Nicole Bertrand
Carpentersville,IL
Summary
Results-oriented individual with a passion for continuous learning and innovation. Known for leveraging analytical thinking and creativity to solve problems and deliver high-impact solutions in fast-paced environments.
Overview
16
16
years of professional experience
Work History
Lead Billing Manager
Huron Consulting Group
05.2022 - Current
- Oversees Client supporting Acute Non-Govt Billing for 35 Hospitals within the California, Hawaii, and Washington State markets processing $60 million in daily claims revenue
- Kept KPIs below expected metric goals, implementing corrections within Cerner that Client was unable to determine
- Analyzing system processes within the DNFB and Clearinghouse areas of Billing to streamline processes and meet Gap to Goal metrics for the client
- Manage a staff of 45 Billing Associates with two reporting Supervisors
- Cross team collaborations with all other areas within Rev Cycle to help meet system goals and reduce AR denials
- Create process maps, training for staff, and drive cleaner claim rate through the use of system automations
- Currently implementing Host system transitions from Cerner to Epic.
Billing Manager
NorthShore University Health System
06.2019 - 05.2022
- Orchestrated centralization of claim submission functions to optimize processing of $23 million in daily claims revenue
- Performed revenue cycle reporting and analysis to determine issues and create solutions
- Assisted on multi-system integration from two separate legacy systems to current Epic host system
- Facilitated successful migration to new Imaging Software OnBase, ensuring teammate and process readiness while mitigating performance risks
- Implemented automation across multiple functions within Epic host system which lead to department efficiencies, earning organization recognition for Midwest Hospitals
- Responsible for Management of two separate departments: 18 Billers in the Billing Department and 6 Correspondence Representatives with 1 Reporting Supervisor
- Managed onsite vendor that managed all insurance and attorney requests pertaining to medical records and itemized statement
- Implemented department productivity and created standardized workflow along with staff cross-training
- Identified multiple areas of cost-savings within PFS department with the use of Correspondence team.
Revenue Cycle Supervisor
Option Care
08.2018 - 06.2019
- Managed a staff of 13 collection specialist whose focus is all traditional and managed Medicaid/Medicare payers for a billing center that processes $41 million in monthly claim revenue
- Directed growing staff and conducted meetings facilitating collaboration in developing initiatives for continuous revenue and productivity improvements and employee satisfaction
- Developed pre-billing claim edits resulting in compliant billing which reduced denials and accelerated revenue generation
- Reduced outstanding days in A/R and denials through process improvement methodologies, insurance spec sheets, and cash velocity trending
- Worked with internal and external lines of business for successful outcomes
- Designed, implemented, and managed Standard Operating Procedures to align operations with best practices, met regulatory requirements, and improve patient service
- Nominated as Audit Champion to manage any payer audits ex: Managed Blue Cross.
Billing Manager
Amita Health
09.2017 - 08.2018
- Responsible for overseeing billing of accounts and help the department resolve revenue cycle problems
- Managed a staff of 32 off and on-site billers including one reporting Supervisor
- Billed daily revenue of claims in excess of $26 million dollars for a total of nine hospitals
- Performed revenue cycle reporting and analysis to determine issues and create solutions
- Assisted on system integration from two separate legacy systems to a new combined revenue application system
- Developed innovative methods for measuring and increasing staff productivity, quality, and effectiveness of billing and accounts receivable goals
- Worked with clinical and coding departments to effectively troubleshoot problematic accounts
- Responsible for Supervisor and staff coaching, development, paid time-off, and yearly performance reviews.
Billing Coordinator
Amita Health
08.2015 - 09.2017
Senior Billing Specialist
Amita Health
03.2013 - 07.2015
Billing Specialist
Amita Health
10.2011 - 02.2013
Claims Representative
Healthcare Financial Resources
07.2010 - 08.2011
Receipt Poster
Athletico
02.2009 - 01.2010
Education
Bachelor of Science - BS - Healthcare Management
Columbia College of Missouri
04.2022
Healthcare Administration/Management
First Institute
01.2007
Skills
- Results Orientated
- Comprehensive knowledge of complete Rev Cycle
- Analytical problem solver
- Ability to work with cross-functional teams of internal and external stakeholders
- Experience with claims management UB04
- System Knowledge: Epic, Meditech, Cerner Millenium, SSI and Experian Clearinghouse
- Revenue Cycle Management
- Operations Monitoring
- Process Improvements
- Workflow Optimization
- Employee Supervision
- Inventory Management
- 837I & 835 EDI File Experience
Timeline
Lead Billing Manager
Huron Consulting Group
05.2022 - Current
Billing Manager
NorthShore University Health System
06.2019 - 05.2022
Revenue Cycle Supervisor
Option Care
08.2018 - 06.2019
Billing Manager
Amita Health
09.2017 - 08.2018
Billing Coordinator
Amita Health
08.2015 - 09.2017
Senior Billing Specialist
Amita Health
03.2013 - 07.2015
Billing Specialist
Amita Health
10.2011 - 02.2013
Claims Representative
Healthcare Financial Resources
07.2010 - 08.2011
Receipt Poster
Athletico
02.2009 - 01.2010
Bachelor of Science - BS - Healthcare Management
Columbia College of Missouri
Healthcare Administration/Management
First Institute