Monica Witherspoon
Lithonia,USA
Summary
Encouraging manager and analytical problem-solver with a unique set of talents for team building, leading, and motivating. Excellent customer relations aptitude and relationship-building skills to foster strong connections with clients. Proficient in using independent decision-making skills and sound judgment to consistently make positive contributions to company success. Dedicated to applying training, monitoring, and morale-building abilities to enhance employee engagement and boost overall performance.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Operations Manager
ANWAN Wellness LLC/ Medical Center P.C.
10.2022 - 10.2024
- Optimize the efficiency, accuracy, and quality of daily workflows and services across clinical administrative by implementing standardized procedures, utilizing technology to streamline processes, and regularly evaluating performance metrics to identify areas for improvement
- Effectively manage all human resources functions, encompassing each stage of the employee lifecycle from recruitment to termination
- Develop strong leaders within the organization who are dedicated to best practices in customer service, adherence to corporate policies, and enhancing overall work performance
- Create, revise, and enforce comprehensive corporate policies and procedures that govern all areas of administrative office responsibilities
- Accurately manage all financial activities by creating a system for tracking financial transactions, performing regular reconciliations, and promptly researching and resolving discrepancies to maintain accurate financial records
- Ensure the dependable availability of clinical, office, and laboratory equipment and supplies by proactively monitoring inventory levels, forecasting anticipated needs based on usage trends, placing timely orders, and confirming the accurate and prompt delivery of shipments
- Identified and resolved unauthorized, unsafe, or ineffective practices.
- Established positive and effective communication among unit staff and organization leadership, reducing miscommunications, and missed deadlines.
- Implemented innovative programs to increase employee loyalty and reduce turnover.
- Performed technical and quality systems audits of laboratory.
- Reduced financial inconsistencies while assessing and verifying billing invoices and expense reports.
Accounts Receivable Manager
Soleo Health
01.2016 - 09.2022
- Achieved a remarkable 20% increase in branch revenue within the first six months by collaborating closely with the Accounts Receivable (AR) team
- This collaboration focused on streamlining the billing and collections processes while ensuring the submission of clean claims to reduce denial rates and improve cash flow
- Partnered with the regional revenue manager to design and implement a customized revenue flow analysis model specifically tailored for our branch's unique financial environment
- This model allowed for better forecasting and identification of opportunities for revenue enhancement
- Conducted comprehensive training sessions for new billing and collection specialists, covering the intricacies of our software systems
- I emphasized the importance of strictly adhering to company policies, standard operating procedures, and our established standards of excellence to foster a culture of accountability and efficiency
- Undertook a thorough review of all complex insurance appeals, analyzing each case to develop effective strategies for successful resolution
- This proactive approach minimized potential losses and improved our overall reimbursement rates
- Diligently reconciled quarterly financial reports, ensuring accuracy in all figures and providing insights into financial performance for stakeholders
- Maintained precise and detailed account ledgers for the company, which served as essential tools in tracking financial transactions, monitoring cash flow, and preparing for audits while ensuring compliance with regulatory requirements
Office Manager/ Billing & Coding Specialist
Range of Motion
10.2014 - 12.2015
- Oversaw all accounts payable (AP) and accounts receivable (AR) functions, including managing credits and collections, for a leading company specializing in DVT (deep vein thrombosis) prevention products and services
- This role encompassed ensuring timely and accurate processing of financial transactions to maintain positive cash flow
- Successfully increased company revenue by 8% through strategic improvements and by optimizing existing processes
- Played a pivotal role in business expansion by securing new insurance contracts with several major commercial insurance carriers, which contributed to increased customer access and revenue streams
- Conducted thorough risk analyses on high-value accounts, identifying potential financial risks and opportunities to mitigate exposure, thereby improving overall financial stability
- Reviewed and updated company software systems to ensure the accurate coding of products and services, enhancing operational efficiency and compliance with industry regulations
- Developed and implemented comprehensive training programs for staff, focusing on best practices in all areas of company operations, which fostered professional growth and enhanced team performance
Medicare Billing Specialist
Visiting Nurse Association
02.2011 - 10.2014
- Successfully reduced the company's write-off amounts by over 75% through the implementation of precise insurance verification processes, ensuring that only legitimate claims are processed and reimbursed
- Efficiently managed the processing of over 100 healthcare claims daily, encompassing a diverse range of payers including Medicare, commercial insurance, workers' compensation, and third-party administrators, facilitating a streamlined workflow in the billing department
- Proficiently handled authorization requests for both commercial and Medicare payers, ensuring all necessary authorizations were secured in a timely manner to avoid delays in reimbursement
- Developed new partnerships by securing cases from workers' compensation providers that the company had not previously engaged with, broadening the agency's network and opportunities for patient referrals
- Skillfully negotiated pricing for workers' compensation claims, providing detailed updates to adjusters on patients' progress while fostering professional relationships that encourage referrals for any future patients
- Conducted thorough reviews of all records associated with bills to ensure accuracy, thereby minimizing errors and enhancing the reliability of the billing process
- Carefully examined all claims, including workers' compensation, commercial, and Medicare claims, for correct payment codes, thereby reducing the likelihood of claim denials and expediting payments
- Provided clear and comprehensive explanations of bills to customers and insurance carriers who had inquiries, facilitating better understanding and resolving any disputes effectively
- Managed payroll processing with precision, ensuring timely and accurate payment for all employees
- Trained and supervised personnel on the intricacies of accident insurance claims, covering processing and approval procedures to enhance team efficiency and compliance with regulations
- Conducted weekly tracking of all unbilled claims and outstanding accounts receivable, compiling this data in Excel for reporting to the CFO, CEO, and branch supervisors, ensuring transparency and proactive management of the financial status
- Generated detailed reports for management upon request or on a regular basis to provide insights into claims processing performance, outstanding payments, and operational efficiency
- Acted as the main liaison between the headquarters and regional locations, ensuring the timely and accurate processing of patient documentation, including Oasis assessments, face-to-face interactions, and signed orders, which is crucial for compliance and quality patient care
- Oversaw all aspects of Medicare insurance verifications, guaranteeing that all relevant data was accurate and up to date, to facilitate successful claim submissions
- Collaborated closely with Medicare on audited charts, ensuring that all necessary documentation was complete and correct to secure payment for services rendered
- Compiled comprehensive end-of-month and year-end reports to provide a clear snapshot of financial performance, claims processed, and outstanding collections, aiding in strategic decision-making for the agency’s financial health
- Reviewed patient diagnosis codes to verify accuracy and completeness.
Education
Bachelor of Science - Health Information Management
Ashford University
Associate of Science - Medical Billing and Coding
Medvance Institute
Certificate - Nursing Assistant
Parkway Health and Rehabilitation Center
Skills
- Financial Transaction Oversight
- Key Holder with Accountability
- Account Reconciliation Expertise
- Detailed Ledger Management
- Knowledge of Georgia Tax Legislation
- Information Gathering
- Training Development
- Risk Assessment
- Detail-Oriented
- Payroll Systems Management
- End-of-Year Tax Processing
- Client Relationship Management
- Regulatory Adherence
- Project Execution
- Analytical Thinking
- Cross-Functional Collaboration
- Advanced Problem Solving
- Process Documentation
- Experience with Sage Intacct
- Proficient in QuickBooks
- Excel Proficiency
- NetSuite Application Knowledge
- Expense Management Software
- Proficient in Microsoft Office Suite
- Google Workspace Proficiency
- Marketing
- Production
- Performance reporting
- Incidents management
Accomplishments
- Reduced operational expenses by 15% by streamlining branch operations.
- Supervised team of 40 staff members.
- Oversaw the successful implementation of CLIA (Clinical Laboratory Improvement Amendments), HRSA (Health Resources and Services Administration), and VFC (Vaccines for Children) policies and procedures across three medical clinics
Certification
- HIPPA Certifications, American Health Training, 2025
- BBP Certification, American Health Training, 2025
Timeline
Operations Manager
ANWAN Wellness LLC/ Medical Center P.C.
10.2022 - 10.2024
Accounts Receivable Manager
Soleo Health
01.2016 - 09.2022
Office Manager/ Billing & Coding Specialist
Range of Motion
10.2014 - 12.2015
Medicare Billing Specialist
Visiting Nurse Association
02.2011 - 10.2014
Associate of Science - Medical Billing and Coding
Medvance Institute
Certificate - Nursing Assistant
Parkway Health and Rehabilitation Center
Bachelor of Science - Health Information Management
Ashford University
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