Holly Shelton

• Led revenue strategy development, aligning organizational goals with financial forecasts.
• Directed cross-functional teams in identifying new revenue opportunities and growth initiatives.
• Established performance metrics to assess effectiveness of revenue-generating activities.
• - Maintain adherence to HIPAA, payer guidelines, and pharmacy-specific regulations.
• Manage billing, collections, cash posting and audit teams; provide training and performance oversight.
• Lead a department of 70+ staff, including 7 direct-report managers, across billing, collections, cash posting and audits.
  
  

• Analyzed billing data to identify discrepancies, implementing corrective measures for improved accuracy.
• Oversaw monthly financial reporting, ensuring alignment with organizational goals and regulatory requirements.
• Reviewed billing problems, researched issues, and resolved concerns.
• Collaborated with cross-functional teams to resolve billing-related issues swiftly, minimizing negative impacts on overall operations.
• Boosted team productivity through effective delegation of tasks, setting performance targets, and providing constructive feedback.
• Conducted performance reviews and implemented improvement plans.

• Supervised billing team, ensuring accuracy in monthly adherence to deadlines.
• Implemented process improvements that reduced billing discrepancies by streamlining data entry procedures.
• Trained new staff on billing software and department protocols to enhance operational efficiency.
• Coordinated with cross-functional teams to resolve billing inquiries, enhancing customer satisfaction levels.

Detail-oriented and efficient Biller with a strong background in healthcare reimbursement, claims processing, and insurance verification. Skilled in accurately submitting claims and resolving billing discrepancies to ensure timely and maximum reimbursement.