Lauren Fox
St. Louis,MO
Summary
Directed management operations with a decade of experience in employee training. Client operations professional with track record of optimizing service delivery and driving client satisfaction. Known for strong teamwork and ability to adapt to changing needs, ensuring seamless operations. Proven skills in client relationship management and process improvement.
Overview
19
19
years of professional experience
Work History
Client Operations Manager
USPI
09.2024 - Current
- Manages a team of 5 employees who complete the accounts receivable functions resulting in revenue generation.
- Continuously evaluates and is expected to be actively involved in ensuring all revenue cycle operations are well-managed, delivering excellence in quality standards, consistently meeting the organizations and client expectations.
- Facilitates the identification of issues and solutions by team members related to delays in achieving payment resolution.
- Monitors collection processes to determine cash flow improvement opportunities.
- Manages the aging of accounts receivable by trending and analyzing the A/R, and thorough communication with payers.
- Manages the implementation of key strategies; fostering an environment of accountability to create a high performing team.
- Successfully communicates trends, issues, resolutions as well as proactively communicates opportunities to clients.
- Must become expert on respective clients, regional payer trends and overall client specifics.
- Maintains thorough understanding of health insurance and government programs, when necessary.
- Assist assigned staff in establishing daily/weekly workflows to accomplish KPIs.
- Manage assignments across entire team to meet employee productivity and collection efforts across all client facilities.
- Provides analysis, reporting, and recommendations for revenue performance in key metrics including billing, collection, and posting, such as A/R aging’s, volumes, and trends.
- Conduct routine quality assurance reviews of work completed; initiate coaching measures as needed.
- Evaluate the audit findings, creating and establishing baselines and expectations to measure improvements.
- Leverage audit findings to identify training needs for system education, industry updates and changes in collections processes and protocols.
- Provide training for newly hired and existing employees to generate consistent team output.
Billing Manager
Lexitas
11.2021 - 08.2024
- Coordinate and complete end of month billing and reconciliation.
- Maintain and provide weekly/monthly gross profit report to company department lead.
- Responsible for hiring and staff development, which includes writing and conducting performance evaluations, corrective action plan and performance improvement plans.
- Manage employees' time card and paid time off.
- Managing my staff positively. Currently managed 3 full time billing specialists.
- Answer and resolve client, affiliate and resource inquiries/issues related to billing.
- Maintain and revise the department procedure manual.
- Maintain and update rate sheets as directed.
- Lead and complete daily Billing Team meetings and training sessions.
- Review and approve all standing order changes or requests as it relates to the billing department.
- Consistently monitor jobs Freshdesk inbox and Outlook emails for cutoff & need invoice rushes.
- Bill/Invoice all grand jury and ICC jobs.
- Work with the senior biller to ensure policy and process changes are written down and deployed uniformly amongst the team.
- Answer client emails, close payroll, send payroll reports to resources, print checks for resources, submit payroll direct deposit to bank for resources, and capture inbox.
Billing Specialist
NSN Revenue Resources
10.2016 - 11.2021
- Perform all requirements in full of a Billing Specialist along with assisting Director in the overall insight of team billing and provide feedback and suggestions on enhancing billing policies and procedures.
- Quality assurance provided for both internal and external vendor processes.
- Assist in the completion of data reports daily.
- Lead new biller training and participation in new employee orientation. Mentorship and guidance to the team provided daily.
- Managing my staff positively. Managed seven billers at once.
- Assist as needed with the oversight for billing specifications for all client payers in assigned region, including communication of specifications to staff, training on requirements and provision of tools and resources.
- Complete payer enrollment process using claims clearinghouse, monitoring held claims and overseeing the release and submission of held claims once enrollment is completed.
- Ensure claims are submitted cleanly and consistently.
Front Office Manager
Athletico
04.2007 - 10.2016
- Scheduling appointments/answering busy phone lines.
- Quality customer/patient service.
- Business Reports. Review referrals and authorizations.
- Insurance benefit verification and knowledge.
- Managing staff positively.
- Medical records.
- Open line of communication with physical therapists.
- Covered as a float for the front office at most of the ProRehab locations.
- General front office dues.
- Member of the Company Charity Committee.
- Helping Clinic Director with special tasks/assignments.
- Mul-tasking abilities applied.
Education
Nursing
Saint Louis Community College
St. Louis, MOHigh School Graduate - undefined
Northwest High School
01.1998
Skills
- Coordinated administrative activities to support delivery of high-quality patient care while ensuring compliance with healthcare regulations
- Directed billing operations to improve efficiency in revenue cycle management for medical insurance, with an emphasis on workers' compensation, Medicare, and Medicaid
- Facilitated project management processes to enhance quality assurance measures and standardize deliverables across various teams
- Implemented advanced software solutions to ensure precise data management and enhance workflow efficiency across multiple platforms
- Achieved significant customer satisfaction improvements through strategic communication initiatives that enhanced service quality Delivered effective training programs that fostered team development while contributing to recruitment strategies Streamlined administrative workflows, resulting in improved operational accuracy and efficiency
- Analyzed existing billing and accounts receivable procedures and implemented improvements for increased process efficiency
Timeline
Client Operations Manager
USPI
09.2024 - Current
Billing Manager
Lexitas
11.2021 - 08.2024
Billing Specialist
NSN Revenue Resources
10.2016 - 11.2021
Front Office Manager
Athletico
04.2007 - 10.2016
High School Graduate - undefined
Northwest High School
Nursing
Saint Louis Community College