Misty Ballard
Accounts Receivable
Waverly,TN
Summary
Seasoned professional with 15 years in healthcare revenue cycle management, specializing in DME collections and authorizations. Delivers accurate, timely reports while maintaining compliance with stringent guidelines. Excels in fast-paced environments, leveraging strong organizational skills and adaptability to drive continuous improvement.
Overview
25
25
years of professional experience
1
1
Certification
Work History
Lead, Accounts Receivable
OVATION HEALTHCARE
06.2025 - Current
- Oversaw team of 19 follow-up, CSR, and billing representatives to ensure efficient operations.
- Monitored weekly productivity and expected cash collections to align team goals with financial targets.
- Review and approve adjustments, refunds, and transfers.
- Compiled monthly performance reports detailing key metrics.
- Conducted 1:1 calls with representatives for ongoing training and performance feedback.
- Monitor top 20 accounts and reviews with facility.
- Monitor workqueues in Epic system.
Lead, Account Follow Up
MEDHOST
05.2024 - 05.2025
- Oversee a group of 7 follow up reps for 2 facilities and a clinic.
- Monitored and analyzed monthly productivity reports to identify trends and areas for improvement.
- Facilitated biweekly meetings with reps and conducted facility status calls with management to align on priorities and address challenges.
- Coordinated Salesforce inquiries between reps and the facility, ensuring timely updates and communication during facility calls with management.
- This included inquiries for things such as registration errors, authorizations, coding, and charge issues in question.
- Trained representatives on processes and protocols.
- Managed HR functions in Workday, including time off requests and approving time for payroll weekly.
Account Follow Up Rep II
MEDHOST
05.2022 - 05.2024
- Resolved daily $0 pay denials by reviewing account details and collaborating with insurance providers.
- Followed up on and took next steps in resolving accounts for various payers for community hospital and rural health clinic clients on Medhost.
- Reviewed and addressed weekly accounts with no comments over 30 days to ensure timely follow-up.
- Requested necessary adjustments to billing entries based on account reviews and payer feedback.
- Utilized Salesforce for inquiries to the facility.
Account Follow Up Rep I
MEDHOST
05.2020 - 01.2022
- Resolved $0 pay denials on a daily basis by reviewing account details and contacting payers.
- Followed up and resolved accounts for various payers for community hospital and rural health clinic clients on Medhost.
- Worked weekly on accounts with no comments over 30 days to ensure timely resolution.
- Requested adjustments to accounts based on discrepancies identified during review.
- Utilized Salesforce for inquiries to the facility.
Billing Coordinator/Business Office Manager
HUMPHREYS COUNTY CARE AND REHAB
10.2019 - 04.2020
- Billed monthly claims for all insurances and generated patient statements for skilled nursing facility, ensuring timely revenue cycle management.
- Monitored daily census for admits and discharges, tracking Medicare days remaining to support accurate billing processes.
- Medicaid Applications: Follow up on submitted applications and obtain MOPD dates to begin billing Medicaid after skilled days are used.
Business Office Manager
THREE RIVERS HOSPITAL
Waverly
07.2018 - 10.2019
- Oversaw business office functions for critical access hospital, managing billing and collections to ensure financial stability.
- Scheduled and supervised admitting staff for emergency room, outpatient registration, and specialty clinic to optimize patient flow.
- Managed credentialing process for healthcare providers, ensuring compliance with regulatory standards.
Office Manager/Billing
KING FAMILY MEDICAL
Waverly
07.2010 - 07.2018
- Oversaw Billing and Accounts Receivable.
- Managed accounts payable processes, ensuring timely vendor payments and maintaining positive relationships.
- Kept up with federal, state, and commercial insurance guidelines.
- Maintained current fee schedules.
- Supervised front desk staff, coordinating scheduling, check-in, payments, insurance verification, and referrals/authorizations.
- Facilitated staff training sessions to develop skills and improve service quality.
- HR functions such as hiring, payroll, and conducting staff meetings.
- Work as liaison between Nurse Practitioner/Owner, office staff, IT company, and EHR support company to resolve issues.
- Prepared monthly financial reports to track business performance.
- EHR/Meaningful Use Guidelines and attestation.
- Credentialing for 3 nurse practitioners for a family practice.
- Medical Records/chart review.
Lead Collection Follow Up Representative
APRIA HEALTHCARE
Jackson
06.2005 - 07.2010
- Collection Rep, Jan-June 2005.
- Supervised team of 11 reps, ensuring adherence to performance standards.
- Conducted training sessions for staff to enhance skills and knowledge.
- Follow up to ensure compliance with company/insurance guidelines.
- Prepare and distribute queue reports to department with top dollar and old A/R accounts.
- Track productivity and keep up with attendance and performance logs.
- Managed accounts receivable and processed insurance billing transactions.
- Have also overseen suspended billing department.
- Obtained authorizations and prescriptions.
- Assigned appropriate business rules to payers in the system according to their guidelines.
- Reviewed and approved system matrix changes to send to corporate.
- Reviewed training issues as Quality Assurance representative, providing feedback to enhance staff development.
- Helped train employees in India with transition of billing center responsibilities.
- Held weekly calls with their employees and updated excel spreadsheet with payer details and guidelines.
- Traveled to CT to assist in the transition of local billing center to super center.
Collection Representative
REGIONAL HOSPITAL (WEST TN CBO)
Jackson
04.2004 - 12.2004
- Managed Tenncare collections, ensuring smooth billing operations.
- Processed patient accounts, facilitating timely collections and resolving outstanding balances.
- Communicated with patients regarding payment options and financial assistance programs.
- Utilized billing software to track payments and maintain accurate account information.
Biller/Collections Representative
THREE RIVERS HOSPITAL
Waverly
01.2001 - 01.2003
- Followed up on industrial and commercial accounts to resolve outstanding payments.
- Processed billing tasks for local hospital, ensuring timely and accurate invoicing.
Education
Associates Degree -
Nashville State community college
Waverly, TN12.2004
Diploma -
WAVERLY CENTRAL HIGH SCHOOL
Waverly, TN05.1998
Skills
- Accounts receivable management
- Receivables management
- Revenue management
- Client management
- Clearinghouse operations
- Chart review and analysis
- Customer relationship management
- Salesforce expertise
- Microsoft Office Suite
- Excel and Word proficiency
- Billing management
- EHR systems
- Salesforce skills
- Credentialing procedures
- Performance monitoring
- Process improvement
- Quality assurance
- Credentialing
- Report preparation
- Clearinghouse management
Certification
RH-CBS certification
Timeline
Lead, Accounts Receivable
OVATION HEALTHCARE
06.2025 - Current
Lead, Account Follow Up
MEDHOST
05.2024 - 05.2025
Account Follow Up Rep II
MEDHOST
05.2022 - 05.2024
Account Follow Up Rep I
MEDHOST
05.2020 - 01.2022
Billing Coordinator/Business Office Manager
HUMPHREYS COUNTY CARE AND REHAB
10.2019 - 04.2020
Business Office Manager
THREE RIVERS HOSPITAL
07.2018 - 10.2019
Office Manager/Billing
KING FAMILY MEDICAL
07.2010 - 07.2018
Lead Collection Follow Up Representative
APRIA HEALTHCARE
06.2005 - 07.2010
Collection Representative
REGIONAL HOSPITAL (WEST TN CBO)
04.2004 - 12.2004
Biller/Collections Representative
THREE RIVERS HOSPITAL
01.2001 - 01.2003
Associates Degree -
Nashville State community college
Diploma -
WAVERLY CENTRAL HIGH SCHOOL