Renee Caldwell
Dayton,OH
Summary
Accomplished Operations Manager with a proven track record at Dayton Physicians Network, adept in operations management and team leadership. Excelled in streamlining processes, ensuring regulatory compliance, and enhancing team performance. Skilled in problem-solving and employee motivation, significantly improved billing accuracy and reduced claim denials.
Overview
38
38
years of professional experience
Work History
Operations Manager
Dayton Physicians Network
01.2012 - Current
- Oversee daily operations of site includes medical oncology, radiation oncology service lines.
- Works collaboratively with other managers to ensure standardization of processes and coordination of efforts.
- Ensures regulatory compliance of facility.
- Manage vendors supporting the facility with services, equipment and supplies.
- Oversees on-site new hire orientation and continuing education and training.
- Work collaboratively with our central business office to ensure correct billing of CPT codes.
Medical Billing Supervisor
Dayton Oncology And Hematology
06.2003 - 12.2012
- Submitted electronic and paper claims to insurance companies, Medicare and Medicaid to collect medical payments.
- Analyzed medical records to satisfy insurance company mandates.
- Managed a team of medical billers, providing guidance and support for their professional development.
- Reduced claim denials by maintaining up-to-date knowledge of insurance policies and regulations.
- Review account aging reports
- Patient collections on delinquent accounts.
- AR follow up
Medical Claims Supervisor
Day Med HMP
02.1986 - 12.2011
- Supervised Commercial/Medicaid claims processors
- Performed claim audits prior to claim adjudication
- Assist in developing new procedural guidelines
- Maintain error and production reports
- Other duties as assigned
Education
High School Diploma -
Sinclair Community College
Dayton, OH01.1987
High School Diploma -
Meadowdale High School
Dayton, OH06.1984
Skills
- Problem-Solving
- Team Leadership
- Operations Management
- Customer Service
- Employee Motivation
- Project Development
Timeline
Operations Manager
Dayton Physicians Network
01.2012 - Current
Medical Billing Supervisor
Dayton Oncology And Hematology
06.2003 - 12.2012
Medical Claims Supervisor
Day Med HMP
02.1986 - 12.2011
High School Diploma -
Sinclair Community College
High School Diploma -
Meadowdale High School
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