Lisa Alves

• Consistently analyze billing trends to immediately identify issues in order to prevent denials and improve revenue outcomes.
• Resolve denials and manage appeals to increase approval rates while developing protocols to prevent recurring errors.
• Oversee Medicaid, Managed Care, commercial, and self-pay billing to ensure accurate revenue streams.
• Lead pre-bill and claim review processes ensuring coding accuracy and NYS documentation compliance.
• Coach clinical teams on clear and accurate statements, claims, and treatment reports.
• Develop training materials for staff on program policies and procedures.
• Mentor junior staff in best practices for administrative processes and operations.
• Manage daily workflow of personnel by assigning tasks, tracking progress and providing assistance when needed.
• Assist in developing strategic plans to meet organizational goals and objectives.
• Establish standards of excellence for customer service delivery throughout the organization.
• Supervise recruitment process including interviewing candidates, making hiring decisions and onboarding new hires.
• Develop protocols for handling confidential information within the organization.
• Provide guidance to departmental staff in resolving customer complaints.
• Coordinate financial activities, budgeting and forecasting for assigned departments.
• Ensure compliance with safety regulations among all personnel.
• Implement billing procedures, audit and reconcile accounts and record transactions.
• Create and maintain reports on operational performance metrics.
• Monitor staff performance, providing feedback and conduct annual reviews.
• Collaborate with other departments to improve interdepartmental communication.
• Implement policies and procedures to ensure compliance with federal, state and local laws.
• Negotiate contracts with vendors for services rendered or products purchased.
• Conduct training sessions on new processes or products for internal staff members.
• Create and enforce processes to boost company productivity.
• Facilitate regular cross-functional meetings between teams to ensure alignment of objectives.
• Evaluate existing systems and processes in order to recommend improvements.
• Analyze data from multiple sources to identify trends and develop strategies for improvement.
• Oversee the maintenance and updating of organizational databases and records.
• Monitor industry trends to recommend actionable strategies.
• Investigate and update COB/EOB details including refunds, adjustments, and write-offs.
• Support the Director with any policy updates and operational recommendations.
• Growing staff from 2 to 17. Achieved an impressive reduction in accounts receivable by approximately 97% from January 2023 to September 2025, showcasing expertise in financial and departmental management.

• Managed a multidisciplinary team of administrative and clinical staff.
• Directed day-to-day operations for the Department of Psychiatry, including scheduling, billing, payments, and safety compliance.
• Oversaw budgets, managed patient records, and coordinated staff scheduling.
• Developed business strategies with physicians to enhance patient service offerings.
• Evaluated patient services, resolved escalated concerns, and implemented improvements.
• Monitored performance metrics including MIPS.
• Generated operational reports including RVUs, charges, and payment summaries to support financial analysis.
• Grew staff from 4 to 38 within 7 years, showcasing expertise in departmental management.

• Supervised all employees across five specialty billing groups.

• Streamlined the billing and collections processes to improve accuracy and efficiency.

• Oversaw payment posting, appeals, and AR reconciliation.

• Prepared financial/statistical reports and monitored AR performance.

• Led month‑end closing and implemented quality assurance measures to be able to quickly identify any weaknesses that needed to be addressed.

• Conducted regular staff meetings, employee performance development, and team building.

• Managed employee schedules and time‑off tracking to ensure proper staffing levels.
• Growing staff from 2 to 15. Achieved an impressive reduction in accounts receivable by approximately 80% and sending 99% clean claims.

• Led month-end closing and implemented quality assurance measures to be able to quickly identify any weaknesses that needed to be addressed.
• Supervised employees across five specialty billing groups to ensure compliance and efficiency.
• Managed employee schedules and time-off tracking to maintain optimal staffing levels and support operational needs.
• Conducted regular staff meetings, employee performance development, and team building.
• Posted lockbox payments and appealed underpaid/denied claims to maximize revenue recovery.
• Resolved patient billing concerns with accuracy and professionalism.
• Entered ER physician charges and updated insurance information to ensure accurate billing.
• Managed workers' compensation and no-fault claims.
• Processed Medicare electronic payments (MTP) and charge corrections.
• Handled edit/rejection reports and supported multiple insurance queues.
• Trained staff on payment posting procedures and reviewed daily batches for compliance and accuracy.
• Showcased expertise in account management by submission of 90% clean claims.

• Functioned as a certified medical/dental biller and coder for surgical and office procedures.
• Ensured accurate billing and reimbursement, optimizing revenue flow based on contracted rates.
• Managed appeals and supported providers in coding optimization to enhance claim acceptance.
• Conducted quarterly audits for timely and accurate claim submissions, reducing denial rates.
• Verified insurance, communicated out-of-pocket estimates, and supported patient discharge.
• Assisted with outstanding customer service, employee scheduling, and front-desk operations.
• Showcased expertise in account management by submission of 90% clean claims.