Robin Finley
Princeton,Texas
Summary
Team Leader experienced in revenue cycle management, project management, process improvement and financial analysis. Adept at analyzing data to identify trends and developing strategies to improve efficiency.
Overview
16
16
years of professional experience
Work History
Team Lead Vendor Performance
Steward Healthcare
05/28/19 - Current
- Delegate daily tasks to team members to optimize group productivity.
- Monitor team and vendor progress and enforced deadlines.
- Collaborated with management team to implement new work procedures or policies.
- QA and audit vendor performance.
- Identify and resolve trends and under payments.
Revenue Cycle Specialist
Randstad (Temp position)
01.2019 - 03.2019
- Medicare and Managed Medicare claims audit.
- Responsible for accurate and timely payment analysis of managed care contracts to determine that appropriate reimbursement is received.
Claims Adjuster
Windhaven Insurance
04.2018 - 01.2019
- Establish timely contact with all applicable parties to a claim.
- Gather facts of loss and clearly explains the claim process.
- Address potential coverage issues.
- Send all mandated correspondence to all parties involved.
- Determine liability and document the file with details of the claim investigation.
Billing Manager
Walnut Hill Revenue Cycle
12.2016 - 04.2018
- Maintain knowledge of payer rules regulations and guidelines to ensure maximum reimbursement is received.
- Monitors daily rejections and promptly corrects errors to avoid any delays in reimbursement.
- Responsible for submission of Medicare, Medicaid, commercial and work comp claims for office visits, in patient hospital stays and dialysis.
- Appealing all denied claims in a timely manner.
- Promptly post payments to appropriate accounts.
- Financial counseling and excellent customer service.
Billing Manager
Dallas Asthma And Allergy Center
09.2008 - 11.2016
- Responsible for managing 2 offices and 5 employees.
- Payroll, training, performance reviews and interviewing potential candidates.
- Monitors daily rejections and promptly corrects errors to avoid any delays in reimbursement.
- Responsible for submission of Medicare and commercial claims for office visits and Allergy injections.
Skills
- Proven experience in healthcare billing, revenue cycle management and appeals
- Strong attention to detail
- Analytical skills and problem solving abilities
- Quality Assurance
- Adaptable to Changing Conditions
- Time and schedule Management
- Performance and production monitoring
- Performance Improvement
- Coaching and Mentoring
- Employee Evaluation
- Trend tracking
- Payment posting and reconciliation
- Documentation And Reporting
Timeline
Revenue Cycle Specialist
Randstad (Temp position)
01.2019 - 03.2019
Claims Adjuster
Windhaven Insurance
04.2018 - 01.2019
Billing Manager
Walnut Hill Revenue Cycle
12.2016 - 04.2018
Billing Manager
Dallas Asthma And Allergy Center
09.2008 - 11.2016
Team Lead Vendor Performance
Steward Healthcare
05/28/19 - Current
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