Dynamic operations supervisor with a proven track record at R1RCM, excelling in team leadership and customer service. Enhanced productivity through efficient workflows and staff mentoring, achieving a 98% accuracy rate in AR denials follow up. Committed to conflict resolution and fostering a culture of excellence, driving significant improvements in follow up billing processes and team performance.
Overview
14
14
years of professional experience
1
1
Certification
Work History
Supervisor of Operations AR Denials
R1RCM -
01.2022 - Current
Oversaw daily operations of the department, ensuring smooth workflow and timely completion of tasks.
Applied strong leadership talents and problem-solving skills to maintain team efficiency and organize workflows.
Improved customer satisfaction with timely response to inquiries, addressing concerns, and finding effective solutions.
Increased team productivity by implementing efficient workflows and setting clear expectations for staff members.
Enhanced communication within the team by holding regular meetings and encouraging open dialogue among all members.
Demonstrated commitment to the organization''s core values, leading by example and fostering a culture of excellence.
Collaborated with other departments to achieve organizational goals, fostering teamwork across various functions.
Conducted performance evaluations for staff members, identifying areas of improvement and guiding professional development plans.
Mentored junior staff members in their career development, sharing knowledge from years of experience in the field.
Managed scheduling and workload distribution, maximizing productivity without overwhelming team members or compromising quality of work.
Supervised and managed 18 facilities/ Tax ID/s across multiple states.
Investigated and resolved payment discrepancies by collaborating with internal teams and customer/client
Performed bank reconciliations, identifying and resolving discrepancies.
Utilized 5 host systems and payment software to efficiently process payments and generate reports.
Developed implemented procedures for cash posting and reconciliation, ensuring adherence to company policies and financial regulations.
Processed a high volume of cash, ensuring accuracy and timely reconcilaation with accounts payable
Team Lead/Supervisor Follow up Billing Modular
R1 Rcm
01.2015 - 01.2018
Successfully managed billing operations for 3 faced fast hospitals ensuring accuracy and billing processes.
Developed and implemented new processes for billing and collections that increased efficiency and accuracy.
Provided oversight and training and mentoring to follow up and billing staff to ensure the highest standards of excellence.
Utilized various software, billing systems & data bases to manage, process and analyze billing information.
Monitored billing processes, identified discrepancies and implemented corrective actions to streamline processes.
Medical Coding Supervisor /Business Office Manager
Oakland Primary Associates
03.2011 - 01.2014
Managed 11+ staff in a fast paced clinic , in areas of radiology, coding, QA, UR, coding questions, prior authorizations and denials.
Conducted root cause analysis of billing issues , resulting in education redesign and process improvement.
Achieved revenue and decreased denials by providing education and implemented edits for modifiers which reduced mistakes and simplified processes.
Responsible for coding thoroughly and accurately in areas of Interventional Radiology, Interventional Neuroradiology, Diagnostic Radiology,diagnostic Radiology, Pathology,Vascular surgery, CT's and Ultrasound, MRI, Pets scan< Nuclear Medicine,Mammography ancillary charge and EM coding.
Assign appropriate medical codes with a 98% accuracy rate.
Abstract the ICD abd10 and CPT codes from operative reports.
Assist with coding denials and month end auditing.
Carefully review medical record for determination and accuracy assignment of all documented diagnoses and procedures.
Education
Bachelor of Science - Health Administration
Baker College
Warren, MI
Associate of Science - Health Administration
Macomb Community College
Warren, MI
Medical Coding
Dorsey Business School
Roseville, MI
Skills
Financial Management
Medical Billing
Medical Coding
Account Reconciliation
Billing Systems Expert
Collections Management Expert
Microsoft Office Suite
Team development
Certification
CAP - Certified Administrative Professional
Timeline
Supervisor of Operations AR Denials
R1RCM -
01.2022 - Current
Supervisor Cashposting / Finance
R1RCM
01.2018 - 09.2019
Team Lead/Supervisor Follow up Billing Modular
R1 Rcm
01.2015 - 01.2018
Medical Coding Supervisor /Business Office Manager