Safiya Bethea

• Install/configure klara for Medical practices, pharmacies, medical supply, etc
• Configure integrations with all major medical EHR's; Mod Med EMA, Athena, Next Tech, Greenway,
• AdvancedMD and Allscripts
• Train and support all users with respect to their use of klara
• Conduct training classes for Admin and Staff through Google Meet
• Work collaboratively with the Support Team and implementation managers throughout the implementation process
• Lead meetings with clients as well as practice exec and marketing teams
• Meetings would range from kick-off, data review, workflow, and weekly check-ins as needed
• Utilize Salesforce to coordinate with other team members, log cases, log billable hours in Cloud Coach, report on training and go-live projections
• Create a collaborative workbook to share with clients so that they can show how they want their software configured
• 100% remote position; self motivated and solely keep track of deadlines and book of business
• Often communicated with escalated clients and early churns to try and save contracts.
• Planned, designed, and scheduled phases for large projects.
• Monitored project performance to identify areas of improvement and make adjustments.

• Provide a high level of value and customer service to both client practices and their patients by identifying and efficiently resolving insurance and other billing related issues
• Establish, implement and manage Practice Performance Plans that identify, quantify and resolve issues that are impacting service levels and/or delivery of contractual obligations as needed
• Participate in sales calls as needed to demonstrate depth of domain expertise
• Collaborate with internal and global service team members to improve overall client metrics
• Conduct routine client meetings to review business metrics, progress, and other proactive topics to ensure high quality delivery of contracted services; such as, but not limited to:
• Rejections and Denials
• Net Collection Ratio
• Charge, adjustment and payment analysis
• Accounts Receivable
• Office workflow efficiency opportunities
• Payer-related trend analysis and education related to policies and procedures for Payers
• Payer online portals and gaining access to
• ERA Enrollment

Account Receivables Specialist; Revenue Management

Recruited by this multispecialty national physician group and practice management company with 780 healthcare facilities to collect

reimbursement from insurance companies based on anesthesiologist provided services. Responsible for all assigned contracted and/or non-contracted carriers as well as self-pay accounts to ensure proper payment of claims and/or patient responsibility.

• Review all provider documentation and accurately assigned ICD-9-CM/ICD-10-CM codes on all diagnoses provided in the medical

record. Keep track of payments and at what rate CPT codes were reimbursed.

• Ensured compliance with all applicable Federal, State regulations related to coding and documentation guidelines for Risk

Adjustment. Pass all quarterly audits.

• Research denied and improperly processed claims by contacting carriers and resubmit clean claims for reimbursement.

• Call and check claim status, work A/R and insurance carrier reports, and insurance denials. • Handle and organize all aspects of the appeals process for all insurance payers (letters, phone calls, special projects from carriers).

• Top performer exceeding all production goals completing 40 accounts per day well above industry average of 30. Maintain 99-

100% accuracy rate for claims and exceed expectations for bonus every month.