RENE M. MARCELLE
Orange Park,FL
Summary
Experience Accounts Receivable Manager with 10+ years in healthcare revenue cycle management. Skilled in reducing outstanding receivables, resolving claim discrepancies, and ensuring compliance with payer regulations. Proven leader in optimizing billing operations, improving cash flow, and building high-performing teams.
Overview
19
19
years of professional experience
Work History
Accounts Receivable Manager
Cancer Care Centers of Brevard
01.2020 - Current
- Led team of accounts receivable specialists, ensuring high levels of motivation and performance through effective leadership.
- Spearheaded process improvements that resulted in increased accuracy of billing information and reduced discrepancies.
- Implemented new collection strategies that led to the recovery of lost revenue.
Senior Accounts Receivables Specialist
Cancer Care Centers of Brevard
02.2018 - 01.2020
- Supported month-end close activities by preparing accurate accounts receivable reports for finance department review.
- Collaborated with team to resolve complex billing issues, ensuring client satisfaction and prompt payment.
- Streamlined billing processes, resulting in faster invoice generation and reduced errors.
- Kept up-to-date with all insurance requirements, including the details of patient financial responsibilities, fee-for- service and managed care plans.
- Performed quality control of the data entry system to verify that claims and payments were posted correctly.
Accounts Receivables Specialist
Cancer Care Centers of Brevard
02.2016 - 02.2018
- Prepared and attached all required claims documentation including referrals, treatment plans or other required correspondence to reduce incidence of denials..
- Acted as a liaison between the business department, billers and third party payers in resolving billing and reimbursement accuracy.
- Ensured timely and accurate charge submission through electronic charge capture, including the billing and account receivables (BAR) system and clearing house.
Medical Billing Specialist
DeLorenzi Orthopaedic Center
10.2012 - 09.2015
- Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
- Thoroughly reviewed remittance codes from EOBS/AR's.
- Completed appeals and filed and submitted claims.
- Submitted refund requests for claims paid in error.
Patient Accounts Specialist
Wuesthoff Health Systems/HMA
06.2006 - 10.2012
- Submitted refund requests for claims paid in error.
- Remained up-to-date with all insurance requirements, including the details of patient financial responsibilities, fee-for-service and managed care plans
- Posted adjustments.
Education
Bachelor of Science - Health Services Administration
Eastern Florida State College
Skills
- Extensive knowledge of commercial insurances, Medicare, Medicaid, VA, Tricare, Centricity, and Nextgen software, HCPCS, and ICD-10 coding and iKnowmed EMR
- Excellent written and oral communication skills
- Outlook
- Power Point
- Microsoft Word
- Excel
Timeline
Accounts Receivable Manager
Cancer Care Centers of Brevard
01.2020 - Current
Senior Accounts Receivables Specialist
Cancer Care Centers of Brevard
02.2018 - 01.2020
Accounts Receivables Specialist
Cancer Care Centers of Brevard
02.2016 - 02.2018
Medical Billing Specialist
DeLorenzi Orthopaedic Center
10.2012 - 09.2015
Patient Accounts Specialist
Wuesthoff Health Systems/HMA
06.2006 - 10.2012
Bachelor of Science - Health Services Administration
Eastern Florida State College
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