Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Kelsey Schloop

Ormond Beach,FL

Summary

Dynamic individual with hands-on experience in Care Operations, and Revenue Cycle Management and talent for navigating challenges. Brings strong problem-solving skills and proactive approach to new tasks. Known for adaptability, creativity, and results-oriented mindset. Committed to making meaningful contributions and advancing organizational goals.

Overview

7
7
years of professional experience
1
1
Certification

Work History

Director of Revenue Cycle Managment

AnswersNow Inc.
03.2024 - Current
  • Oversee Verification of Benefits, Authorizations, Billing, and Credentialing Functions.
  • Managed ABA Payor Contract initiation, negotiation and execution, for both commercial and Medicaid managed care plans, across multiple different states.
  • Functioned productively in matrix organization across organizational levels and organized and prioritized responsibilities to meet commitments.
  • Hired, trained and managed revenue department team members and developed engaged, high-functioning performers.
  • Worked within core team to streamline business processes and internal controls, resulting in scalable and detailed set of procedures.
  • Created Dashboards to monitor, track and provide insights into Objectives and Key Results.
  • Oversee and Manage claim submission, and payor denials.
  • Established internal audit procedures to validate and improve accuracy of financial reporting.

Operations Supervisor

AnswersNow Inc.
01.2023 - 02.2023
  • Managed Client Intake, Verifications of Benefits, Authorizations, Patient Billing and Credentialing Functions.
  • Managed team of three to five specialists.
  • Improved operations by implementing verification of benefits correspondence for families.
  • Implemented Patient Billing standard operating procedures.
  • Collaborated with product and engineering teams to implement billing platforms.
  • Managed multiple state contracting and credentialing for BCBA's, and implemented standard operating procedures.
  • Developed Training Resources for support to internal team members, as well as newly hired team members.
  • Resolved issues through active listening and open-ended questioning, escalating major problems to manager.
  • Developed internal requirements and standards to minimize regulatory risks and liability across programs.
  • Hired, managed, developed and trained staff, established and monitored goals, conducted performance reviews.

VOB Manager

Elemy
12.2021 - 01.2023
  • Manged Verification of Benefits, Authorizations and Credentialing Functions, for both Applied Behavior Analysis and Medication Management entities.
  • Maximized performance by monitoring daily activities and mentoring team members.
  • Resolved staff member conflicts, actively listening to concerns and finding appropriate middle ground.
  • Maintained professional, organized, and safe environment for employees and patrons.
  • Cross Collaborated with Clinical on client insurance issues, to resolve and maintain continuity of care for families.
  • Developed Standard Operating Procedures.
  • Trained internal team members, and cross functional team members on insurance requirements, and compliance.
  • Managed Multi-State Credentialing for both BCBA's and Physicians for Applied Behavior Analysis and Medication Management Entities.

VOB and Authorization Supervisor

Florida Autism Center
07.2021 - 12.2021
  • Applied strong leadership talents and problem-solving skills to maintain team efficiency and organize workflows.
  • Gathered, organized and input information into digital database.
  • Developed effective improvement plans in alignment with goals and specifications.
  • Cultivated positive relationships with all clinics to deliver timely on authorizations to ensure quick access to care for families.
  • Evaluated staff performance and provided coaching to address inefficiencies.
  • Helped meet changing demands by recommending improvements to business systems or procedures.
  • Managed VOB's and Authorizations for over 50 clinics, and worked with heath plans across 10-15 states.
  • Maintained education on state health plans regulations, and insurance requirements to ensure internal teams were up to date on changes.
  • Conducted internal audits to ensure revenue collections were at 90% or higher.

Senior Administrative Operations Manager

Florida Autism Center
12.2019 - 07.2021
  • Supported 9 ABA clinics operations of the Georgia Market, while successfully maintaining operations at the home in clinic in Florida
  • Traveled in person to Georgia market as needed to provide in person support, guidance and training to new operations managers.
  • Established positive and effective communication among unit staff and organization leadership, reducing miscommunications, and missed deadlines.
  • Led hiring, onboarding and training of new hires to fulfill business requirements.
  • Supervised operations staff and kept employees compliant with company policies and procedures.
  • Maintained client, RBT and BCBA schedules to ensure all clients receive authorized hours weekly.
  • Tracked employee attendance and punctuality, addressing repeat problems quickly to prevent long-term habits.
  • Reduced financial inconsistencies while assessing and verifying billing invoices and expense reports.
  • Trained and guided team members to maintain high productivity and performance metrics.
  • Responsible for scrubbing of billing claims weekly for clean claim submission to ensure timely revenue collections.
  • Collaborated with Clinic Director on fun team activities and outings to ensure team morale was at its highest.
  • Managed all hiring of RBT's, and administrative staff, ensuring all hiring needs were met, and employment documents are complete upon hire.
  • Maintained all client referrals, verification of benefits, and authorization submissions and follow ups.
  • Managed RBT credentialing with Florida Medicaid.
  • Managed clinic budget to ensure clinic supplies could be maintained.

Administrative Operations Manager

Florida Autism Center
04.2018 - 07.2021
  • Established positive and effective communication among unit staff and organization leadership, reducing miscommunications, and missed deadlines.
  • Led hiring, onboarding and training of new hires to fulfill business requirements.
  • Supervised operations staff and kept employees compliant with company policies and procedures.
  • Maintained client, RBT and BCBA schedules to ensure all clients receive authorized hours weekly.
  • Tracked employee attendance and punctuality, addressing repeat problems quickly to prevent long-term habits.
  • Reduced financial inconsistencies while assessing and verifying billing invoices and expense reports.
  • Trained and guided team members to maintain high productivity and performance metrics.
  • Responsible for scrubbing of billing claims weekly for clean claim submission to ensure timely revenue collections.
  • Collaborated with Clinic Director on fun team activities and outings to ensure team morale was at its highest.
  • Managed all hiring of RBT's, and administrative staff, ensuring all hiring needs were met, and employment documents are complete upon hire.
  • Maintained all client referrals, verification of benefits, and authorization submissions and follow ups.
  • Managed RBT credentialing with Florida Medicaid.
  • Managed clinic budget to ensure clinic supplies could be maintained.

Administrative Assistant

Florida Autism Center
10.2017 - 04.2018
  • Answered multi-line phone system, routing calls, delivering messages to staff and greeting visitors.
  • Maintained inventory of office supplies and placed orders.
  • Completed forms, reports, logs, and records to quickly handle all documentation for human resources.
  • Assisted coworkers and staff members with special tasks on daily basis.
  • Supported Operations Manager with client schedules, authorizations, and billing.
  • Managed paper and electronic filing systems by routing various documents, taking messages and managing incoming and outgoing mail.
  • Interacted with vendors, contractors and professional services personnel to receive orders, direct activities, and communicate instructions.
  • Opened and properly distributed incoming mail to promote quicker response to client inquiries.
  • Facilitated timely delivery of special projects to meet organizational and departmental objectives.
  • Increased office participation in special events by creating newsletter with detailed calendars and other office updates.
  • Built and maintained excellent customer relationships through timely response to inquiries and going above and beyond to accommodate unusual requests.
  • Managed filing system, entered data and completed other clerical tasks.
  • Managed phone and email correspondence and handled incoming and outgoing mail and faxes.

Education

Associate of Arts - Early Childhood Education

Purdue Global University
Indianapolis, IN
05-2014

Skills

  • Revenue optimization
  • Data-driven decision-making
  • Operational Efficiency
  • Central Reach
  • Click Up
  • Denial Management
  • Contract Execution
  • Commercial and Medicaid Insurances
  • Salesforce
  • Medical Billing and Coding
  • Multi State Credentialing and Billing
  • Cross Functional Collaboration

Certification

  • CNP - Certified Notary Public

Timeline

Director of Revenue Cycle Managment

AnswersNow Inc.
03.2024 - Current

Operations Supervisor

AnswersNow Inc.
01.2023 - 02.2023

VOB Manager

Elemy
12.2021 - 01.2023

VOB and Authorization Supervisor

Florida Autism Center
07.2021 - 12.2021

Senior Administrative Operations Manager

Florida Autism Center
12.2019 - 07.2021

Administrative Operations Manager

Florida Autism Center
04.2018 - 07.2021

Administrative Assistant

Florida Autism Center
10.2017 - 04.2018
  • CNP - Certified Notary Public

Associate of Arts - Early Childhood Education

Purdue Global University
Kelsey Schloop