Marchelle Batey
Murrieta,CA
Summary
Proactive and meticulous Client Success Manager with over 20 years of experience in the Revenue Cycle Management industry. Proficiencies in multi-specialties ranging from OBGyn, cardiology, urology, internal medicine, and surgery. Offshore engagement and management. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
22
22
years of professional experience
Work History
Senior Client Success Manager
Coronis Health LLC
08.2022 - Current
- Manage and supervise day-to-day activities related to revenue cycle management
- Establish and maintain successful client relationships by acting as first point of contact to resolve and address escalations
- Manage and analyze Key Performance Indicators (KPI) data
- Supervise multi-disciplinary offshore team responsible for charge entry, rejection management, payment posting, and denial management.
- Generated reports and provide analysis to executive management, providers, and practice staff to provide insights into RCM overall health.
- Conduct and lead reoccurring client facing meeting
- Led process improvement and problem-solving efforts to create standard operating procedures and escalation policies.
Revenue Cycle Management Specialist
Allscripts
05.2009 - 08.2022
- Responsible for overall recovery and management of accounts receivable for various provider specialties such as OBGYN, Cardiology, Urology, and Internal Medicine
- Overseeing month-end closing processes balancing and reconciling accounts
- Maintain and oversee Key Performance Indicator (KPI) data for executive management review
- Generated receivables reports and offered improvement recommendations for reduction of greater than 90-day aging.
- Reached out to insurance companies to verify coverage, dispute denials, timely follow-up, and resolve clearinghouse rejections
- Acting team lead training and auditing associates on client-specific protocols as well as overall company policies and procedures
- Updating and creating billing manuals.
- Establishing and maintaining successful relationships with practices through efficient oral and written communication in a timely manner
- Identified and resolved payment issues between patients and providers.
- Additional duties performed as assigned
Senior Biller
Physicians Management Group, Inc
07.2007 - 01.2009
- Overseeing accounts receivable for the Perinatal specialty department
- Completing Aged Trial Balance (ATB) monthly reports to address and reconcile outstanding balances that have exceeded 30 days and greater
- Performing eligibility and benefit verification
- Timely claim and appeal submission and follow-up
- Scrubbing claims for proper modifier and procedure code combinations
- Resolving clearinghouse rejections to improve clean claim rates and denial reduction
- Making necessary phone calls to insurance payers and patients to reconcile outstanding account balances
- Other duties assigned to meet departmental needs.
- Audited and corrected billing and posting documents for accuracy.
- Generated monthly billing and posting reports for management review.
- Reconciled accounts receivable to the general ledger.
- Generated accounts payable reports for management review to aid in financial and business decision-making.
Claims Analyst
Primary Provider Management Company
01.2004 - 07.2007
- Process a minimum of two hundred claims or a three-hundred-line detail with a 95% daily accuracy rate
- Appropriately approving clean claims for payment when all necessary criteria have been met
- Appropriately denying professional claims for payment applying the proper denial rational explanations for providers and patients when claims do not meet patient benefit guidelines or providers lacking necessary billing requirements
- Calculate figures such as discounts, interest, recoupment, and percentages
- Read and interpret supporting documents attached to claims such as physician orders, medical records, reports, and medication administration records to determine justification for payment, denial, or proof of timeliness
- Other duties assigned to meet departmental needs.
Revenue Recovery Billing Specialist
AmeriChoice/ A United Health Group
05.2002 - 01.2004
- Process required claim information to generate Medi-Cal claims for timely submission
- Analyze and resolve claim/billing inquiries and issues
- Follow up on RTDS, denials, and rebilling to collect payment in a timely manner
- Process required information for TAR approval and submissions
- Make and receive necessary phone calls to facilitate Claim submissions
- Other duties as assigned to meet departmental needs.
Billing and Collection Specialist
Phycare Inc
07.2001 - 04.2002
- Process billing for Medicare, Medi-Cal, and Tricare
- Process medical, demographical, and social information pertaining to patient accounts
- Complete and submit claims accurately in a timely manner to receive proper payment
- Analyze and assist patients with questions and concerns regarding their accounts
- Generate monthly reports on all outstanding patient accounts for all lines of business
- Other duties assigned to meet departmental needs.
Education
Bachelors of Science - Health
University of Phoenix
Phoenix, AZ06.2021
Certified Medical Insurance Technician -
Maric College Quest
San Deigo, CA 06.2001
High School Diploma -
Patrick Henry High School
San Diego, CA06.1999
Skills
- Time management
- Organizational skills
- Critical thinking
- Problem-solving and Decision-making
- EMR Systems
- Team Training and Mentoring
- Microsoft Office and Excel
Timeline
Senior Client Success Manager
Coronis Health LLC
08.2022 - Current
Revenue Cycle Management Specialist
Allscripts
05.2009 - 08.2022
Senior Biller
Physicians Management Group, Inc
07.2007 - 01.2009
Claims Analyst
Primary Provider Management Company
01.2004 - 07.2007
Revenue Recovery Billing Specialist
AmeriChoice/ A United Health Group
05.2002 - 01.2004
Billing and Collection Specialist
Phycare Inc
07.2001 - 04.2002
Bachelors of Science - Health
University of Phoenix
Certified Medical Insurance Technician -
Maric College Quest
High School Diploma -
Patrick Henry High School