Michelle Timms

Dynamic Senior Business Office Consultant with extensive experience in contracting with hospitals for short- and long-term projects. Expertise includes roles such as Business Office Director, registration, billing, collections, and assessments, ensuring streamlined operations and improved revenue cycle management. Proven ability to provide interim Business Office personnel, delivering immediate support and strategic solutions tailored to organizational needs. Committed to driving efficiency and excellence in healthcare business operations through innovative approaches and collaborative partnerships.

• Achieved certification through the Institute of Certified Professional Managers (ICPM): Certified Manager (CM), [Date].
• Documented and resolved A/R days which led to Additional revenue .
• Supervised team of 14 staff members.
• Collaborated with team of Insource in the development of Business office Process Flows

• 25 Years’ experience within Healthcare Reimbursement/ Expertise in A/R cleanup/cash collections covering all facets of healthcare reimbursement processes.
• Analyze cost reports and KPI’s to identify potential recovery issues for clients.
• Extensive Knowledge of all payers related to healthcare reimbursement. Commercial, Workers Compensation, Medicare, Medicaid/Medi-Cal, Managed care Government Reimbursement guidelines, Indian health services and Charitable hospital Programs, MMAI Plans.
• Target problems occurring in the process of claims and submitting recommendations for resolution of problems/ and or resolving accounts.
• Monitor and reconcile accounts receivable to ensure payers are processing claims in compliance and in accordance to negotiated rates.
• Comprehensive knowledge in registration, billing, reimbursement, and revenue cycle.
• Extensive experience managing high volume Accounts Receivable as it relates to physician and hospital billing. Experience with Dialysis, Home Health, Long-term Care, Infusion Therapy.
• In-depth knowledge of third party pay, billing requirements, reimbursement practices, and regulatory guidelines
• Strong written and verbal communication skills. Ability to provide leadership, motivate and influence others to achieve maximum results.