Nicole Le Roy
Arlington,WA
Summary
Well-qualified financial systems leader offering demonstrated skill and success in managing internal accounting processes, improving controls and strengthening systems for optimal performance. Proficient in all aspects of accounting, including accounts payable and receivable, budget administration and payroll. Gifted in building and leading solid teams to handle high-volume operations with consistency, accuracy and full compliance with regulatory requirements.
Overview
20
20
years of professional experience
1
1
Certification
Work History
Revenue Cycle Manager
Proliance Orthopedics Associates
Renton, WA
06.2023 - Current
- Coordinated between various departments such as front desk staff, medical coders and billers.
- Developed strategies to reduce denials, improve accounts receivable, and enhance revenue cycle performance.
- Generated reports detailing key metrics such as days in accounts receivable, denial rate.
- Managed collection efforts by providing guidance on follow-up procedures for unpaid invoices.
- Maintained oversight of all billing operations including coding, charge entry, payment posting, collections and appeals.
- Oversaw training of staff on changes in insurance regulations and coding updates impacting reimbursement rates.
Billing Manager
Performance Home Medical
Kent, WA
12.2021 - Current
- Working closely with Director of Revenue Cycle Management
- Managing 5 Supervisors for a team of 40 employees.
- Reviewed billing problems, researched issues and resolved concerns.
- Managed monthly billing process to complete billings and returns to meet company revenue recognition policies.
- Created new standard operating procedures improving billing accuracy and cash flow.
- Trained and mentored staff on procedures, compliance requirements and collections techniques.
- Conducted performance reviews and implemented improvement plans.
- Recruited, interviewed, hired employees and implemented mentoring program to promote positive feedback and engagement.
- Reviewed historical records, current operational data and forecasting information to identify and capitalize on system enhancement opportunities.
Revenue Cycle Manager
First Med Urgent Care/Solara Surgical Partners
Edmond, OK
03.2020 - 02.2021
- Responsible for managing the billing team ensuring top performance of billing staff by providing them adequate coaching and guidance
- Developing and implementing billing policies by setting up procedures and standards to guide the operation of the workplace
- Determine current trends and provide a review to management to act on
- Delegate tasks weekly to each staff member to ensure we are working tasks of importance
- Responsible for ensuring billing financial objectives are met by preparing annual budget for the office, planning the expenditures, analyzing variances and carrying out necessary corrections that may arise
- Evaluate and manage staff performance
- Working with each Staff member to create a work environment that work best for them
Team Lead
Solara Surgical Partners
Edmond, OK
06.2019 - 03.2020
- Supervise the billing team for Summit medical as well as the billing department for an Urgent care facility
- This totals 8 individuals and 6 locations
- New hires are trained by me on multiple systems to ensure training is consistent
- Responsibilities include but not limited to; Overseeing the billing process for accurate processing and timely filing, monitor the A/R to keep percentages down on a monthly basis, weekly reporting for auditing and improvement, weekly meetings with staff for Q & A on problematic accounts, analyzing new structures to ensure all employees are in the positions that suit them, as well as accompanying my manager on any special projects or end of month tasks needing to be completed.
Collections Manager\Billing Specialist
IMMUNOe
Centennial, CO
08.2015 - 05.2019
- Working with patients to customize payment options, payment plans, processing credit cards, refunds and working closely with our outside collections company
- In addition I also work full cycle billing beginning with completing all pending charges in a timely manner while obtaining maximum reimbursement and assuring all charges have been accounted for
- Following up with insurance companies with rejections/denials and or takebacks
- Allergy/ENT/Family/Pediatrics/Infusion
- Allergy shots/Pediatric Immunizations
- Transcription Interpreting
- Sorting/Depositing mail
- Guarantor Collections: Oversee 7 Locations for accurate daily closing reports as well as procedure logging from all managers
Billing Specialist/Coding
Parker, CO
10.2017 - 03.2018
- Advance orthopedic and sports medicine, Full cycle billing for ortho and physical therapy procedures
- Working with next gen while applying Charges, charge posting, follow up, taking payments, workers comp, appeals and following up with patients on any and all question regarding account.
Billing Specialist
CENTURA HEALTH
Centennial, CO
04.2014 - 08.2015
- Strong focus in Medicaid billing
- Checking eligibility, processing claims through x-claims(claim scrubber) in regards to diagnosis, modifier and bundling issues before sending out
- Following up on claims within 7-10 days for payment
- Hospital charges
- Constructed appeals
- Special projects
- Multitasked in different programs to get claims paid
Department Assistant
Robert Half
Denver, CO
06.2013 - 04.2014
- Temp to hire position which landed me to work with Centura Healthcare:
- Pulled medical records
- Printed daily report for all Medicare staff to work AR for the day
- Checked eligibility
- Updated patient address
- Mailed out invoices due to patient balance
Education
Associate - anatomy
Denver School of Massage Therapy
03.2015
Skills
- Allergy/pediatrics/family/internal medicine/infusion/Behavioral Health/OBGYN/Urgent Care/DME/Orthopedics/Physical Therapy/Surgery centers
- ICD-10
- HCPCS & CPT
- CMS 1500 FORMS/EOB'S/COMMERCIAL/APPEALS/DENAILS/OVERPAYMENTS
PROGRAMS
- Ability
- ADP
- Availity
- Azalea
- Brightree
- CMS/Novitas
- Docutap
- EHR
- Intergy/IOD
- McKesson
- Meditech
- Phreesia
- Roche
- Sage Exchange
- Trizetto
- X-Claims Way star/Zirmed
- Anatomy Knowledge
- Medical Coding
- Medical Records
- EMR Systems
- 10 Key Data Entry
- Assessments
- Attention to Detail — Proficient
- December 2020
- Identifying differences in materials, following instructions, and detecting details among distracting information
- Full results: Proficient
- Indeed Assessments provides skills tests that are not indicative of a license or certification, or continued development in any professional field
Certification
55 WPM (10+ years) EXCEL (10+ years) TYPING (10+ years) Accounts Receivable (10+ years) Billing (10+ years) Collections (8 years) Filing (1 year) claims (10+ years) Accounts Payable (10+ years) Microsoft Office (10+ years) Receptionist (Less than 1 year) CPT (10+ years) Medical Billing (10+ years) coding (10+ years) Medical Terminology (10+ years) Outlook (10+ years) Microsoft Excel (10+ years) Data Entry (10+ years) Training (10+ years) ICD-10
Additional Information
- Authorized to work in the US for any employer
Timeline
Revenue Cycle Manager
Proliance Orthopedics Associates
06.2023 - Current
Billing Manager
Performance Home Medical
12.2021 - Current
Revenue Cycle Manager
First Med Urgent Care/Solara Surgical Partners
03.2020 - 02.2021
Team Lead
Solara Surgical Partners
06.2019 - 03.2020
Billing Specialist/Coding
10.2017 - 03.2018
Collections Manager\Billing Specialist
IMMUNOe
08.2015 - 05.2019
Billing Specialist
CENTURA HEALTH
04.2014 - 08.2015
Department Assistant
Robert Half
06.2013 - 04.2014
Associate - anatomy
Denver School of Massage Therapy
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