Renate Radlowski
Santa Fe,TN
Summary
To excel in a leadership position that allows me to use my knowledge and skills as a leader to improve processes that contribute to company success.
Overview
22
22
years of professional experience
Work History
CBO Manager
Summit Behavioral Healthcare
Franklin, TN
11.2022 - Current
- Coached, mentored and trained team members in order to improve their job performance.
- Conducted regular meetings with staff to discuss progress and identify areas of improvement.
- Maintained up-to-date records of employee attendance, payroll information, vacation requests.
- Provided leadership during times of organizational change or crisis situations.
- Exercised good judgment and decision-making in escalating concerns and resolving issues.
- Created reports outlining trends in revenue cycle management, such as denials and rejections.
- Led team of 25
- Provided guidance to staff on best practices for collecting payments from patients or third-party payers.
- Assisted in training new medical collectors on collection processes and procedures.
- Performed research and due diligence to resolve issues.
- Monitored daily cash flow activity, ensuring timely filing of claims and proper reimbursement for services rendered.
- Performed data analysis to identify trends in denials or rejections from payers and had monthly meeting with the UR Director and CFO of each facility
- Ensured adherence to HIPAA guidelines when handling protected health information.
- Prepared end of month reports and closing for 32 facility's
Team Leader
Parallon
Nashville, TN
11.2016 - 07.2022
- Developed strategies for problem solving and conflict resolution among team members.
- Conducted regular performance reviews to assess individual team member progress.
- Maintained a positive work environment that promoted collaboration between team members.
- Maintain established departmental policies and procedures, objectives, patient, and customer service policies
- Handle difficult patient and third party follow-up problem
- Monitor pool inventories to ensure accounts are being worked and resolved timely.
- Perform quality reviews as required by Parallon/SSC policy.
- Assist team members with questions, concerns, and complaints from insurance companies, patients, and other personnel
- Work as a liaison between team members and SSC staff.
- Assist manager with developing team goals and action plans.
- Assist with training of new team members
- Approve employees time sheet in Kronos.
Senior Medical Representative
MedAssets
Nashville, TN
09.2013 - 10.2016
- Identify potential claim issues and escalate to management
- Conduct follow-up with payors
- Update patient accounts as appropriate and correct posting errors as appropriate.
Team Leader
Parallon
Nashville, TN
11.2001 - 09.2013
- Identification of payer and process trends with appropriate escalation
- Working with contracts for commercial and government payers to validate reimbursement rates
- Review, identify, and resolve payor denials.
- Post and balance all payments and contractual adjustments received in an accurate and timely manner in compliance with departmental policies and procedures.
Education
High School Diploma -
Donelson Christian Academy
Nashville, TN05-1993
Skills
- Staff Management
- Policy Implementation
- Microsoft Office
- Critical Thinking
- Attention to Detail
- Leadership
- Analytical
- Dependable and Responsible
Timeline
CBO Manager
Summit Behavioral Healthcare
11.2022 - Current
Team Leader
Parallon
11.2016 - 07.2022
Senior Medical Representative
MedAssets
09.2013 - 10.2016
Team Leader
Parallon
11.2001 - 09.2013
High School Diploma -
Donelson Christian Academy