Stephanie Kilgore
Nashville,TN
Summary
Revenue Cycle AR professional, experienced in medical billing, revenue cycle, root cause analysis with the ability to coordinate and collaborate to deliver optimal results. Well-versed in front and back end billing roles. Hands on approach in both leadership and entry level positions. Looking for new opportunities to utilize these skills and seeking next challenge.
Overview
30
30
years of professional experience
Work History
Revenue Recovery Analyst I
R1 Rcm
06.2023 - Current
- Completes inflow analysis on assigned accounts for next action
- Completes follow up tasks on appeals, corrected claims
- Assists with account closures and posting of adjustments within approved threshold
- Creates payer appeal letters for various denial types and payers
- Calculates and verifies contract reimbursement
- Identifies denial trends and adds to client trend document
Senior Accounts Receivable Manager
Steward Medical Group
04.2018 - 07.2021
- Effectively led team of 11 AR specialists, Supervisor, and Team Lead to meet organizational goals, including but not limited to optimal DSO, over 90 days aging, high production and quality.
- Work with Supervisor and Team Lead to identify denial trends and work with internal departments for resolution.
- Completed monthly AR summary of accomplishments and workable items/ goals.
- Recommend system claims rules for clean claim submission.
- Handled department attendance and other disciplinary/performance issues including verbal, written, and final warnings.
- Responsible for hiring, interviewing, keeping budgetary limits for open positions.
- Effectively led billing compliance projects requiring refund and or recoups.
- Provided and communicated reporting to specific stakeholders as needed for high priority items, including cardiac rehab and COVID vaccine clinics.
Accounts Receivable Supervisor
Community Health Systems,PPSI
02.2012 - 06.2017
- Provided direct supervision to team of 10 AR analysts including prioritization of daily tasks, workflow, clinic assignment/delegations based on client need.
- Monitored AR for multiple practices and groups to ensure benchmarks were met and provided escalation to leadership when necessary.
- Performed and led monthly meetings with clinic leadership to review benchmarks, financial goals and improvement plans.
Team Lead/AR Analyst
PPSI
09.2004 - 02.2012
- Provided training, support and mentoring to promote growth among 10 AR analysts.
- Performed and led monthly calls with clinic as assigned by supervisor.
- Provided daily support to multiple practices and assisted with day to day operations/ claims hold and resolution.
- Successfully assisted with practice Athena platform implementation.
Accounts Receivable Representative
Cardiovascular Anesthesia, LLC
09.1997 - 05.2004
- Performed account follow-up for all providers ( 4 MDs and multiple CRNAs).
- Cross-trained as backup charge and payment poster.
- Submitted electronic and paper billing to insurance carriers and patients.
- Performed system back up and end of month closing.
- Obtained anesthesia records and submitted appeals as needed.
- Calculated and verified payor reimbursements per contract and submitted appeals as needed.
Charge Entry Clerk
Cardiovascular Physicians, LLC
02.1996 - 09.1997
- Performed accurate and timely physician and hospital charge entry to billing system.
- Submitted corrected claims as needed.
Front Desk/Scheduler
Cardiovascular Physicians, LLC
05.1995 - 02.1996
- Scheduled appointments for 4 locations and performed reminder calls.
- Insurance verification, patient registration, data entry, obtained referrals.
- Copay collections and performed daily cash drawer balance and closes.
Skills
- Professionalism
- Billing and Collections
- Denial Management, root cause analysis, trending
- Methodical, organized
- Process creation and implementation
- Teamwork and collaboration
- Excellent verbal and written communication
- Athena Collector
- Meditech
- Microsoft office (Word, Excel)
Timeline
Revenue Recovery Analyst I
R1 Rcm
06.2023 - Current
Senior Accounts Receivable Manager
Steward Medical Group
04.2018 - 07.2021
Accounts Receivable Supervisor
Community Health Systems,PPSI
02.2012 - 06.2017
Team Lead/AR Analyst
PPSI
09.2004 - 02.2012
Accounts Receivable Representative
Cardiovascular Anesthesia, LLC
09.1997 - 05.2004
Charge Entry Clerk
Cardiovascular Physicians, LLC
02.1996 - 09.1997
Front Desk/Scheduler
Cardiovascular Physicians, LLC
05.1995 - 02.1996