Judi Miller
Glen Burnie,MD
Summary
Driven, goal oriented team leader with a proven track record in process development, problem solving, and accounts receivable reduction. Strong communication skills, and industry knowledge, utilized to support strategic decision-making that advances organizational goals. Diligent Revenue Cycle Manager aiming to leverage 25 years of financial reporting expertise and budget monitoring experience to add value to any team. Well-versed in billing cycle operations and revenue performance analysis. 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 25 years of Healthcare Revenue Cycle success.
Overview
22
22
years of professional experience
Work History
Manager,Revenue Integrity
UMMS
Baltimore, MD
05.2023 - Current
- Improved coding accuracy by conducting regular reviews, providing feedback, and offering targeted education to staff members.
- Served as liaison between clinical departments and finance teams, fostering effective communication and collaboration towards shared goals.
- Collaborated with cross-functional teams to ensure timely and accurate billing for all services rendered.
- Conducted root cause analyses for identified issues, recommending appropriate actions for resolution and prevention of future occurrences.
- Enhanced revenue integrity by identifying billing errors and implementing corrective measures.
- Strengthened regulatory compliance through consistent monitoring of changes in industry standards and guidelines.
- Responded to customer concerns and questions on daily basis.
- Self-motivated, with a strong sense of personal responsibility.
- Proven ability to learn quickly and adapt to new situations.
- Skilled at working independently and collaboratively in a team environment.
Billing/RCM Manager
Clearway Pain Solutions
Annapolis, MD
07.2022 - 05.2023
- Reviewed billing problems, researched issues and resolved concerns.
- Trained and mentored staff on procedures, compliance requirements and collections techniques.
- Managed monthly billing process to complete billings and returns to meet company revenue recognition policies.
- Worked with customers to develop payment plans and bring accounts current.
- Created new standard operating procedures improving billing accuracy and cash flow.
- Conducted performance reviews and implemented improvement plans.
- Worked cross-functionally with customer service, inventory, and finance teams for conflict resolution.
- Hired, managed, developed and trained staff, established and monitored goals, conducted performance reviews and administered salaries for staff.
- Cross-trained existing employees to maximize team agility and performance.
- Maximized performance by monitoring daily activities and mentoring team members.
- Accomplished multiple tasks within established timeframes.
- Onboarded new employees with training and new hire documentation.
Physician RCM Liason
Holy Cross Health
Silver Spring, MD
11.2021 - 07.2022
- Documented all correspondence with practitioners' office staff and kept accurate records using Epic.
- Brought stability to analytics group and delivered sustainable data for use with primary care physicians on cost of care strategies.
- Reported to VP of Physician RCM each week to provide details on building referrals and managing relationships with physicians.
- Developed highly effective communication, interpersonal and persuasion skills, which were used for interacting with people of all different backgrounds and cultures.
- Quickly learned new skills and applied them to daily tasks, improving efficiency and productivity.
- Developed monthly newsletter sent to practitioner offices with informative business practice articles and suggestions for promoting brand awareness.
- Accomplished multiple tasks within established timeframes.
- Cross-trained existing employees to maximize team agility and performance.
- Maximized performance by monitoring daily activities and mentoring team members.
- Evaluated report data to proactively adjust and enhance operations.
Revenue Cycle Manager
US Anesthesia Partners Of Texas
07.2018 - 11.2021
- Supported clinical team members with all revenue cycle procedures and addressed any issues as needed.
- Monitored and guided revenue cycle operations.
- Completed financial reporting and analysis for billing revenue cycle.
- Assessed current revenue cycle procedures and implemented improvements to foster efficiency.
- Evaluated Anesthesia billing data to assess compliance with legal standards of care and accuracy.
- Identified discrepancies between budgetary targets and actual revenue and expenses.
- Conducted call audits to assess interaction quality, accuracy and service success.
- Developed and distributed employee work schedules based on operational needs and employee requests.
- Coordinated with other healthcare providers concerning treatment plans for patients.
- Responded to inquiries from doctors, nurses and patients with accurate information.
- Developed and updated department goals and achievements throughout fiscal year.
- Communicated with doctors, nurses, patients and other employees to identify and resolve healthcare needs.
- Maintained up-to-date information in electronic medical records software.
- Represented office during board and community meetings, delivering supporting information and announcing new facility programs and initiatives.
- Remained educated on emerging healthcare technologies and wrote proposals for possible purchases of new equipment to stay at forefront of innovation.
- Fostered excellence by example by "setting pace" and being hands on mentor to clinical and non-clinical staff.
RCM Manager/Analyst
National Spine And Pain Centers
04.2017 - 07.2018
- Performed system analysis, documentation, testing, implementation and user support for platform transitions.
- Identified areas of possible system improvement to enhance overall business performance, accounting for budgetary concerns and business goals.
- Analyzed financial and statistical data related to revenue cycle, creating in-depth reports to show KPIs.
- Collaborated with other business analysts to streamline tasks and duties in effort to improve overall efficiency.
- Improved collection rate 10% by creating automated communication cycles for late payments.
- Communicated revenue cycle information to non-technical audiences in easily-understood terms.
- Created well-researched presentations on revenue cycle data to deliver to upper management and executives.
- Presented results of financial analyses to clients verbally and in written form.
Director
Medstar Rad America
01.2015 - 07.2016
- Successfully reduced days in A/R from 140 to 30 in 1 year resulting in accelerated cash collection.
- Manage day to day billing and collection process for all aspects of accounts receivable.
- Developed and implemented tracking tools for productivity measurement for claim submission and follow-up resulting in improved efficiency within billing and collections functions.
- Developed and implemented audit process for claims follow-up.
- Developed and implemented KPI tracking all aspects of accounts receivable.
- Worked closely with Physicians to ensure our denial rate was less than 1% of our outstanding claims.
Director
MedStar Southern Maryland Hospital, Inc
12.2008 - 12.2015
- Patient Accounts.
- Successfully reduced days in A/R from 90 to 60 in 1year resulting in accelerated cash collection.
- Managed the day to day billing and collection process for all aspects of accounts receivable.
- Negotiated increased reimbursement rates for SubAcute Unit yielding a 10% increase in reimbursement over 3 years.
- Supervise, hire, and train a staff of 21 employees.
- Developed and implemented tracking tools for productivity measurement for claim submission and follow-up resulting in improved efficiency within billing and collections.
- Developed and implemented an audit process for claim follow-up.
- Implemented collection follow-up utilizing system generated workfiles.
- Spearheaded successful 837 electronic claim conversion from print image.
Manager
Jefferson Regional Medical Center
01.2006 - 12.2007
- Managed the day to day billing and collection process for all aspects of accounts receivable.
- Supervised, hired, and trained a staff of over 30 employees.
- Developed and implemented tracking tools for productivity goals for claim submission and follow-up.
- Developed and implemented an audit process for claim follow-up.
- Implemented collection follow-up utilizing system generated workfiles.
- Ensured successful electronic claim submission.
Director Accounts Receivable
Natchaug Hospital
12.2005 - 12.2006
- Monitored and notified senior management on expenditures and plans concerning budget and fiscal matters.
- Developed and updated department goals and achievements throughout fiscal year.
- Developed and updated policies and procedures, maintaining compliance with statutory, regulatory and local, state and federal guidelines relating to HIPAA, benefits administration and general liability.
- Designed and introduced leadership development, coaching and team management model, resulting in promotion of employees into increased levels of responsibility.
- Identified, researched and resolved billing variances to maintain system accuracy and currency.
- Managed efficient cash flow reporting, posted cash receipts and analyzed chargebacks, independently addressing and resolving issues.
- Applied strong leadership talents and problem-solving skills to maintain team efficiency and organize workflows.
- Streamlined operations to improve process efficiency.
- Identified individual employee's unique work styles and adapted management methods.
- Interviewed, hired and trained new employees for production positions.
- Trained and mentored staff on procedures, compliance requirements and collections techniques.
- Conducted performance reviews and implemented improvement plans.
Manager, Billing and Accounts Receivable
Fletcher Allen Healthcare
12.2002 - 09.2005
- Expanded cross-functional organizational capacity by collaborating across departments on priorities, functions and common goals.
- Accomplished multiple tasks within established timeframes.
- Onboarded new employees with training and new hire documentation.
- Reduced process bottlenecks by training and coaching employees on practices, procedures and performance strategies.
- Maximized performance by monitoring daily activities and mentoring team of 70+ members.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.
- Set up and maintained 835/837 new electronic billing system.
- Gathered information from multiple sources to simplify billing and organize accounts.
- Trained new employees on multiple medical billing programs and data entry software.
- Performed statistical analyses to gather data for operational and forecast team needs
- Accomplished multiple tasks within established timeframes
- Evaluated employees' strengths and assigned tasks based upon experience and training
- Maximized performance by monitoring daily activities and mentoring team members
Education
Master of Healthcare Administration - Healthcare Administration
University of Phoenix On
Phoenix,AZ08.2009
B.A. - Business Management, personnel relations
College of Notre Dame of Maryland
Baltimore, MD07.1995
Skills
- Revenue Enhancements
- Account resolutions
- Billing cycle expertise
- Investigative techniques knowledge
- Account balancing
- Researching abilities
- Payment plan processing
- Critical thinking
Accomplishments
- Supervised team of 30 staff members.
- Documented and resolved patient complaints which led to positive outcomes.
- Tracked and monitored claims process and improved clean claim submission.
- Use Excel to monitor, track and report revenue cycle efficiency and days in A/R.
Affiliations
American Academy of Professional Coders
President Annapolis Chapter 2012-2015
Chairperson of the Board of Directors Omni House Inc.
Chairperson of the Board of Directors - Collaborates with the CEO to ensure the organization continues to provide quality care for the mentally ill in the Glen Burnie area.
Timeline
Manager,Revenue Integrity
UMMS
05.2023 - Current
Billing/RCM Manager
Clearway Pain Solutions
07.2022 - 05.2023
Physician RCM Liason
Holy Cross Health
11.2021 - 07.2022
Revenue Cycle Manager
US Anesthesia Partners Of Texas
07.2018 - 11.2021
RCM Manager/Analyst
National Spine And Pain Centers
04.2017 - 07.2018
Director
Medstar Rad America
01.2015 - 07.2016
Director
MedStar Southern Maryland Hospital, Inc
12.2008 - 12.2015
Manager
Jefferson Regional Medical Center
01.2006 - 12.2007
Director Accounts Receivable
Natchaug Hospital
12.2005 - 12.2006
Manager, Billing and Accounts Receivable
Fletcher Allen Healthcare
12.2002 - 09.2005
Master of Healthcare Administration - Healthcare Administration
University of Phoenix On
B.A. - Business Management, personnel relations
College of Notre Dame of Maryland
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