Mandy Rice
Belton,TX
Summary
Results-driven professional with a strong foundation in analytical, communication, and teamwork skills. Proven track record of adapting quickly to new environments. Excited about contributing to team success and enhancing professional skills further. Known for bringing a positive attitude and unwavering commitment to continuous learning and growth, ensuring success in any role undertaken.
Overview
21
21
years of professional experience
Work History
Patient Access Supervisor
Hanger Clinic
08.2021 - Current
- Empower Patient Access Coordinators and Clinicians to deliver exceptional service through fostering a culture of excellence within patient access operations across a network of clinics.
- Analyze performance metrics and patient feedback to identify areas for improvement, implementing data-driven strategies to enhance patient care delivery and optimize care coordination.
- Partner with cross-functional teams, including Revenue Cycle Management, to optimize workflows and resource allocation, enhancing overall efficiency and patient satisfaction.
- Lead the recruitment, onboarding, and training of new employees, implementing processes to ensure rapid ramp-up and minimizing disruption to business operations.
- Multiple Texas Locations
Medical Billing Manager
Round Rock Orthotics & Prosthetics, Inc.
10.2017 - 08.2021
- Identified and recovered $100,000+ in previously lost revenue through comprehensive financial audits, leading the successful insourcing of billing functions and improving financial control.
- Managed a team of 5 focusing on optimizing charge entry, claims submission, and AR within Opie and Futura, achieving significant improvements in Revenue Cycle Management efficiency.
- Spearheaded credentialing and payer contract reviews, negotiating favorable terms and enhancing compliance to maximize revenue capture.
- Facilitated a smooth transition during clinical acquisition, providing critical billing and administrative support and integrating new processes to ensure continuity of operations.
Billing Specialist
Agnite Health LLC
09.2016 - 07.2017
- Analyzed Accounts Receivable reports, processed insurance payments, and ensured accurate charge entry, contributing to efficient revenue cycle management using MDI, Gateway, and NexGen software.
- Resolved complex denials through thorough audits and effective appeals for Ophthalmology Clinics and Ambulatory Surgical Centers, recovering significant revenue.
- Served as the primary point of contact for patients and providers, resolving billing inquiries and ensuring exceptional customer service.
Medical Coding Specialist
MediMobile
08.2015 - 09.2016
- Led the review of inpatient charges for accurate coding (CPT, ICD-9, ICD-10, HCPCS Level 1), ensuring compliance with regulatory guidelines and contributing to clean claim submission.
- Maintained accurate coordination of benefits, claim rejections, and payment postings in adherence to payer policies, resolving issues to facilitate accurate and timely reimbursement.
- Verified financial accuracy and transparency for leadership through the reconciliation of daily/monthly financials and reporting.
Billing Specialist/Workers' Compensation Coordinator
Austin Sports Medicine
08.2008 - 06.2015
- Conducted thorough clinical and surgical coding audits, identifying and correcting errors to ensure compliance with coding guidelines and optimize claim submissions (electronic and HCFA-1500).
- Oversaw daily and monthly reconciliations, managing lockbox deposits and denied claims appeals to maintain accurate financial records and resolve payment discrepancies.
- Specialized in managing the complete revenue cycle, including full billing cycle operations and workers' compensation coordination within Centricity, to ensure accurate claims processing and optimal reimbursement.
Account Manager
Advantage Practice Resource
02.2004 - 08.2008
- Cultivated and maintained relationships with 8+ clinics and surgeons, achieving a 91% client retention rate.
- Processed payments and managed charges for clients (e.g., Family Medicine, OB/GYN, Neurosurgery), ensuring prompt and accurate billing by troubleshooting and resolving discrepancies to maintain billing integrity.
- Managed appeals and addressed client, payer, and patient inquiries, providing timely and accurate resolutions and leading monthly client meetings to review performance data and ensure client satisfaction.
Education
Bachelor of Science - Health Information Management
Western Governors University
Salt Lake City, UT01.2022
Skills
- Team management
- Effective problem solving
- Strong leadership
- Multitasking and organization
- Revenue cycle management
- HIPAA compliance
Timeline
Patient Access Supervisor
Hanger Clinic
08.2021 - Current
Medical Billing Manager
Round Rock Orthotics & Prosthetics, Inc.
10.2017 - 08.2021
Billing Specialist
Agnite Health LLC
09.2016 - 07.2017
Medical Coding Specialist
MediMobile
08.2015 - 09.2016
Billing Specialist/Workers' Compensation Coordinator
Austin Sports Medicine
08.2008 - 06.2015
Account Manager
Advantage Practice Resource
02.2004 - 08.2008
Bachelor of Science - Health Information Management
Western Governors University
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