Renate Radlowski
Parallon
Santa Fe,TN
25
years of professional experience
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
Experienced with team leadership, strategic planning, and operational management. Utilizes effective communication and organizational skills to drive project success. Track record of fostering productive work environments and achieving set goals.
Work History
Manager of RCM Operations
2 Years 10 Months- Managed relationships with overseas vendors while overseeing the onboarding of new suppliers. Orchestrated partnerships with international vendors and led the introduction of new vendor relationships. Directed collaboration with overseas vendors and implemented new supplier strategies.
- Led operational initiatives to enhance patient care and service delivery.
- Streamlined workflow processes, resulting in improved efficiency across departments.
- Mentored staff in best practices for behavioral healthcare management.
- Developed and implemented strategic plans to align with organizational goals.
- Collaborated with multidisciplinary teams to address patient needs effectively.
- Oversaw compliance with regulatory standards and quality assurance protocols.
- Facilitated training programs to strengthen team capabilities and knowledge base.
- Managed and motivated employees to be productive and engaged in work.
- Analyzed performance metrics to identify areas for process improvement.
10 Years 7 Months
- Maintain established departmental policies and procedures, objectives, patient, and customer service policies
- Handle difficult patient and third party follow-up problems
- 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
3 Years
- Identify potential claim issues and escalate to management
- Conduct follow-up with payors
- Update patient accounts as appropriate and correct posting errors as appropriate.
11 Years
- 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
Skills
10 year of experience in the healthcare industry
Goal oriented individual with proven leadership capabilities
Organized
highly motivated
and detail-oriented problem solver
Proven ability to work in unison with staff and leadership teams
Experienced manager of 20+ member teams
Proficient in training new team members
Formal training in ICD-9
ICD-10
and CPT
Customer service
Team leadership
Time management
Complex Problem-solving
Decision-making
Timeline
Manager of RCM Operations
Summit Behavioral Healthcare
10.2023 - CurrentRead More
Parallon
01.2016 - CurrentRead More
Medassist
01.2013 - 01.2016Read More
Parallon
01.2002 - 01.2013Read More
Donelson Christian Academy
High School Diploma
Read More
VITALS
- 3549 Pin Hook Rd
- Antioch, TN 37013
- T 615-753-0563
- E retell30@live.com