Kasi Hilley
Altus,OK
Summary
A detail-oriented individuals seeking a Revenue Management position to provide outstanding service through a friendly and knowledgeable demeanor. Highly-motivated employee with desire to take on new challenges. Strong work ethic, adaptability, and exceptional interpersonal skills. Adept at working effectively unsupervised and quickly mastering new skills. Hardworking employee with customer service, multitasking, and time management abilities. Devoted to giving every customer a positive and memorable experience. Experienced in fast-paced environments and adaptable to last-minute changes. Thrives under pressure and consistently earns high marks for work quality and speed. Reliable Manager demonstrating high level of ownership and initiative. Possessing exceptional work ethic and desire to go above and beyond to exceed company expectations. Offering knack for building productive working relationships. Successful in fast-paced, deadline-driven environments to manage goals and team development. History of thriving in team-oriented environments. Motivational leader and organizational problem-solver with advanced supervisory, team building and customer service skills. Experience stepping into roles and quickly making positive changes to drive company success. Focused on using training, monitoring and morale-building techniques to maximize employee engagement and performance.
Overview
22
22
years of professional experience
1
1
Certification
Work History
Provider Engagement Professional 2
Humana Healthy Horizons
Oklahoma City, OK
02.2024 - Current
- Exceeded customer satisfaction by finding creative solutions to problems.
- Demonstrated strong problem-solving skills, resolving issues efficiently and effectively.
- Recognized by management for providing exceptional customer service.
- Performed regular audits of provider contracts to ensure accuracy of data in the system.
- Maintained accurate records of all communications with providers including emails, letters, phone calls.
- Assisted providers in understanding their contractual obligations and ensured timely resolution of any discrepancies or disputes.
- Attended conferences and seminars focused on healthcare industry trends that may affect provider relations activities.
- Responded quickly and effectively to complaints from contracted providers regarding payment issues or other matters.
- Collaborated with other departments within the organization to resolve complex issues related to provider relations activities.
- Conducted site visits to evaluate current processes used by contracted providers including medical record review and quality assurance measures.
- Analyzed trends in provider utilization and cost containment initiatives to identify areas for improvement.
- Developed and maintained strong relationships with providers by responding promptly to inquiries, resolving issues and providing ongoing support.
- Coordinated internal training sessions on topics such as coding updates, claims processing guidelines.
- Investigated concerns such as billing and claims questions on behalf of providers.
- Cultivated strong relationships to maintain provider network knowledge and implement corrective actions for ongoing issues.
- Stayed current on available policies and plans.
- Handled many calls each day with consistent high satisfaction ratings from callers.
- Cultivated positive relationships with patients to help facility meet satisfaction scores and patients obtain best possible care.
Account Manager
EqualizeRCM Services
Austin, TX
01.2003 - 01.2024
- Ensure a strong relationship and communication with existing and prospective clients and serve as a primary resource for client support
- Strong operational delivery for our clients and leading the development of team members
- Structure, analyze, and resolve issues in a consultative manner for both the internal operations team and clients
- Build a motivated, cost-effective team that enables the delivery of high-quality services to clients in a profitable manner
- Possess an in-depth understanding of facility and physician practice revenue cycle
- Management, specifically in rural settings (CAH, RHC, etc.)
- Able to provide and communicate subject matter expertise (e.g., compliance, billing
- Policies, payer requirements, etc.) to other team members, vendors, and clients
- Lead and assist with a new client or new project implementation
- Assist in the preparation, interpretation, and delivery of reports (e.g
- KPI
- Productivity, quality, etc.) to clients
- Able to resolve payment issues with insurance companies, and have a basic
- Understanding of insurance contracts
- Routinely visit client locations to build relationships and address client issues
- All other duties as assigned., Work on patient accounts
- Work on denials and timely filing
- Work on AR, cash collections, bad debt
- Cash posting
- Manage HIM, Business Office, Accounts Payable
- Oversaw multiple accounts and worked diligently to meet and exceed performance goals.
- Built and maintained productive relationships with customers and internal partners.
- Acted as main point of contact in matters relating to client concerns and needs.
- Developed successful customer relationships and quickly resolved service requests to increase sales.
- Renewed existing accounts by cementing trusting relationships with customers.
- Sourced new opportunities to introduce products and services to potential customers.
- Motivated and worked with onboarding team members to successfully integrate new employees into organization.
- Used excellent verbal skills to engage customers in conversation and effectively determine needs and requirements.
- Listened to customer needs to identify and recommend best products and services.
- Identified customer needs by asking questions and advising on best solutions.
Revenue Cycle Manager
Mangum Regional Medical Center
Mangum, OK
09.2020 - 12.2022
- Analyzed and reported on billing cycle data to inform management.
- Evaluated revenue cycle processes and established actionable methods to increase productivity and efficiency.
- Participated in revenue cycle processes, working to maximize profitability and increase revenue.
- Oversaw the complete lifecycle of revenue operations.
- Provided revenue cycle process support to all clinical personnel, including resolving procedure challenges.
- Monitored revenue and compared to targets to address variances and resolved actual-to-budget variances.
- Completed month-end and year-end closings, kept records audit-ready, and monitored the timely recording of accounting transactions.
- Maintained regular performance appraisals for subordinates through verbal, written, and ongoing review programs.
- Consolidated business data into actionable metrics to simplify and highlight areas of concern and opportunity.
- Checked payroll, vendor payments, and other accounting disbursements for accuracy and compliance.
- Conducted reviews and evaluations for cost-reduction opportunities.
Human Resources Representative
Mangum Regional Medical Center
Mangum, OK
01.2020 - 09.2020
- Payroll
- Policy and procedures
- Daily meetings and reports
- Run the Department by myself
- Planned and conducted new employee onboarding.
- Supported employees with benefits enrollments by guiding process and answering questions.
- Updated database with payroll and employee information.
- Scheduled training events and informed participants of details.
- Assisted with outreach and recruitment activities to acquire qualified talent.
- Enforced compliance with federal, state and local employment regulations and laws from EEO to ADA.
- Conducted investigations, drafted summaries and devised recommendations for HR Manager.
- Completed onboarding and new hire orientation for employees.
- Assisted candidates with application processes by answering questions about application, performing background checks, providing I-9 forms and handling drug screening paperwork.
- Safeguarded human resource information, maintaining employee confidence and protecting operations.
- Established and generated various reports to verify HR compliance.
- Established and maintained trusted relationships around organization to optimize business and employee experience.
- Identified opportunities to improve HR programs and proposed solutions to increase efficiencies.
- Provided essential support to address individual HR needs of employees.
- Conducted background checks and orientation, coordinating new employee onboarding process.
- Delivered inquiry-related data and insights to improve overall employee experience.
- Partnered with senior HR team to communicate company standards and policies.
- Maintained human resources records by processing applications and resumes.
- Onboarded technology to make remote work scalable for company.
- Worked cross-functionally to optimize efficiency and execute on HR business processes.
- Researched and analyzed recruitment data to provide detailed statistical reports.
- Assisted with recruitment initiatives by interviewing and talent sourcing.
- Consulted with internal clients to evaluate labor trends and competitor talent insights for pointed candidate selection.
- Developed and documented HR procedures to refine processes and drive compliance with policies.
- Developed recruitment updates to review trends, competitive intelligence and talent demographics.
- Analyzed job descriptions and determined recruitment plan, timeline and advertising efforts to fill positions.
- Participated in educational opportunities and read technical publications, updating job knowledge.
- Liaised with management to distribute training and promotional opportunity resources to employees.
Administrative Assistant
Carter Healthcare
Altus, OK
07.2019 - 11.2019
- Run daily reports and work on
- Answer calls and fix schedules
- Audit billing, create forms, and get orders signed by doctor
- Medical Billing
- Handled telephone calls, meeting plans and conference organization requirements.
- Mailed and arranged for delivery of legal correspondence to clients, witnesses and court officials.
- Managed office scheduling and kept accurate notes on deadlines, motions and other dates.
- Checked office supplies stock and placed orders to maintain levels.
- Coordinated multiple schedules using online calendaring system.
- Sorted and distributed incoming faxes, letters and emails for office distribution.
- Took detailed notes in meetings and disseminated information afterward.
- Compiled meeting agendas and supportive materials ahead of meetings.
- Ordered catering or restaurant delivery to offer food and beverages to meeting and conference attendees.
- Composed, edited and typed complex memos and reports with job-related software.
topositionManagementRevenue Cycle/Office Manager
Altus Family Vision
Altus, OK
03.2017 - 07.2019
andsandsandsandsandsandsandsandsandsandsfriendlythroughsservicedoutstandingprovider
- DME & Medical Billing
- Manage all finances of clinic/Accounts Receivable/Collections on accounts
- Insurance filing, billing, work on claims/denials, keep up with credentialing
- Make appointments/Customer Service
- Sell glasses and products to clients / Repair glasses
- HIPAA Officer
- Analyzed and reported on billing cycle data to inform management.
- Participated in revenue cycle processes, working to maximize profitability and increase revenue.
- Evaluated revenue cycle processes and established actionable methods to increase productivity and efficiency.
- Provided revenue cycle process support to all clinical personnel, including resolving procedure challenges.
- Oversaw complete lifecycle of revenue operations.
- Monitored revenue and compared to targets to address variances and resolved actual-to-budget variances.
- Checked completeness of information when processing applications and transactions.
- Set up and monitored payment plans and processed payments.
- Examined accounting systems and records to determine appropriateness of methods and controls.
- Maintained up-to-date contact information for each case under review.
- Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
- Understood and followed oral and written directions.
Project Interviewer
OU Department , Pediatrics
Oklahoma City, OK
04.2016 - 06.2017
- Set up interviews with clients
- Interacting with children and families
- Created project plans with established timelines, assigned to appropriate teams and managed workflow throughout construction.
- Identified needs and coordinated resource allocation to deliver quality standards on time and within budget.
- Conducted periodic inspections of job sites for quality and progress.
- Created team objectives and roles with specific goals outlined for each individual.
- Drove continuous improvement of project delivery process by providing strong leadership.
- Generated and tracked change orders and other contractual modifications affecting budget and schedule.
- Modified project plans when needed to better align with organizational objectives.
- Furnished project updates to various stakeholders, informing on strategy, adjustments and progress.
- Determined project staffing needs and led resource management.
- Drafted project construction schedule and updated as job progressed.
- Reviewed budget and subcontractor estimates in detail and analyzed for accuracy with scope of work relevancy in mind.
Office Manager
Jackson County Memorial Hospital
Altus, OK
09.2008 - 04.2016
- Managed office inventory and placed new supply orders.
- Monitored payments due from clients and promptly contacted clients with past due payments.
- Maintained impeccable office organization to support efficiency, professionalism and performance objectives.
- Oversaw receiving and organizing correspondence, answering and forwarding calls and creating business letters and records.
- Administered payroll and maintained proper documentation of employee personnel.
- Reviewed files and records to obtain information and respond to requests.
- Managed, scheduled and coordinated office functions and activities for employees.
- Handled scheduling and managed timely and effective allocation of resources and calendars.
- Used judgment and initiative in handling confidential matters and requests.
- Coded and entered daily invoices with in-house accounting software.
- Managed office budget to handle inventory, postage and vendor services.
- Implemented and maintained company protocols to facilitate smooth daily activities.
- Coordinated office activities and operations to secure efficiency and compliance with company policies.
- Elevated customer satisfaction ratings by promptly resolving client and case issues.
- Trained and mentored administrative staff members in company policies, daily task execution and industry best practices.
- Sustained office efficiency by implementing and planning office systems, equipment procurement and layouts.
- Automated office operations for managing client correspondence, payment schedules and data communications.
- Interpreted and communicated work procedures and company policies to staff.
- Remained calm and professional in stressful circumstances and effectively diffused tense situations.
- Resolved customer inquiries and complaints requiring management-level escalation.
- Delegated work to staff, setting priorities and goals.
- Reviewed completed work to verify consistency, quality and conformance.
- Recruited and trained new employees to meet job requirements.
- Provided leadership, insight and mentoring to newly hired employees to supply knowledge of various company programs.
- Interviewed prospective employees and provided input to HR on hiring decisions.
- Completed thorough opening, closing and shift change functions to maintain operational standards each day.
- Assigned work and monitored performance of project personnel.
- Produced thorough, accurate and timely reports of project activities.
- Reviewed employee performance and provided ongoing feedback and coaching to drive performance improvement.
- Planned and led team meetings to review business results and communicate new and ongoing priorities.
- Mediated conflicts between employees and facilitated effective resolutions to disputes.
- Held regular one-on-one meetings with employees to review performance and priorities and provide feedback.
- Resolved billing issues by applying knowledge and completing in-depth research.
- Managed billing calendar and scheduled claims for payments.
- Developed improved standard operating procedures to increase billing accuracy and cash flow.
- Helped customers to bring accounts into good standing by implementing payment plans.
- Built high-performance team by collaborating with new members on procedural, administrative, collections and compliance areas.
- Developed performance improvement plans based on deep reviews of current work.
- Completed month-end and year-end closings, kept records audit-ready and monitored timely recording of accounting transactions.
- Checked payroll, vendor payments and other accounting disbursements for accuracy and compliance.
- Prepared internal and regulatory financial reports, balance sheets and income statements.
- Analyzed competitors and market trends to facilitate business growth.
Education
High School Diploma -
Tipton High School
Tipton, OKMedical Assistant Certificate -
SW Technology
Altus, OKBachelor of Science - Health Administration
Western Governors University
Salt Lake City, UTSkills
- Excellent communication skills and the ability to work well with
- Diverse families
- Office Supervisor/Billing Manger, JCMH Counseling Center, Altus, OK
- Manage office supplies, vendors, organization , and upkeep
- Keep procedures up to date
- Billing for seven providers and taking care of all insurance issues
- Credentialing providers with insurance companies
- Verify insurance / insurance issues
- Work charts and answer phone calls
- Medical Billing
- Relationship Building
- Qualifying Leads
- Work quickly and accurately
- Meet deadlines
- Dependable, loyal, trustworthy
- Work well with a team or independently
- Learn new concepts quickly
- Excellent communication skills
- Works well under pressure
- Self-motivated
- 15 years Medical Billing & Collections
- 2 years DME Billing
- 15 years Medical Credentialing
- 15 years Supervisory Skills and Medical Billing Training
- QuickBooks
- Medicaid and Medicare Billing
- Payroll
- CPSI
- Meditech
- Solution Reach
- Paycom
- PayCor
- Account Management
- Verbal and Written Communication
- Problem-Solving
- Lead Generation
- Strategic Account Planning
- Performance Evaluations
- Customer Service
- Strategic Planning
- Credit Checks and Collections
- Customer Relationships
- Time Management
- Employee Mentoring
- Project Management
- Issue Resolution
- Compliance Requirements
- Strong Lead Development Skills
- Customer Training
- Client Meetings
- Staff Development/Training
- Payment Collecting
- Teamwork and Collaboration
- Overcoming Objections
- Collections Expertise
- Microsoft Office
- Team Training and Motivation
- Revenue Growth
- Excellent Communication Skills
- Problem Resolution
- Computer Skills
- Supervision and leadership
- Written Communication
- Task Prioritization
- Communication
- Interpersonal Communication
- Analytical Thinking
- Team Management
- Staff Development
- Contract Management
- Business Administration
- Financial Management
- Operations Management
- Marketing
- Performance Management
- Expense Tracking
- Budget Control
- Complex Problem-Solving
- Team Leadership
- Cross-Functional Teamwork
- Innovation management
- Staff Training and Development
- Verbal and written communication
- Staff Management
- Cross-functional team management
Accomplishments
- Consistently maintained high customer satisfaction ratings.
- Have received Employee of the Month in every position.
- Received the ABC award from JCMH.
- Have been promoted within my positions very quickly.
Certification
- Certified Medical Administrative Assistant
Timeline
Provider Engagement Professional 2
Humana Healthy Horizons
02.2024 - Current
Revenue Cycle Manager
Mangum Regional Medical Center
09.2020 - 12.2022
Human Resources Representative
Mangum Regional Medical Center
01.2020 - 09.2020
Administrative Assistant
Carter Healthcare
07.2019 - 11.2019
topositionManagementRevenue Cycle/Office Manager
Altus Family Vision
03.2017 - 07.2019
Project Interviewer
OU Department , Pediatrics
04.2016 - 06.2017
Office Manager
Jackson County Memorial Hospital
09.2008 - 04.2016
Account Manager
EqualizeRCM Services
01.2003 - 01.2024
High School Diploma -
Tipton High School
Medical Assistant Certificate -
SW Technology
Bachelor of Science - Health Administration
Western Governors University
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