Roslyn Holbrook
Antioch
Summary
Revenue cycle management expert with a strong history of enhancing payment collections and addressing complex billing challenges. Skilled in data analysis to boost revenue cycle performance and lead teams to improve operational efficiency. Dedicated to upholding client and patient confidentiality.
Overview
13
13
years of professional experience
Work History
Revenue Cycle Manager
Project Play Therapy
Nashville
03.2021 - Current
- Currently managing the Revenue Cycle Department and overseeing ABA and Medical Billing specialists, from patient registration to final payment.
- Monitored accounts receivable activity, managed collections efforts, and developed strategies to improve payment receipt from insurance payers.
- Managed patient collections to ensure timely invoicing of all patient accounts.
- Identified and resolved billing, claims, and collections issues to ensure smooth operations.
- Analyzed data to identify areas for improvement and implemented strategies for revenue cycle optimization.
- Train revenue cycle staff, providing guidance and mentorship to enhance team collaboration.
- Communicating with insurance providers, patients, and other stakeholders to address questions and resolve issues.
- Reviewed and updated cash postings to ensure accuracy.
- Monitor KPIs weekly to implement strategies for improvement.
- Run weekly reports for patient balances, claim denials and unbilled claims.
Supervisor
Chance Light Behavioral Health
Nashville
10.2016 - 03.2021
- Perform as Supervisor by overseeing ABA billing specialists and coordinators in their day-to-day work processes to promote more effective collections of the company’s accounts receivable.
- Coached and trained staff members, including new recruits, to enhance team capabilities.
- Provided follow-up training for team members to reinforce skills and improve performance.
- Sets the pace for the billing team with a positive attitude and temperament that promotes productivity and team morale.
- Acts as the primary point of contact for resolving billing issues, collaborating with team members to identify solutions.
- Communicated effectively with team members and clients, ensuring clear understanding of billing processes and updates.
- Demonstrated strong interpersonal skills by fostering productive relationships with colleagues and external partners.
- Participates in the new hire peer interviewing process.
- Prepares, reviews, and transmits claims using billing software, including electronic and paper claim processing.
- Reviews patient bills for accuracy and completeness and obtains any missing information.
- Processed daily rebills submitted to the billing department via the electronic billing system, ensuring accuracy and compliance.
- Daily works electronic insurance rejections to retransmit with corrected insurance information.
- Generated detailed reports to identify and track unbilled claims, ensuring timely follow-up actions.
- Provides enhanced training and assists staff with techniques to increase production, quality and collections.
- Understands authorizations and limits to coverage such as the number of visits and units.
- Ability to look up ICD 10 diagnosis and CPT treatment codes from online service or using traditional coding references.
- Supported management in executing special projects, contributing to team efforts and operational improvements.
- Executed tasks and responsibilities designated by Director, aligning with departmental objectives.
Team Lead
Sound Physicians/Cogent Healthcare
Brentwood
01.2013 - 10.2016
- Review midday productivity to ensure assigned claims are worked and to ensure the team is meeting the productivity.
- Guided Billing Coordinators who did not meet productivity goals to improve performance.
- Scheduled one-on-one sessions with Billing Coordinators to review and correct inaccurately worked accounts.
- Inform Billing Coordinators of payer specific updates for the region and how they will affect the billing.
- Identified and resolved billing issues in both paper and e-billing formats to ensure accuracy.
- Quality Assurance (QA) experience includes analyzing enrollments to determine proper eligibility according to the client’s eligibility rules.
- Generated quality assurance reports to confirm the accuracy of entered services and identify discrepancies.
- Forwards all QA disputes to the Manager for review.
- Monitors compliance with agency policy(s) and communicates discrepancies to Manager.
- Assisted Manager in resolving outstanding issues for Markets that were terming.
- Performed various duties to support team operations and completed additional projects.
- Delivered outstanding customer service by addressing inquiries and resolving issues for clients and carrier representatives.
- Completed timely entry of services, including accurate entry, maintenance, and updating of client demographics in the billing software.
- Once completed, the Team Lead forwards to the Manager.
- The Manager reviews, signs off and returns to Team Lead for completion of write-up(s).
Education
High School Diploma -
Charleston High School
Charleston, Mo05-1992
Skills
- Billing expertise
- Health records management
- Medical terminology knowledge
- Insurance experience
- Task prioritization
- Organizational skills
- Adaptability in dynamic environments
- Word processing
- PowerPoint expertise
- Team collaboration
- Communication skills
- Interpersonal proficiency
References
Available Upon Request
Timeline
Revenue Cycle Manager
Project Play Therapy
03.2021 - Current
Supervisor
Chance Light Behavioral Health
10.2016 - 03.2021
Team Lead
Sound Physicians/Cogent Healthcare
01.2013 - 10.2016
High School Diploma -
Charleston High School