Summary
Overview
Work History
Education
Skills
Work Availability
Timeline

Sarah Maes

Lakewood,CO
The price of inaction is far greater than the cost of a mistake
Meg Whitman

Summary

Highly motivated revenue cycle management specialist and billing with over 10 years of experience optimizing revenue flow and enhancing financial collections for medical billing organizations. Skilled in analyzing and interpreting complex financial data, implementing process improvements, and leading teams to achieve operational excellence. Seeking a challenging role in a dynamic medical billing environment.

Overview

11
11
years of professional experience

Work History

Owner

The Little Details Cleaning Services, LLC
02.2022 - Current
  • Established foundational processes for business operations.
  • Interacted well with customers to build connections and nurture relationships.
  • Negotiated price and service with customers and vendors to decrease expenses and increase profit.
  • Increased customer satisfaction by implementing efficient business processes and providing exceptional service.
  • Oversaw daily operations, ensuring all tasks were completed accurately and efficiently by team members.
  • Ensured regulatory compliance by staying abreast of industry-related changes and implementing necessary policies or procedures as needed.
  • Identified and qualified customer needs and negotiated and closed profitable projects with high success rate.
  • Managed day-to-day business operations.
  • Managed financial aspects of the business, including budgeting, financial reporting, and tax preparation.
  • Demonstrated strong organizational and time management skills while managing multiple projects.

Revenue Cycle Management- Team Lead

Gaia Software
07.2017 - 07.2021
  • Full cycle billing following ESRD/Dialysis claims from beginning to end
  • Importing and manually keying in charges from a facilities EMR to file claims on paper and electronic UB04 to commercial insurance companies, standard Medicare and replacement plans and State Medicaid and MMA plans, making corrections on claims that have been rejected and downloading and posting ERA's through Centricity, obtain claim status, eligibility and EOB's from Availity and Insurance web portals, manual payment posting including allocating, identified incorrect payment amounts from insurance companies to repost correctly, issue a refund or dispute if necessary, work aging by performing follow-up on claims that have been denied by calling insurance companies, filing appeals, submitting medical records and filing corrected claims, investigate refund requests and recoupments, run monthly aging and financial reports and provide them to the facility at months end
  • Other basic office duties such as responding to email and faxing.
  • Conducted training and mentored team members to promote productivity, accuracy, and commitment to friendly service.
  • Minimized resource and time losses by addressing employee or production issue directly and implementing timely solutions.
  • Collected, arranged, and input information into database system.
  • Served as a role model for the team by demonstrating commitment to excellence, professionalism, and adherence to company values at all times.
  • Conducted training and mentored team members to promote productivity and commitment to friendly service.
  • Supervised team members to confirm compliance with set procedures and quality requirements.
  • Promoted high standerds through personal example to help each member understand expected behavious and standards.
  • Developed monthly and daily production output plans to deliver on customer service and financial metrics.
  • Coached team members in techniques necessary to complete job tasks.
  • Trained new team members by relaying information on company procedures and safety requirements.
  • Excellent communication skills, both verbal and written.
  • Learned and adapted quickly to new technology and software applications.
  • Managed time efficiently in order to complete all tasks within deadlines.
  • Self-motivated, with a strong sense of personal responsibility.
  • Assisted with day-to-day operations, working efficiently and productively with all team members.
  • Provided professional services and support in a dynamic work environment.
  • Exercised leadership capabilities by successfully motivating and inspiring others.

Accounts Receivable Specialist

AllHealth Network
07.2015 - 05.2017
  • Day to day job duties include but are not limited to Insurance verification, authorization request’s, referrals, filing appeals for denied claims, Trizetto clearing house rejections, follow up on unpaid claims with insurance, incoming and outgoing phone calls for insurance and clients, running credit card payments, payment posting and other basic duties such as mail and faxing.

Full Cycle Billing

EMS Billing Solutions
03.2013 - 04.2015
  • Insurance Verification, submitting claims to commercial, government and auto insurance companies for Ambulance services, payment posting, incoming and outgoing calls with patients and insurance companies, denials and appeals.

Education

Diploma in Medical Administration -

Everest Community College, Thornton, CO
08.2008

High School Diploma -

Contemporary Learning Academy High School, Denver, CO
05.2007

Skills

  • Microsoft Office
  • EMR & EHR
  • Hands on Learner
  • CPT and ICD10 Coding
  • Insurance Verification
  • Reconciliation
  • Monthly financial balance reports
  • UB-04 claim forms
  • Commercial Insurance
  • Quick and efficient
  • Patient and Insurance Refunds
  • Exceptional communication
  • Medicare and Medicaid Claims
  • Data entry
  • Full cycle claim processing
  • Aging claims
  • Appeals
  • Clearinghouse claim submission
  • EOB Review for denials and payments
  • Verbal and written communication
  • Staff training/development
  • Task Delegation
  • Team Collaboration and Leadership
  • Records Organization and Management
  • Work Planning and Prioritization
  • Attention to Detail
  • Process Improvement
  • Employee Training
  • Performance Improvement
  • Client Service
  • Verbal and Written Communication
  • Adaptable and Flexible
  • Issue Identification
  • Balanced Work Ethic

Work Availability

monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline

Owner - The Little Details Cleaning Services, LLC
02.2022 - Current
Revenue Cycle Management- Team Lead - Gaia Software
07.2017 - 07.2021
Accounts Receivable Specialist - AllHealth Network
07.2015 - 05.2017
Full Cycle Billing - EMS Billing Solutions
03.2013 - 04.2015
Everest Community College - Diploma in Medical Administration,
Contemporary Learning Academy High School - High School Diploma,
Sarah Maes