Jeffrey Chrismer
Glen Burnie,MD
Summary
Performance-focused, results-oriented, and accomplished healthcare professional with over 14+ years of significant experience in healthcare operations, fiscal analytics and administrative support. Equipped with solid communication, critical thinking and interpersonal skills with prompt service to ensure quality patient care.
Overview
16
16
years of professional experience
Work History
Reimbursement Specialist Collector ⅠⅠⅠ
Maxim Healthcare Services
03.2022 - Current
- Processes and resolves accounts weekly regarding homecare services and medical claims and monitors collections on delinquent accounts
- Cultivates productive, professional relationships with payers in order to develop contacts for issue escalation and favorable resolution as needed to collect appropriate information, collect patient balances, or resolve payment issues
- Corresponds with payers, Team Leaders, and/or Operations Support Managers regarding reimbursement for unpaid accounts to take further appropriate action
- Informs Team Leader and/or Operations Support Manager of trends or patterns in denials due to billing errors and payer processing errors to develop accounts receivable action plans and utilizes problem-solving strategies to execute those plans
- Identifies processes that work to reduce and prevent timely filing write-offs for assigned payers
- Handles large and/or complicated accounts receivable projects and assists with all aspects of accounts receivable reporting to billing, financial and branch staff
- Acts as a partner to Maxim’s payer management team and other departments; is comfortable engaging with senior leaders on billing and accounts receivable issues
Team Lead-Billing & Collections
Maxim Healthcare Services
01.2021 - 03.2022
- Facilitated billing and collection activity for the Region with a team of 7 Reimbursement Specialists
- Guaranteed efficiency by assessing team members on a weekly basis for training needs and training team members on all aspects of their job as needed
- Partnered with other Team Leaders to provide feedback to the team in areas surrounding their position and job responsibilities to ensure an all-around quality patient experience
- Highlighted specific team members for development and growth, providing additional assignments and weekly duties for stretch goals and peer leadership
- Worked with team members on specific high-dollar accounts for additional support as needed regarding claims processing and denials, and provided direction on best ways to handle these accounts
- Provided root cause analysis for reimbursement issues and denials
- Analyzed employee performance and provided feedback for the yearly employee review, and graded each employee based on core competencies of each position
Reimbursement Specialist ⅠⅠⅠ
Maxim Healthcare Services
09.2020 - 12.2020
- Assessed behavioral patterns of insurance payers and common issues with insurance companies and implemented process improvements to overcome obstacles and ensure a smooth reimbursement process for medical claims
- Accurately oversaw billing and collection activity and assisted in gap areas or areas where higher-level assistance was needed
- Executed final reports for the region of 20-25 members regarding team performance, cash flow and weekly payer flow
Reimbursement Specialist Collector
Maxim Healthcare Services
03.2018 - 09.2020
- Provided great customer service to regional branch offices to ensure clear communication between providers and the billing and reimbursement staff
- Engaged in training and development of reimbursement team and provided steps and goals for ensuring success, tracking performance and process improvement
- Examined regional-wide billing and reimbursement issues specific to the company, and helped management and the billing team to overcome these issues
- Coordinated with internal and external Quality Improvement Organization staff to improve and implement healthcare improvement projects
- Attended meetings on the status of difficult accounts receivables affecting reimbursement for home health claims processing with regional offices, providing steps taken to resolve these issues and actions regional offices can take to help in reimbursement
Reimbursement Specialist II
Maxim Healthcare Services
05.2013 - 03.2018
- Monitored billing and patient claims processing to ensure claims are billed correctly and timely
- Worked with billing specialists to overcome claims processing issues
- Contacted and worked with insurance companies to overcome claims processing issues
- Submitted reporting information to management regarding billing history and account status of claims billed
- Trained new billers and collectors on the process of billing and collecting for medical claims and how to best work through a status of outstanding accounts receivables
- Performed monthly region-wide training programs with staff to reimbursement team regarding billing and collecting knowledge, skills, and abilities needed in order to carry out the reimbursement process
Reimbursement Specialist I
Maxim Healthcare Services
09.2010 - 05.2013
- Accurately generated claims and billing needed for insurance companies associated with specific patients and offices
- Monitored billing submissions to ensure billing is performed correctly and payment is received in a timely manner from insurance companies
- Submitted corrected billing information for nursing services not initially submitted correctly to receive correct reimbursement amounts
- Performed auditing procedure laying out billing information initially submitted in a weekly transmission and nursing claims information that is acceptable for billing to insurance companies to ensure billing is submitted appropriately
Student Trainee
Centers for Medicare and Medicaid Services
06.2009 - 05.2010
- Updated and organized progress data for use and analysis of Medicare Administrative Contract implementation
- Gathered and provided data for states in preparation for new jurisdiction implementation
- Recorded action items for reference and analysis of progress meetings
- Updated website information to keep information current and relevant for beneficiaries
- Obtained and organized past performance data for use in future contractor acquisition
Education
Masters - Health Administration
University of Phoenix
05.2024
Bachelors of Arts - Healthcare Administration and Policy
University of Maryland
12.2009
Skills
- Customer Service/Customer Conflict
- Team Oriented
- Multi-tasking & Prioritization
- Budgeting
- Research & Performance Data
- Verbal/Written Communication
- Process Improvement
- Data Analytics & Detail-oriented
- Records Management
- Organizational
- Critical Thinking
Accomplishments
- Selected as Employee of the Year at Maxim Healthcare Services in 2015
- Selected as Employee of the Quarter on multiple occasions at Maxim Healthcare Services
- Eagle Scout Rank Achievement, 07/01/02
Timeline
Reimbursement Specialist Collector ⅠⅠⅠ
Maxim Healthcare Services
03.2022 - Current
Team Lead-Billing & Collections
Maxim Healthcare Services
01.2021 - 03.2022
Reimbursement Specialist ⅠⅠⅠ
Maxim Healthcare Services
09.2020 - 12.2020
Reimbursement Specialist Collector
Maxim Healthcare Services
03.2018 - 09.2020
Reimbursement Specialist II
Maxim Healthcare Services
05.2013 - 03.2018
Reimbursement Specialist I
Maxim Healthcare Services
09.2010 - 05.2013
Student Trainee
Centers for Medicare and Medicaid Services
06.2009 - 05.2010
Masters - Health Administration
University of Phoenix
Bachelors of Arts - Healthcare Administration and Policy
University of Maryland