Results-driven revenue cycle professional with extensive experience in claims management and policy development. Demonstrated success in training teams and enhancing billing processes for improved efficiency and accuracy in accounts receivable.
Overview
29
29
years of professional experience
Work History
Revenue Cycle/AR Coordinator
Aging Well Health Care, LLC dba: AW Health Care
03.2012 - Current
Coordinated insurance authorizations, securing necessary coverage for patient services
Insurance, Medicare, Medicaid Billing: Home Health, Out-Patient Therapy, Flu Shots, Private Duty Chore Services & Department of Mental Health
Payment Posting and Review of Remits
Payment Reports and Analysis
Developed and maintained billing department policies and procedures to ensure compliance and operational efficiency
Patient Account Resolution
Trained new employees on company procedures, enhancing onboarding experience and knowledge retention
Team Lead
Washington University School of Medicine, Mallinckrodt Institute of Radiology
02.2007 - 04.2011
Oversaw daily workload for 5 employees to ensure balanced task distribution.
Generated daily reports on all insurance carriers to facilitate informed decision-making.
Verified patients’ insurance & demographics before releasing the bill.
Corrected billing charges to ensure accurate patient accounts., write offs, manual charges & visit creation/deletion.
Maintained and updated spreadsheets for efficient file tracking. for daily file tracking.
Resolved patient questions & complaints to enhance service quality.
Special Projects Team
Barnes Jewish Hospital
07.2004 - 02.2007
Hired as a medical biller, within a year was promoted to reimbursement analyst, then 6 months later was promoted to the new Special Projects Team.
Produced monthly reports and developed spreadsheets to enhance data analysis and reporting.
Ensured timely resolution of insurance claims through follow-up and appeals.
Processed refunds for patients and insurance companies, ensuring account accuracy and timely financial transactions.
Troubleshot patient questions and complaints to resolve issues and improve patient satisfaction.
Perform time studies for the revenue cycle team.
Clean up of transplant accounts after separation with WUSM.
Second Billing
Orthotic & Prosthetic Lab, Inc.
06.2001 - 01.2004
Analyzed monthly aging reports, conducted AR follow-up, and managed appeals to improve collection processes.
Managed billing calls from insurances and patients to address inquiries and facilitate timely resolutions.
Reviewed EOBs from multiple insurances/payers for accuracy and resolution of discrepancies.
Receptionist/Billing
Hawthorn Dental
01.1998 - 06.2001
Verified patient benefits and processed billing claims and monthly statements for accuracy.
Managed accounts receivable and payable processes to ensure timely payments and accurate financial records.
Coordinated appointment scheduling and maintained organized filing systems while handling incoming calls.
Office Manager
Solutions Healthcare Resources, Inc. formally Matrix MCO
06.1998 - 05.2001
Performed various administrative duties for office and owners to support daily operations. (Schedule Meetings/Luncheons, calendar, travel arrangements, field phone calls, staff policies, interview doctors & potential employees, employee evals, payroll.
Managed accounts receivable and payable transactions to ensure accuracy and timeliness.
Recorded payments in accounting system to ensure accurate financial tracking.
Specialized in workers' compensation claims.
Directed injured parties to treatment facilities to facilitate timely care.
Collaborated with patients, employers, and insurance to ensure comprehensive patient care.
Education
Course for Certified Medical Secretary - Billing, ICD-9 Coding, Transcription and Medical Terminology
Missouri College
MO, USA
05-1995
Skills
Billing software
Availity and Waystar
Medicare systems
Payment processing
Claims analysis
Patient account resolution
Compliance management
Invoice processing and bank reconciliation
Account reconciliation and collections experience
Financial reporting
AR reporting
Report management
Transaction management
Team leadership and training development
Transaction management
Timeline
Revenue Cycle/AR Coordinator
Aging Well Health Care, LLC dba: AW Health Care
03.2012 - Current
Team Lead
Washington University School of Medicine, Mallinckrodt Institute of Radiology
02.2007 - 04.2011
Special Projects Team
Barnes Jewish Hospital
07.2004 - 02.2007
Second Billing
Orthotic & Prosthetic Lab, Inc.
06.2001 - 01.2004
Office Manager
Solutions Healthcare Resources, Inc. formally Matrix MCO
06.1998 - 05.2001
Receptionist/Billing
Hawthorn Dental
01.1998 - 06.2001
Course for Certified Medical Secretary - Billing, ICD-9 Coding, Transcription and Medical Terminology