Misty Walker
Jasper,AL
Summary
Seasoned Billing Manager proficient in overseeing team operations, implementing improvements and reducing delinquency. Focused on team efficiency and producing high-quality work. Enthusiastic about taking billing operations to the next level through proactive leadership and skilled problem solving.
Overview
22
22
years of professional experience
1
1
Certification
Work History
Revenue Cycle Operations Manager
Bradford Health Services
06.2021 - Current
- Work with payers and vendors as needed to solve outstanding issues with claims/payment
- Establish and maintain clearinghouse connections for all facilities.
- Facilitated smooth collaboration between departments through clear communication channels.
- Maximized reimbursements by staying current on payer requirements and maintaining strong relationships with insurance providers.
- Developed systems and procedures to improve operational quality and team efficiency.
- Analyzed and reported on key performance metrics to senior management.
- Maintained up-to-date knowledge of industry regulations and compliance requirements, ensuring the department remained compliant at all times.
- Streamlined the revenue cycle process for improved efficiency and faster payment collection.
- Reduced outstanding account balances by implementing effective collection strategies.
- Trained new team members on revenue cycle best practices, contributing to a more knowledgeable workforce.
Sr Billing Representative
Surgical Care Affiliates (Practice Partners in Healthcare)
01.2016 - 06.2021
- Reduced outstanding receivables by diligently monitoring accounts and initiating appropriate collection actions.
- Collaborated with cross-functional teams to ensure proper application of contract terms and conditions during the billing process.
- Maintained up-to-date knowledge of industry regulations, ensuring compliance in all aspects of the billing process.
- Managed client relationships effectively, addressing concerns promptly and professionally to ensure continued business partnerships.
- Anticipated potential conflicts by proactively reviewing contracts for special billing requirements or provisions outside standard practices.
- Enhanced the accuracy of medical billing by thoroughly auditing patient records and identifying discrepancies.
- Prepared working papers, reports and supporting documentation for audit findings.
- Increased coding accuracy by diligently reviewing medical documentation and applying appropriate codes.
Patient Care Representative
Birmingham Gastroenterology Associates
10.2015 - 12.2015
- Improved cash flow for the company by promptly resolving outstanding invoices and accounts receivable issues.
- Enhanced customer satisfaction by addressing billing inquiries professionally and providing effective solutions.
- Conducted thorough audits of client accounts to identify discrepancies, enabling prompt resolution of any issues.
- Developed customized reports for management, providing valuable insights into billing trends and areas for improvement.
- Optimized revenue generation by identifying under-billed accounts and working closely with clients to rectify the situation.
- Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
- Researched and resolved billing discrepancies to enable accurate billing.
Office Administrator/Billing Specialist
Hanger Clinic/Birmingham Limb And Brace
04.2013 - 10.2015
- Boosted productivity by prioritizing tasks, managing schedules, and coordinating meetings for staff members..
- Maintained electronic and paper filing systems for easy retrieval of information.
- Streamlined the billing process, reducing errors and increasing overall productivity.
- Reduced outstanding receivables by implementing effective collection strategies.
- Maintained accurate financial records, ensuring all transactions were properly documented and filed.
- Participated in ongoing training sessions, staying up-to-date on best practices in billing and collections processes.
- Prepared detailed reports on account activity for management review, identifying areas for improvement or concern.
- Enhanced revenue by streamlining medical billing processes and improving accuracy in claims submissions.
- Reduced claim denials by diligently reviewing patient records for correct coding and billing information.
- Improved cash flow through timely follow-up on outstanding accounts, negotiating payment plans, and collecting overdue payments.
- Ensured compliance with industry regulations by staying up-to-date on changes to medical billing procedures and guidelines.
- Assisted in maintaining a high-quality database of patient information by accurately entering demographic and insurance details into the system.
- Increased overall collection rates with a focus on reducing aged receivables and minimizing writeoffs.
- Provided exceptional customer service to patients regarding their account balances, addressing concerns and answering questions in a professional manner.
- Trained new employees on medical billing software, policies, and procedures, ensuring accuracy in claims submission from day one.
Executive Vice President
Code Collect LLC, a Coding and Billing Company (Merem)
06.2008 - 04.2013
- Negotiated contracts with vendors for cost savings, improving the company''s bottom line.
- Improved medical billing processes by streamlining workflows and implementing efficient systems.
- Monitored compliance with industry regulations to mitigate risks associated with audits and penalties.
- Implemented new software systems for better tracking of accounts receivable and payable balances.
- Trained team members on best practices in medical billing, ensuring consistent high-quality work across the department.
- Streamlined claim appeals process by creating clear documentation guidelines and templates for staff use.
- Managed a team of dedicated medical billers, focusing on professional development opportunities and maintaining a positive work environment conducive to high levels of productivity.
- Achieved key performance metrics goals by setting expectations for the team''s output quality standards while monitoring progress toward objectives closely throughout each reporting period.
- Maintained up-to-date knowledge of regulatory changes impacting medical billing practices to ensure ongoing compliance within the organization.
- Facilitated cross-departmental collaboration between clinical teams as well as finance and administrative staff to ensure seamless integration of billing-related tasks into daily workflows.
- Served as an expert resource on complex patient account issues or high-dollar claims requiring specialized handling, ultimately resolving outstanding balances in an efficient manner.
Patient Account Representative-Collection Specialist
Alabama Sports Medicine and Orthopaedic Center, Andrews Sports Medicine and Orthopaedic Center
03.2006 - 06.2008
- Billing and Collections in all aspects of Orthopaedics, private and commercial insurances, private patient billing
- Primary and Secondary Claims Filing
- Customer Service via telephone and email (internal and external)
- Create and work monthly A/R reports using Word and Excel
- Knowledge of HIPAA and Collection Laws
- Manage all aspects of Private and Contracted College Billing
- Correcting coding errors for office and surgical procedures
- A/R Follow up.
Billing Collections Team Leader
Med South Inc
01.2002 - 01.2006
- Increased revenue recovery by consistently meeting and exceeding monthly collection targets.
- Increased revenue by identifying underpayments and errors, ensuring proper reimbursement from insurance companies.
- Reduced claim denials by maintaining up-to-date knowledge of insurance policies and regulations.
- Maintained current accounts through aged revenue reporting.
- Researched and followed up on denied insurance claims.
- Posted charges, payments and adjustments
- Participated in workshops and other training opportunities to remain current on billing procedures, regulations and industry updates.
- Verified insurance of patients to determine eligibility.
- Generated reports and analyzed trends to maximize reimbursement and reduce claim denials.
Education
Certification - Medical Billing
Med University
Certification - Certified Patient Account Rep (CPAR)
Virginia College
Skills
- Claims Management
- Billing cycle expertise
- Certified Professional Coder
- Denial Resolution
- Staff Recruitment and Hiring
- Revenue Cycle Management
- Claims Processing
- Insurance claims analysis
- Medical claims coding
- HIPAA Compliance
Certification
- CPC- Certified Professional Coder
- CPMA- Certified Professional Auditor
- CASCC- Certified Professional ASC Coder
- CPAR- Certified Patient Account Rep
References
References provided upon Request
Timeline
Revenue Cycle Operations Manager
Bradford Health Services
06.2021 - Current
Sr Billing Representative
Surgical Care Affiliates (Practice Partners in Healthcare)
01.2016 - 06.2021
Patient Care Representative
Birmingham Gastroenterology Associates
10.2015 - 12.2015
Office Administrator/Billing Specialist
Hanger Clinic/Birmingham Limb And Brace
04.2013 - 10.2015
Executive Vice President
Code Collect LLC, a Coding and Billing Company (Merem)
06.2008 - 04.2013
Patient Account Representative-Collection Specialist
Alabama Sports Medicine and Orthopaedic Center, Andrews Sports Medicine and Orthopaedic Center
03.2006 - 06.2008
Billing Collections Team Leader
Med South Inc
01.2002 - 01.2006
Certification - Medical Billing
Med University
Certification - Certified Patient Account Rep (CPAR)
Virginia College