Sandra Godesky
Trinity,NC
Summary
Broad background in full cycle medical receivables, both HB and PB.
Overview
26
26
years of professional experience
1
1
Certification
Work History
Corporate Invoicing Supervisor
Inmar Intelligence
01.2023 - Current
- Lead team of US and offshore Billing Specialists
- Create billing packages utilizing macro for manufacturer Rx Returns
- Collaborate with Sales, Accounting and Collection departments to meet client needs
- Approve credits requests organization wide
- Communicate price increases
- Troubleshoot ERP upload issues
- Serve as tester for user acceptance, as well as pulling files for annual audits
- Spearhead cross training efforts to ensure knowledge base among all invoicing types
- Partner with both US and offshore HR departments to backfill vacancies.
Refunds and Credits Supervisor
Pyramid Healthcare
01.2021 - 01.2023
- Approved self-pay/insurance refunds
- Liaison with statement/customer service vendor
- Spearheaded new internal customer service department
- Submitted candidates for third party collections
- Collaborated regularly with AR managers, Rev Cycle Director and Rev Cycle VP
- Subject matter expert for escalated issues
- Worked in concert with IT to ensure accurate reporting.
Audit & Policies Analyst
Cone Health
01.2019 - 01.2021
- Responded to RAC reviews, LME audits and discharge status audits
- Performed audits on MOONs, DNDs and IMs
- Monitored Refund and Variance staff work queues for timeliness
- Audited MSPQ responses, in addition to value/condition code accuracy
- Refunded checks that remain uncashed escheated to the state
- Conducted onsite visits to ensure provider-based signage compliance.
PFS Supervisor
Randolph Health
01.2013 - 01.2019
- Managed team of 14 including billers/collectors/posting/customer service
- Created/updated SOPs as business needs warranted
- Conducted 1:1 sessions with staff to address difficult accounts and advise next steps
- Reviewed previous week’s productivity statistics for staff
- Granted system access
- Collaborated on multiple LEAN events
- Worked with IT resolving issues that required manual intervention
- Monitored unbilled claims volumes and root causes
- Monitored A/R days
- Tracked vendor performance and billing clearinghouse validation rates.
Billing Supervisor
Laboratory Corporation of America
01.2007 - 01.2013
- Supervised staff, ensuring quality and quantity standards were met
- Trained new staff members
- Conducted performance evaluations.
Support Supervisor
Planned Administrators
01.2002 - 01.2005
- Oversaw all operations in the First Pass, Support and Repricing areas
- Monitored QC reports
- Processed payroll bi-weekly for staff of 13
- Drafted SOPs utilized in training new employees
- Performed twice annual performance reviews
- Encouraged all team members to provide feedback/suggestions
- Interviewed prospective employees/completed necessary new hire paperwork for HR.
Data Processing Assistant Manager
Tullock Management
01.2000 - 01.2001
- Oversaw daily workflow for A/R, A/P, payroll and G/L for the nursing home clients
- Coordinated efforts with internal accountants to verify accuracy.
Collections Team Leader
HouseCall Medical Resources
01.1999 - 01.2000
- Calculated collection goals and helped the team focus on achieving those goals
- Provided direction/training to new staff
- Oversaw billing and collecting DME/home infusion therapy bills
- Maintained a working knowledge of specific payer contracts.
Skills
- Oracle/Salesforce/Jira
- Epic Hyperspace, CareLogic by Qualifacts
- HL7 language/EDI transactions
- Data Mart / Crystal Reporting
- MediTech 60 EMR, SSI Billing Clearinghouse
- Workday/Kronos/UKG Timekeeping
- Microsoft Outlook, Word, Excel, Teams, Google Workspace
Ongoing Education
- Wake Forest Executive Education, Winston-Salem, NC, Emerging Leaders Program
- FTCC, Winston-Salem, NC, Medical Terminology
- CVCC, Lynchburg, VA, Office Systems Technology
- Heritage High School, Lynchburg, VA
Certification
Lean Six Sigma
Timeline
Corporate Invoicing Supervisor
Inmar Intelligence
01.2023 - Current
Refunds and Credits Supervisor
Pyramid Healthcare
01.2021 - 01.2023
Audit & Policies Analyst
Cone Health
01.2019 - 01.2021
PFS Supervisor
Randolph Health
01.2013 - 01.2019
Billing Supervisor
Laboratory Corporation of America
01.2007 - 01.2013
Support Supervisor
Planned Administrators
01.2002 - 01.2005
Data Processing Assistant Manager
Tullock Management
01.2000 - 01.2001
Collections Team Leader
HouseCall Medical Resources
01.1999 - 01.2000