Michele Ray
Maud
Summary
Dynamic Business Office Director at Kickapoo Tribal Health Center with expertise in financial management and regulatory compliance. Proven track record in enhancing operational efficiency and fostering team collaboration. Skilled in accounts receivable operations, I successfully improved billing processes, ensuring accuracy and compliance while delivering exceptional customer service.
Overview
22
22
years of professional experience
1
1
Certification
Work History
Business Office Director
Kickapoo Tribal Health Center
McLoud
05.2006 - 05.2025
- Directed the organization's daily operations, ensuring compliance with applicable laws and regulations.
- Recruited, trained, supervised, evaluated and mentored staff members.
- Developed and implemented comprehensive strategies to improve operational processes and organizational efficiency.
- Cultivated strong relationships with customers by responding promptly to inquiries or complaints.
- Implemented systems for tracking progress on key initiatives or projects.
- Created detailed plans outlining timelines, goals, budgets, staffing needs and other requirements for projects.
- Facilitated collaboration between teams by encouraging open communication channels.
- Assessed employee performance against established benchmarks or targets.
- Developed policies and procedures to ensure compliance with corporate standards.
- Ensured compliance with all relevant regulations, policies and procedures.
- Reviewed all incoming payments for accuracy before posting them into the general ledger system.
- Analyzed customer account information to identify discrepancies or trends in payment history.
- Reconciled daily cash receipts with bank deposits.
- Assisted in month-end closing activities such as preparing journal entries, reconciling accounts, and creating financial reports.
- Generated weekly aging reports to track overdue payments from clients and followed up accordingly.
- Provided support on audits of accounts receivable by gathering requested information from internal systems.
- Responsible for entering customer payments into the accounting software system.
- Processed invoices, credit memos, and other documents related to accounts receivable.
- Generated monthly financial reports for management review.
- Reconciled customer accounts and resolved discrepancies.
- Prepared aging reports to identify past due accounts.
- Assisted in developing and updating accounts receivable procedures.
- Utilized accounting software for efficient management of receivables.
- Provided excellent service and attention to customers when face-to-face or through phone conversations.
- Utilized various software and tools to streamline processes and optimize performance.
Medical Insurance Biller
Kickapoo Trial Health Center
McLoud
05.2003 - 05.2006
- Performed data entry into computerized systems used for tracking patient encounters, services rendered, charges billed.
- Provided feedback on any identified errors or discrepancies in billing records or invoices.
- Ensured compliance with HIPAA privacy regulations when handling sensitive patient information.
- Verified patient information, such as demographics and insurance coverage, to ensure accuracy of claim submissions.
- Identified opportunities for improving processes related to medical billing activities.
- Reviewed and processed medical claims for accuracy according to insurance guidelines.
- Submitted electronic and paper claims to insurance companies for payment.
- Conducted periodic reviews of all account receivables for accuracy.
- Worked with other departments within the organization to resolve discrepancies between bills and payments received from insurers.
- Processed refunds associated with overpayments made by third party payers on behalf of patients.
- Performed daily audits of submitted claims to verify accuracy prior to submission.
- Collaborated with external auditors during annual financial statement audit process.
- Generated regular aging reports detailing accounts receivable balances due from various third party payers.
- Prepared reports of unpaid or rejected claims for management review.
- Input details into accounts and tracked payments.
- Posting insurance payments on accounts.
- Reconciled payment batches to posted AR.
- Reconciled payment batches to posted AR
- Distributed or posted financial data to appropriate accounts and prepare simple reconciliations.
- Submitted appeals using provider portals and phone communication.
- Reviewed account information to confirm patient and insurance information is accurate and complete.
- Monitored reimbursement from managed care networks and insurance carriers to verify consistency with contract rates.
- Communicated with insurance representatives to complete claims processing or resolve problem claims.
- Maintained accounting ledgers by verifying and posting account transactions.
- Participated in workshops, seminars, and training classes to gain stronger education in industry updates and federal regulations.
- Reconciled codes against services rendered.
- Weighed envelopes containing statements to determine correct postage and affix postage.
- Checked claims coding for accuracy with ICD-10 standards.
- Monitored past due accounts and pursued collections on outstanding invoices.
- Knowledge of Medicare, Medicaid, and private insurance billing guidelines.
- Answered customer questions to maintain high satisfaction levels.
Education
CPC, Certified Professional Coder - Outpatient Medical Coding, CPC
City College
Norman, OK05-2000
Skills
- Financial management
- Regulatory compliance
- Project management
- Customer service
- Audit support
- Accounts receivable
- Employee training
- Staff supervision
- Process improvement
- Data analysis
- Team collaboration
- Communication skills
- Problem solving
- Payment processing
- Process improvements
- Research skills
- Staff training and development
- Revenue reviews
- Accounts receivable operations
- Electronic medical records (EMR) systems
- Spreadsheet and database creation
- Employee onboarding
- Expense tracking
- Teamwork
- Time management
- Meeting Deadlines
Accomplishments
- Appointed by the Kickapoo Tribe of Oklahoma's Business Committee as the Interim Health Director of Kickapoo Tribal Health Center:
06/04/2024 - 09/01/2024
03/31/2023 - 08/20/2023
10/18/2021 - 04/03/2022
- Voted as Director of the year:
2014
2019
- Emergency Management Response Group
- Policy and Procedures Committee
- EHR Committee
- Grievance Committee
- Compliance Committee
- Member of the AAPC since 2000
Certification
- Certified Professional Coder, CPC since 2000
Languages
English
Professional
References
References available upon request.
Timeline
Business Office Director
Kickapoo Tribal Health Center
05.2006 - 05.2025
Medical Insurance Biller
Kickapoo Trial Health Center
05.2003 - 05.2006
CPC, Certified Professional Coder - Outpatient Medical Coding, CPC
City College
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