Results-driven collections professional with proven track record in managing accounts and achieving collection targets. Well-versed in negotiating with clients and implementing effective strategies to reduce outstanding balances. Known for exceptional teamwork and adaptability, consistently delivering results and fostering cooperative work environment.
Overview
25
25
years of professional experience
Work History
Collections Manager
Optum
10.2023 - 10.2024
Responsible for accounts receivable, 315,061 accounts for $4.4B
Oversite of day-to-day operations, leading supervisors ‘and collectors, both domestic and non-domestic
Support team with unresolved issues preventing timely claim submission or collections
Partner with insurance companies regarding payment, denials and any discrepancy in processing of claims
Analyzed aging reports and provided trends to senior management
Participate in Health Plan meetings and training opportunities
Identify and support with resolution of payer trends and denials
Independently work special projects as assigned
Develop solid understanding of payer rules, provider manuals and contracts
Contribute to the ongoing performance management, to include quality assurance, production and process improvement activities
Provided regular manager-to-team communication and provided a forum where information about the department is shared and cascaded in a timely manner
Proactively monitored and took corrective action as needed to ensure operational performance metrics met
Managed the relationship with third party vendors
AR Manager
CorroHealth
04.2008 - 08.2023
Managed and motivated employees to be productive and engaged in work
Accomplished multiple tasks within established timeframes
Maximized performance by monitoring daily activities and mentoring team members
Managed Multiple inpatient/acute hospital clients for $93.8M total in AR
Implemented KPI's and Metrics for teams to reduce AR days
Implemented best practice follow up processes
Reduced AR>180 from 66% to 38% in 3 months
Mentor leaders to excel in driving worklists management, denials, cash improvements
AR Analysis to reduce aging, increase cash
Implemented denial training to improve employee performance
Set aggressive targets for employees to reduce aging for client FYE
Assisted in organizing and overseeing assignments to drive operational excellence
Responsible for a total of 150 FTE's, Domestic and Global
Implemented Strategy meetings weekly with supervisors to reduce touches on accounts and faster turnover of aging
Recruited, interviewed, and hired employees and implemented a mentoring program to promote positive feedback and engagement
Created Worklists structure for more holistic work approach to satisfy multiple clients
Managed AR for Government, Commercial, Worker's Comp, Liability
Patient Accounts Lead
Horizon Office Technologies
06.1999 - 04.2008
Charge entry (physician and ER billing)
Made telephone calls, wrote letters, and/or send faxes to patients, insurance carriers, and other responsible parties in the pursuit of getting a claim resolved
Handed and interpreted medical documentation such as UB04/HCFA claim forms and EOB's
Analyzed, and interpreted documents, contracts, notes, and other correspondence
Wrote appeals to insurance carriers to overcome denials
Managed an extensive portfolio of claims by prioritizing and organizing my time effectively
Complied with privacy laws and our client's needs
Overcame obstacles by using effective information gathering and problem-solving methods