LESLIE J. BOYD
Smithville,TN
Summary
Goal-oriented and compassionate professional with 20 years of experience in various fast-paced healthcare settings. Organized and self-sufficient, with a strong focus on positive outcomes and efficient growth as an organization.
Overview
14
14
years of professional experience
Work History
Remote Billing Specialist
Homecare Homebase
Dallas, TX
08.2022 - Current
- Utilize multiple systems and resources for census maintenance, with a focus on AR reduction for a roster of agencies across 8 states
- Perform claims analysis and review to correct discrepancies in claims and contracts impeding adjudication
- Draft payer-specific methodologies to improve assigned workflow efficiency
- Partner with leadership and designated payer liaisons for improvements of adverse processing and payment trends
- Compile appropriate documentation for dispute resolutions and overpayment recovery to ensure AR integrity
- Display effective communication with departments and agencies to troubleshoot issues effecting efficient, successful processing
LTC Billing Specialist
Twelvestone Health Partners
Murfreesboro, TN
02.2022 - 08.2022
- Responsible for complete management of pharmacy claims processing for designated assisted and long-term care facilities. Oversaw multiple payer sources including Medicare/Medicaid, private insurance, and hospice.
- Ensured efficient claims adjudication by obtaining prior authorizations, utilizing appropriate overrides, and clarification codes for rejections, and submitting appeals where applicable.
- Monitored patient and facility accounts; collect payments, make collection calls, establish payment plans, and submit delinquent accounts to collections
- Communicated with physicians and facilities, to provide correspondence and reporting
- Managed monthly credit card draft accounts for the department at all levels
Patient Accounts Receivable Specialist
Brookdale Senior Living
Brentwood, TN
01.2018 - 02.2022
- Monitored clearinghouses for rejections to ensure timely receipt of claims.
- Analyzed claim denials/underpayments and facilitate dispute resolution for maximum reimbursement
- Worked with provider relations representatives and contracting to resolve accounts receivable processing/reimbursement issues
- Resolved complex financial discrepancies through proactive cummunication with cash posting department
- Aided in the training of new hire employees
Medical Office Specialist
Murfreesboro Dermatology Clinic
Murfreesboro, TN
12.2016 - 01.2018
- Responsible for daily office operations for main campus, as well as four additional satellite locations
- Liaised with staff, vendors, and clients for successful day-to-day operations
- Ensured PHI record integrity, as well as maintaining compliance with all local, state, and federal laws and guidelines
- Facilitated supply chain and inventory management for clinical and aesthetic departments
- Maintained full cycle financials for patient encounters- scheduling, eligibility, billing, appeals and management of private payments, as well as daily settlements of accounts and systems
- Provided associate training
Health Unit Coordinator/Customer Service Representative
Cincinnati Children's Hospital Medical Center
Cincinnati, OH
06.2012 - 10.2015
- Maintained unit information systems for the Pediatric Intensive Care Unit including medical record integrity, forms management, and patient data accuracy
- Facilitated admission, discharge, and transfer procedures and corresponding documentation
- Responded to patient communication systems/alarms, notifying appropriate staff
- Explained and ensured compliance of visitor policies to parents, caregivers, and visitors to maintain appropriate hospital health standards
- Communicated with clinical, admitting, information systems and environmental services staff for efficient patient flow
- Maintained a designated par level of unit supplies
Patient Care Tech, Health Unit Secretary
Middle Tennessee Medical Center
Murfreesboro, TN
01.2011 - 06.2011
- Provided patient care for diverse age and diagnosis demographic, including vital signs, A.D.L.'s and limited physical therapy
- Documented patients' needs every 2 hours via a paperless charting system
- Daily status observation and reporting provided to oncoming healthcare providers
- Provided assistance in post-partum, nursery, orthopedics, and oncology
- Completed data entry of all medical orders, lab requisitions and updates to patient demographics
- Facilitated patient admissions, transfers, and discharges
- Maintained phone lines and directed visitors
- Filed admission paperwork and set-up charts for all patient stages
- Set up consults and follow-up appointments
Education
Certified Nursing Assistant -
NHC Healthcare
Murfreesboro, TN08.2005
Nursing/Spanish -
Middle Tennessee State University
Murfreesboro, TN01.2003
Honors Diploma -
DeKalb County High School
Smithville, TN01.2001
Skills
- Homecare Homebase
- Waystar/Ability
- Payspan
- Frameworks
- Brighttree/Matrixcare
- SQL
- Sage Accpac ERP
- Investigative research
- Invoicing proficiency
- Billing dispute resolution
- Epic
- Adobe
- Microsoft Office Suite
References
PERSONAL AND PROFESSIONAL REFERENCES AVAILABLE UPON REQUEST
Timeline
Remote Billing Specialist
Homecare Homebase
08.2022 - Current
LTC Billing Specialist
Twelvestone Health Partners
02.2022 - 08.2022
Patient Accounts Receivable Specialist
Brookdale Senior Living
01.2018 - 02.2022
Medical Office Specialist
Murfreesboro Dermatology Clinic
12.2016 - 01.2018
Health Unit Coordinator/Customer Service Representative
Cincinnati Children's Hospital Medical Center
06.2012 - 10.2015
Patient Care Tech, Health Unit Secretary
Middle Tennessee Medical Center
01.2011 - 06.2011
Certified Nursing Assistant -
NHC Healthcare
Nursing/Spanish -
Middle Tennessee State University
Honors Diploma -
DeKalb County High School