Ronnie Layhew
Rock,TN
Summary
Motivated business professional and previous business owner bringing nearly 30 years experience in medical billing and collections. Demonstrated a successful home based business for over 20 years with numerous providers. Management in Emergency Medicine, Radiology, Laboratory, physical therapy, Urgent Care, Family Practice, Hematology and Oncology.
I wish to maintain a full time management position that offers professional challenges yet allows me to utilize my management skills. I am a hardworking and passionate person ready to join a company where I can demonstrate my leadership role and engaged in helping the company grow and transition with this ever changing and fast paced business.
Overview
30
30
years of professional experience
Work History
Business Owner
Physician's Focus
Auburntown, TN
03.2003 - 12.2020
- Established strong client / provider relationships through excellent communication and attentive service.
- Strengthened company reputation by consistently meeting or exceeding client / provider expectations in terms of quality and personal services offered.
- Prepared accounts receivables, collections, insurance and personal transaction monthly reports.
- Consulted with clients / providers to assess optimal solutions with their contracts and credentials with insurance companies.
- Developed and implemented electronic and manual claims from charts provided by the client / provider. (Both primary and secondary claims.)
- Monitored receivables from insurance and personal payees and made determinations of accounts for collections.
- Managed claims for Medicare, Medicaid, TennCare, BlueCross BlueShield, Work Compensation, Auto accident, Veterans Affairs and all commercial insurance.
- Processed returned, invalid, incomplete, denied, deductible applied and non-covered claims.
- Overseen management of monthly statements to patients and prepared delinquent accounts for collections.
- Overseen and managed patient accounts and set up monthly payment arrangements.
- Managed multi phone line system for incoming and outgoing calls.
- Managed pre-sorted first class mail.
Supervisor of Billing & Collections
Community Medical Practices Of America
Murfreesboro, TN
08.1998 - 02.2003
- Oversaw daily operations of the department, ensuring smooth workflow and timely completion of tasks.
- Overseen the data entry, claims generation, cash posting, bank deposits, credentialing and contracting and denied claims department.
- Applied strong leadership skills to ensure all clients / providers received contractual benefits.
- Handled patient complaints, resolved issues, and handled any problems with insurance companies.
- Monitored workflow to improve employee time management and increase productivity.
- Maintained compliance with company policies, objectives, and communication goals.
- Evaluated employee performance and coached and trained to improve weak areas.
- Conducted regular reviews of operations and identified areas for improvement.
Data Entry Clerk
Diagnostic Imaging - Southern Hills Hospital
Nashville, TN
01.1991 - 07.1998
- Completed data entry tasks with accuracy and efficiency.
- Followed established procedures to enter and process data correctly.
- Organized, sorted, and checked input data against original documents.
- Sorted documents and maintained organized filing process.
- Prioritized tasks effectively to ensure timely completion of all assigned projects without sacrificing attention to detail.
- Maintained strict confidentiality of sensitive client information, ensuring compliance with industry regulations and company policies.
Education
High School Diploma -
Antioch High School
Antioch, TN06.1988
Skills
- Customer Service
- Customer Relations
- Attention to Detail
- Driven and Determined
- Operations Management
- Start-Up Operations
- Customer Service Management
- Team Leadership
- Administrative Management
- Data Management
Timeline
Business Owner
Physician's Focus
03.2003 - 12.2020
Supervisor of Billing & Collections
Community Medical Practices Of America
08.1998 - 02.2003
Data Entry Clerk
Diagnostic Imaging - Southern Hills Hospital
01.1991 - 07.1998
High School Diploma -
Antioch High School