Summary
Overview
Work History
Education
Timeline
Generic

Jasmine Walker-Veley

Copperas Cove,TX

Summary

Meticulous 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 illustrated over 10 years of Healthcare success.

Overview

13
13
years of professional experience

Work History

Revenue Cycle Manager Operations

Mia
10.2022 - Current
  • Develop and implement policies and procedures to ensure efficient and effective practice management.
  • Oversee the day-to-day operations
  • Manage and supervise staff, including hiring, training and performance evaluations.
  • Monitor and manage the practice’s financial performance, including budgeting, billing, and collections.
  • Reviews standard organizational metrics and reports internal self-pay trends, underlying root causes, and other related issues. Applies a structured and disciplined approach to defining problems and improving performance. Champions the effectiveness of revenue cycle functional team efforts and recommends improvement strategies to enhance overall efficiency across remote teams
  • Organizes and supervises staff to work in accordance with operating protocols to achieve maximum efficiency. Assists with the evaluation of ongoing operations and programs regularly for efficient resource use
  • Manages "special situation" and/or higher complexity calls escalated by Self-Pay Specialists for resolution. Identifies trends and conducts root cause analysis. Makes recommendations to close identified gaps in process, people, or technology
  • Responsible for weekly/ monthly/status reporting (development/preparation/maintenance of reports)
  • Monitors inbound/outbound telephone queues resulting from successful automated calls
  • Perform quality review on staff by sampling accounts and listening to live calls
  • Directly manages call workflows (manual and via an automated auto-dialer) and backlog reduction
  • Develops procedures and work practices designed to maximize performance and overall collection activities
  • Assists the management in developing, implementing, and revising departmental policies and procedures
  • Conduct routine scheduled meetings with team to ensure consistency, ongoing education, and training
  • Ensures payments collected and posted by Specialists are reconciled daily
  • Manage a working relationship with collection agencies and internal Legal teams and service providers including litigation.
  • Monitor and assess contract performance, analyzing trends and variances to proactively identify opportunities for improvement
  • Communicate effectively with internal teams, external partners, and stakeholders at all levels to ensure alignment and understanding of payer initiatives
  • Participating in periodic meetings with management team and clinic leaders as it relates to A/R, coding, denials, and revenue maximization.

Mgr- Claim Denial and Appeal

MST
12.2020 - 10.2022
  • Supervise daily billing and collections activities to ensure maximum efficiency
  • Provide guidance and direction to staff, covering all aspects of billing and collection standards/procedures, ensure adherence to policies and procedures, and initiate correspondence to insurance companies for reconsideration of claims
  • Supervise accounts receivable management functions and maintain assigned portfolios at acceptable levels
  • Ensure that service/supplies are billed appropriately, and reimbursements are pursued until full payment is received
  • Provide guidance and assistance to management at branches assigned on reimbursement issues
  • Develop and implement plans to ensure assigned accounts receivable balances are within stated objectives
  • Supervise the maintenance of the provider manuals, patient information updates, and various logs essential to patient clearance/billing processes
  • Ensure that accounts are billed within the established time frames and that customer service guidelines/guarantees are adhered to
  • Keep abreast of billing regulations/requirements and changes to national uniform billing forms and communicate changes to all pertinent personnel

Revenue Cycle Supervisor

Baylor Scott & White
02.2019 - 12.2020
  • Optimize billing processes, ensuring timely claims submissions, and leading a team of billing specialists across multiple clinics
  • Track and report key performance indicators, identifying areas for process improvement and optimizing revenue cycle performance
  • Ensure timely and accurate claims submissions, effectively manage denials, and oversee payment posting activities
  • Coordinate the resolution of patient concerns related to claims processing and billing issues, ensuring a high level of patient satisfaction
  • Collaborate with cross-functional teams to streamline billing processes, improve policies and procedures, and drive financial performance
  • Maintain compliance with industry regulations and promote integrity in all collections-related processes

Revenue Cycle Analyst Supervisor

IHSS
08.2013 - 01.2019
  • Reviews and analyzes revenue cycle data to identify reimbursement opportunities
  • Identifies patterns and trends for denial management and prevention
  • Tracks performance metrics compared to benchmarks for business process optimization
  • Contract analyst and optimization
  • Cash support tracking and reconciliation
  • Month end reporting and metrics

Revenue Cycle Specialist

IHSS
06.2011 - 08.2013
  • Work accounts receivables from time dropped to when the payment is received; to include commercial payers, government payers, and self-pay
  • The following duties and responsibilities generally reflect the expectations of this position but are not intended to be all inclusive
  • Review patient bills for accuracy and completeness and obtain any missing information prior to submission
  • Knowledge of insurance guidelines; especially Medicare and Medicaid
  • Follow up on unpaid claims within standard billing cycle timeframe
  • Check each insurance payment for accuracy and compliance with contract discount
  • Call insurance companies regarding any discrepancy in payments, if necessary
  • Identify and bill secondary or tertiary insurances
  • All accounts are to be reviewed for insurance or patient follow-up
  • Answer all patient or insurance telephone inquiries pertaining to assigned accounts

Education

Bachelor of Arts - Health Care Administration

Grand Canyon University
Phoenix, AZ
11.2019

Timeline

Revenue Cycle Manager Operations

Mia
10.2022 - Current

Mgr- Claim Denial and Appeal

MST
12.2020 - 10.2022

Revenue Cycle Supervisor

Baylor Scott & White
02.2019 - 12.2020

Revenue Cycle Analyst Supervisor

IHSS
08.2013 - 01.2019

Revenue Cycle Specialist

IHSS
06.2011 - 08.2013

Bachelor of Arts - Health Care Administration

Grand Canyon University

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Jasmine Walker-Veley