Janette Westley
Lake Wales
Summary
Results-driven Accounts Receivable Specialist with expertise in invoicing, cash applications, and resolving customer financial disputes. Skilled in problem-solving, financial reporting, and data analysis, with a focus on optimizing workflows and improving cash flow. Developed efficient payment systems that accelerated invoice payments and minimized credit risks.
Overview
13
13
years of professional experience
Work History
AR Specialist
Revco Solutions
02.2026 - Current
- Analyze and research accounts and claims with insurance carriers on their portion of the outstanding AR assigned to Revco in a timely and accurate manner.
- Identified and addressed issues delaying processing and adjudication, working to overturn denials and maximize collections.
- Resolved assigned accounts efficiently by following established procedures and guidelines., using one touch resolution.
- Responded to inquiries, billing denials, and correspondence efficiently, ensuring timely resolution of issues.
- Make calls to insurance companies and utilized payer portals and patient accounting systems to manage multiple tasks and enhance productivity.
- Consistently met and maintained production goals through effective time management and prioritization. and quality expectations consistently, which are determined by management.
- Resolve problem accounts independently using sound judgment and following workflow and established guidelines.
- Executed claim corrections for initial billing and rebills.
- Maintains excellent rapport with the customer in this process, maintains departmental and institutional policies and procedures.
Optical Payment Posting Manager
Keplr Corporate Office
09.2021 - 06.2025
- Function as the Revenue Cycle Management expert for all assigned practices.
- Assess individual and group practice performance against standard KPI, identify opportunities and best practice based on findings.
- Document areas of opportunity and apply continuous process improvement methodologies to enhance KPI results when thresholds are not met, collaborating with practice team members, Keplr Vision Home team members, third-party vendors, and other stakeholders.
- Assess and document best practice when KPI measures are being exceeded and work with other Support Specialist to distribute this information to all Keplr Vision Practices.
- Lead, coordinate and assist practices and third-party vendors in the implementation of standardized processes and tools.
- Develop and deliver training, desk references, help sheets, and other materials to equip Keplr Vision partner practices for effective business office functions.
- Lead and coordinate implementation of standardized processes and tools with practices and third-party vendors to ensure consistency and compliance.
- Provide monthly and other routine reporting to all internal stakeholders.
- Maintain practice related documentation, tracking spreadsheets and other consolidated solutions.
- Assisted with various administrative tasks to support team operations. to support efficient, effective and compliance business office practices as assigned.
Program Manager
Weston Road Animal Hospital
Weston
07.2020 - 09.2021
- Managed patient intake and recorded vital signs.
- Processed payroll for employees on a bi-weekly basis.
- Conducted employee evaluations to assess performance.
- Retrieve blood samples.
- Monitor Anesthesia.
- Perform dental cleanings.
- Assisted in sales of preventive care products and veterinarian-recommended food.
Billing Supervisor
Performant
10.2019 - 07.2020
- Staff and train case specialists for assigned business to enhance team capability.
- Develop and improve operational tools, processes, and procedures to streamline workflows.
- Oversee work activities and provide guidance for case and call escalation to specialists including, but not limited to: Review account claim and other documentation to verify payment liability for claims paid in error.
- Support internal groups or functions with interpretation of EOB (explanation of benefits), as well as development of knowledge base and understanding of key concepts and terminology in healthcare billing and claims.
- Coached team and delivered additional training to address deficiencies identified in quality reviews and enhance effectiveness of specialists.
- Initiate applicable action and documentation based upon payment option, actions required if new information is identified that may change the obligation to pay, or escalation in the event of refusal to pay.
- Leads by example and demonstrates Performant core values in performance of job duties and all interactions.
- Executed actions to address payment obligations based on new information received. and documentation based upon payment option, actions required if new information is identified that may change the obligation to pay, or escalation in the event of refusal to pay.
- Update company systems with clear and accurate information.
- Escalated accounts for Nurse Case Worker review for complex claims.
- Supported internal groups with interpretation of EOB (explanation of benefits) and development of knowledge base in healthcare billing.
- Ensured compliance with client requirements, HIPAA, and applicable regulations.
- Worked during Performant holidays due to client requirements.
Billing Supervisor
Envision Physician Services
05.2013 - 10.2019
- Supervised staff to ensure compliance with remittance, payment posting, scanning, and security policies and procedures.
- Ensures deposits for all specialties and divisions are sent to bank daily and in a timely manner.
- Monitors applicable payments posted to ensure patient accounts reflect appropriate balances in order to minimize any negative impact of AR days.
- Monitored payments posted to maintain accurate patient account balances, minimizing negative impact on AR days.
- Conduct quality assurance audits for Payment Posters and analyze and addresses areas of concern.
- Maintains and updates daily employee production spreadsheet.
- Conduct quality assurance audits for Payment Posters and analyze and address areas of concern.
- Assisted with operations in all departments, including Front End, Deposits, Payment Posting, Refunds, MCR Collections, and Vendor Management data analysis.: Front End, Deposits, Payment Posting, Refunds, MCR Collections and Vendor Management data analysis.
Education
Associate's degree - Culinary Arts and Science
Le Cordon Bleu
Miramar, FLSkills
- Financial software
- Data entry
- Excel
- Word
- Microsoft Outlook
- Administrative experience
- Time management
Languages
English, Expert
Assessments
English, Expert
Timeline
AR Specialist
Revco Solutions
02.2026 - Current
Optical Payment Posting Manager
Keplr Corporate Office
09.2021 - 06.2025
Program Manager
Weston Road Animal Hospital
07.2020 - 09.2021
Billing Supervisor
Performant
10.2019 - 07.2020
Billing Supervisor
Envision Physician Services
05.2013 - 10.2019
Associate's degree - Culinary Arts and Science
Le Cordon Bleu