Jamie Holliday, CPC, CPB, CPMA, CPCD
Tyler,TX
Summary
Diligent Sr Revenue Cycle Manager with strong background in continuous improvement and revenue performance analysis. Focused and organized with demonstrated success in achieving company goals through increased efficiency initiatives. Well-versed in billing cycle operations and revenue performance analysis.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Sr Revenue Cycle Manager
US Dermatology Partners
04.2022 - Current
- Assessed current revenue cycle procedures and implemented improvements to foster efficiency.
- Monitored and guided revenue cycle operations.
- Supported clinical team members with revenue cycle procedures and addressed issues.
- Prepare and present detailed reports to senior leadership and other partners as requested, which efficiently reflect the status of all areas of responsibility in each department.
- Analyzed business processes to identify cost savings and operational efficiencies.
- Established and checked coding procedures, monitored reports and updated internal files.
- Directly manage Coding and Credit Balance Teams.
- Oversee Patient Financial Clearance, Patient Self Scheduling and Billing teams.
Revenue Cycle Manager
US Dermatology Partners
06.2020 - 04.2022
- Maintain high quality customer service in all departments of responsibility, ensuring that employees have training, coaching and guidance as needed in order to professional behavior at all times
- Oversee and evaluate insurance appeals process and results, revising as needed for ongoing efficiency and ensuring training on appeals for all Business Office staff.
- Implement and maintain timely internal audit functions for accuracy, consistency and efficiency.
- Develop relationships with managed care companies, providers and with governmental payers.
Audit Coding Specialist
US Dermatology Partners
04.2018 - 07.2020
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Interacted with physicians and other healthcare staff to answer coding related questions.
- Communicated with insurance companies to research and resolved coding discrepancies.
- Monitored changes in coding regulations to provide recommendations for compliance.
- Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
- Generated reports to identify coding trends and discrepancies.
- Communicated effectively with staff, patients, and insurance companies by email and telephone.
- Followed up with medical staff regarding missing information in patient records.
Business Office Team Lead
US Dermatology Partners
04.2017 - 04.2018
- Reviewed outstanding requests and redirected workloads to complete projects on time.
- Educated staff on organizational mission and goals to help employees achieve success.
- Evaluated staff performance and provided coaching to address inefficiencies.
- Helped meet changing demands by recommending improvements to business systems or procedures.
- Generated reports detailing findings and recommendations.
- Developed and updated tracking spreadsheets for process monitoring and reporting.
Business Office Specialist AR
US Dermatology Partners
06.2012 - 04.2017
- Evaluated and settled complex insurance claims in strict timeframes.
- Provided advice to customers regarding claims, rights and insurance processes to prevent disputes.
- Reviewed insurance and claims documents to verify required information and secure any missing data.
- Understood requirements for disputes, gathered evidence to support claims and prepared documentation to submit appeals.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Prepared insurance claim forms or related documents and reviewed for completeness.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Communicated effectively with staff members of operations, finance and clinical departments.
- Resubmitted claims after editing or denial to achieve financial targets and reduce outstanding debt.
- Coordinated with contracting department to resolve payer issues.
Skills
- Recruit Well-Qualified Staff
- Revenue Performance
- Revenue Cycle Management
- Spreadsheet Tracking
- Billing Cycle Performance
- NextGen
- ModMed (EMA)
- RCx
- Availity/Availity RCM
- Payer Portals
- Microsoft Excel, Word, Teams
Certification
- CPC - Certified Professional Coder
- CPB - Certified Professional Biller
- CPMA - Certified Professional Medical Auditor
- CPCD - Certified Professional Coder Dermatology
Timeline
Sr Revenue Cycle Manager
US Dermatology Partners
04.2022 - Current
Revenue Cycle Manager
US Dermatology Partners
06.2020 - 04.2022
Audit Coding Specialist
US Dermatology Partners
04.2018 - 07.2020
Business Office Team Lead
US Dermatology Partners
04.2017 - 04.2018
Business Office Specialist AR
US Dermatology Partners
06.2012 - 04.2017
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