH profiles, ensuring compliance with financial and regulatory standards.
- Maintained thorough understanding of regulatory requirements, ensuring compliance throughout all aspects of the revenue cycle.
- Increased cash flow through timely resolution of payer denials and underpayments.
- Ensured timely claim submission by effectively managing coding workflows within department.
- Achieved high level of compliance by implementing strict adherence to regulatory guidelines, including HIPAA privacy rules.
- Reduced outstanding accounts receivable balances by diligently monitoring aging reports and following up on overdue invoices.
- Maintained high degree of accuracy in data reporting with regular reconciliation between general ledger accounts related to revenue cycle transactions.
- Established strong relationships with insurance carriers to expedite claims processing and maximize reimbursement rates.
Medical Billing Clerk
Thompson Billing
05.2019 - 09.2022
- Updated patient demographic sheets and insurance information
- Verify insurance policies online
- Complete daily reports
- Report back to management regarding problems in accounts.
Psychology Billing Manager
Kinghaven Counseling Group
05.2021 - 06.2022
- Lead the Credentialing for the psychology department and for the ABA department
- Collaborate with patients, third-party institutions, and team members to resolve billing inconsistencies, ensuring financial accuracy
- Update patient demographic sheets and insurance information
- Complete Prior Authorizations for ABA therapy and psychological testing
- Established the ABA program
- Submit weekly reports to my Director
- Bill for our OT, PT and Speech service using CMS 1500
Assistant Director of Operations
Next Steps Worldwide
01.2019 - 05.2021
- Assisted in expanding the company to 4 new locations in the third quarter of 2019
- Assisted in expanding the company to San Antonio and four new locations in 2020
- Collaborating with patients or customers, third party institutions and other team members to resolve billing inconsistencies and error
- Update patient demographic sheets and insurance information
- Work with Insurance companies on Prior Authorizations
- Analyze medical record documentation for consistency and completeness for coding purposes using established criteria and regulations
- Head up the project of having our Nutrition clinic in 2020 and accepting insurance
- Submit weekly reports to the Director of Operations
- Verify the therapists are maintaining weekly caseload
Office Manager
Nurse Next Door
06.2018 - 12.2018
- Recruited, hired, and trained staff
- Verified credentials and qualifications of all caregiving personnel
- Educated caregivers on Employee Net Promoter Scores and investigated issues utilizing Listen360
- Followed up promptly with caregivers and care designers
- Ensured all administrative and client care policies and practices were in compliance with state regulations
- Responsible for payroll, ADP, and billing
- Contributed to short and long-term organizational planning as a member of the management team.
Education
Bachelor of Arts -
Concordia University
Austin, TX05.2016
Associate of Science -
Mountain View College
Dallas, TX05.2014
Skills
- Account Monitoring
- Clinical team guidance
- Operational Reporting
- Data Analytics
- Revenue performance
- Billing cycle expertise
- Budgetary analysis
- Account resolutions
- Healthcare Industry Knowledge
- Proactive and Focused
- Prioritizing and Planning
- Employee Training Oversight
Certification
Certified Professional Coder – (CPC), #01785253
Certified Professional Biller- (CPB), #01785253
Notary Public, State of Texas (Expires 7/2025)
PTIN: P03123668 (Expires 12/31/2024)
Timeline
Revenue Cycle Manager
Hope Works Counseling
07.2022 - Current
Psychology Billing Manager
Kinghaven Counseling Group
05.2021 - 06.2022
Medical Billing Clerk
Thompson Billing
05.2019 - 09.2022
Assistant Director of Operations
Next Steps Worldwide
01.2019 - 05.2021
Office Manager
Nurse Next Door
06.2018 - 12.2018
Bachelor of Arts -
Concordia University
Associate of Science -
Mountain View College
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