Work Preference
Summary
Overview
Work History
Education
Skills
Accomplishments
Affiliations
Timeline
RegisteredNurse
Open To Work

Patricia A. Taylor

RCM Management
Cookeville,TN

Work Preference

Desired Job Title

Billing Department SupervisorBilling Department Manager

Work Type

Full Time

Location Preference

Remote

Salary Range

$60000/yr - $200000/yr

Important To Me

Flexible work hoursPaid sick leavePaid time offWork from home optionHealthcare benefits401k matchStock Options / Equity / Profit SharingPersonal development programsCareer advancementTeam Building / Company Retreats

Summary

Billing professional with proven track record in supervising billing operations and fostering team collaboration. Expertise in managing billing processes ensures optimized workflow and compliance with regulatory standards. Known for reliability, adaptability, and results-driven approach, excelling in dynamic environments given time to adapt to the processes.

Overview

19
19
years of professional experience

Work History

Billing Department Supervisor

US HEART AND VASCULAR
11.2024 - Current
  • - Supervisor Billing AR 1 & 2 Reps.
  • - Coordinate insurance follow up for level 1 & 2 reps to make sure inventory is being worked daily.
  • -Coordinate training of NEW and Current employees for training in the work queues.
  • - Review and submit credit balances for refunds to patients and/or insurance plans
  • - Approve paid time off request for billing dept. employees
  • -Attend weekly calls with Vendors to discuss any issues.
  • -Update PIMA Offices with changes and processes for billing
  • -Assist offices with questions from patients for billing issues
  • -Run Accounts Receivables Reports in SIS Health for ASC Claims weekly and submit to TEAM for processing.
  • -Run weekly TASK Report in Nextgen for processing any legacy claims that need reworks.
  • -Review ECW work queues daily of work inventory
  • -Run Productivity Reports weekly to ensure TEAM member are making the goals set forth by USHV Management TEAM

Billing Department Manager

Tennessee Heart, PLLC
06.2006 - 11.2024

Manage Cardiology Billing Office:

-Process electronic claims and statements daily

-Approve all PTO request and sick time per pay period

-Answer incoming calls as needed on overflow calls or someone out of the office

-Run weekly report to advise other departments who is taking billing calls for the day

-Pulled all EFT info from Bank so the payment poster can post all insurance payments and patient payments

-Discuss coders that the DRs are signing off on their charges to make sure no charges are behind

-Monitor all insurance follow up to ensure claims are being paid timely. For Medicare,Medicare Advantage, BCBS, Commercial,Medicaid, Work Comp

-Monitor patient collections to make sure patient are making there payments and setting up payment plans. Also to make sure we are transferring balances to collections to keep the AR down

-Process all insurance and patient refunds as needed on all overpaid claims.

Monitor Timeplus Clock in and out to ensure no overtime for payroll.

-Help work AR to ensure accounts are followup in a timely manner.

-Monitor that charges are being entered daily to ensure charges are going out to the insurance correctly with minimal errors on the claims

-Help work AR to ensure accounts are followup in a timely manner.

-Assist with Payment Posting, prior authorizations, charge entry as needed

-Run month end reports and hard close for month end to sure payments balances to the bank and to ensure the reports submitted to accounting dept. are correct and balanced.


Education

No Degree -

National Provider Compliance Corporation
01.2011

Billing and Coding Seminar

Specialty Physician’s Office
01.2006

Emergency Medical Technician

Tennessee Technological University
01.1993

Diploma -

Celina High School
05-1989

Office Occupations Certificate - Associates

Tri-County Vocational School
01.1988

Skills

  • Windows
  • Microsoft Word
  • Microsoft Excel
  • NextGen
  • SIS Health
  • GE Centricity Practice Solutions
  • Athena Practice
  • E-Clinical Works
  • Greenway
  • Paragon
  • HBOC Star

Accomplishments

First ever billing manager at Tennessee Heart to lead her billing team to collections reaching over $900,000 in one calendar month. I was so proud of my team and all that they accomplished that month.

Affiliations

  • MGMA-Upper Cumberland Board Member 2020
  • MGMA-Upper Cumberland Member 2019
  • AAPC Member 2022

Timeline

Billing Department Supervisor

US HEART AND VASCULAR
11.2024 - Current

Billing Department Manager

Tennessee Heart, PLLC
06.2006 - 11.2024

Billing and Coding Seminar

Specialty Physician’s Office

Emergency Medical Technician

Tennessee Technological University

Office Occupations Certificate - Associates

Tri-County Vocational School

No Degree -

National Provider Compliance Corporation

Diploma -

Celina High School
Patricia A. TaylorRCM Management
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