Responsible for overseeing RCM Billing Specialist to ensuring proper billing and collections for multiple customers within the RCM Department
Participate in priority customer escalations
Prepare regular reports for senior management
Gather, interpret and report on any trends in RCM for assigned customers
Analyzes billing errors and denial detail to identify root causes
Posting of cash payments
Review and balance monthly deposit logs for each customer
Proactively communicate barriers, process flow or productivity issues with senior management
As needed interview, hire and train RCM staff
Recommend, develop, and administer policies and RCM procedures.
Billing/Collections Specialist Team Leader
Community Partners
05.2015 - 07.2021
Responsible for ensuring proper billing and collections of Behavioral Health Services; along with assisting the Billing and Collections Manager with designated supervisory tasks
SUPERVISORY RESPONSIBILITIES:
Supervises Billing & Collection Specialists
Oversees tracking of MCO claims submission
Reviews BH Aging to include write-offs, denials and proper receipt of contracted rates
Oversees Cash Posting and Self Pay Balance Collections
Posting of all cash payments for Commercial, MCO's, Medicaid and Medicare daily
Review and balance monthly cash logs
Oversees ABA tracking of claims submission
Reviews ABA aging and ensures proper write-offs and denials
TYPICAL DUTIES AND RESPONSIBILITIES:
Reviews EOB's and other reporting data to maximize collections
Assists in training of Billing Team staff
Assists in System Configuration
Assist at Month End to make sure required tasks are complete before close
Serve as backup for data entry
Serve as backup as needed for the billing and accounting staff
Perform other duties as assigned.
Supervisor
LABORATORY BILLING SOULTIONS
10.2006 - 07.2014
Provide superior support to billing staff and oversee the accurate posting of payments
Work with clients to balance posting daily
Provide excellent submission support for all clients
Work with insurance companies and EDI to resolve submission issues
Process and work all rejections from insurance companies as well as the clearinghouse
Retrieve daily lockbox payments, post and reconcile on a spreadsheet
Support Services Supervisor, Help Desk
PATH LAB INC
06.2000 - 10.2006
Provide superior customer support for Finance/Billing system in Information Technologies department
Resolve problems such as data-entry errors resulting in improper charges with decisive solutions
Affiliate CPT Codes and descriptions with Laboratory tests
Define custom pricing for unique customer requirements
Update system to reflect changing Fee Schedules
Maintain interfaces to hospitals and physician-owned laboratories