Kathy Philbert

• Directed and oversaw overall policies, objectives, and initiatives of company's revenue cycle department, which consisted of 3 affiliated companies, 8 clinics, 2 ASC's with17 Providers, 25 Audiologist and 17 RCM staff.
• Trained, coached and mentored staff to ensure smooth adoption of new processes.
• Created new revenue streams through follow up and appeals process.
• Reviewed and implemented processes surrounding fee schedule, billing, third party payor relationships, collections and other financial analyzes to ensure that clinical revenue cycle was effective and properly utilized.
• Analyzed and reported on weekly and monthly KPI's. Aging Reports discussed with RCM staff with focus on Highs and lows to give proper directives.
• Full Assessments of newly acquired RCM department and set new processes, structure and guidance to ensure success of RCM Implementation.
• Reviewed historical records, current operational data and forecasting information to identify and capitalize on system enhancement opportunities.
• Reported to Sr. Director and VP of Revenue Cycle

• Managed daily operations of front office, Billing Department and surgery scheduling
• Established workflow processes, monitored daily productivity and implemented modifications to improve overall performance of Billing Department
• Responsible for new employee training, hire and terminations
• Worked closely with physicians to develop seamless delivery of services and excellent experience for patients through end-to-end process
• Liaison between Piedmont Community Connect and Buckhead ENT
• Supervised Meaningful Use for 3 physicians
• Provide and interpret financial analysis to effectively increase front office collections.
• Set goals and deadlines for Billing Department
• Oversaw all ERA's and EFT's set up and process
• Reconciled all Recoupments
• Run Batch reports daily and month end closing reports
• Managed and worked with patient collection vendor
• Recommend and implement procedural or policy changes to improve operations.
• Maximized cash flow through optimal billing and collection processes.

• Managed Billing and Collections for 2 clinics, 4 Providers, 1 PA and 2 Audiologist.
• Provided updates on different issues impacting collections.
• Reviewed billing problems, researched issues and resolved concerns
• Reported directly to Practice Administrator

Maintained knowledge of benefits claim processing, claims principles, medical terminology and procedures and HIPAA regulations.

• Managed large volume of medical claims on daily basis.
• Paid or denied medical claims based upon established claims processing criteria.

• Handled more complex claim issues, accounting, adjustments of underpayment and overpayment audits.
• Provided customer service and processed claims for managed and non-managed care policies.