Serina W. Hartfield
Calumet City
Summary
Well-qualified revenue management professional proficient in healthcare billing structures, insurance practices and medical coding procedures. Knowledgeable about related laws and insurance, managed care and federal program practices. Maintain full compliance with HIPAA and other requirements.
Overview
21
21
years of professional experience
Work History
Revenue Cycle supervisor
Ingalls Memorial Hospital
03.2015 - 10.2024
- Managed a team of 12 people from various backgrounds.
- Took patient demographics and verified insurance.
- Utilized multiple EMR systems including EPIC and ECARE.
- Completed registration after triage.
- Successfully multitasked in a fast paced environment.
- Created reports on key performance indicators related to the revenue cycle.
- Implemented strategies designed to reduce denials or underpayments from payors.
- Collaborated with physicians, administrators, coders, billers, collectors and other stakeholders in regards to revenue cycle management activities.
- Interacted with insurance companies to obtain authorization for medical services rendered by providers.
- Developed and implemented best practices for revenue cycle processes.
- Maintained an organized filing system for patient records and documentation.
- Conducted audits on a regular basis to ensure accuracy of coding and charge capture.
- Identified opportunities for improvement through analysis of financial trends.
- Resolved customer complaints regarding billing issues in a timely manner.
- Analyzed data from various sources to support decision making within the revenue cycle process.
- Utilized cost containment measures while maintaining quality standards of care provided.
Outpatient Registrar
Ingalls Memorial Hospital
Harvey
08.2003 - 03.2015
- Scheduled 20 to 25 appointments per day.
- Admitted patients into hospital.
- Registered patients for X-Ray, MRI, OBGYN, CT and blood work.
- Verified patient insurance and took demographics.
- Answered incoming calls and transferred as appropriate.
- Adhered to HIPAA guidelines when handling confidential patient information.
- Provided assistance with insurance pre-certification process when needed.
- Assisted with scheduling of medical appointments.
- Verified patient demographics, entered data into the electronic health records system accurately.
- Worked closely with physicians, nurses and other healthcare staff to ensure smooth workflow in clinic operations.
- Greeted and registered patients in a timely manner, collected co-pays, verified insurance coverage and updated patient information.
- Processed referrals and prior authorizations for services.
Education
High school diploma -
Thornwood High School
05.2007
Skills
- Revenue cycle management
- Insurance verification
- Electronic health records
- Data analysis
- Performance reporting
- Denial management
- Interdepartmental collaboration
- Quality assurance
- HIPAA compliance
- Customer service
- Team leadership
- Process improvement
- Problem resolution
- Audit compliance
- Strategic planning
- Claims management
- Data analytics
- Claim submission
- Healthcare compliance
- Insurance coordination
- HIPAA
- Collections experience
- Medical billing
- Cash flow forecasting
- Revenue optimization
- Billing management
References
Available upon request.
Activities
- I love to cook and spend time with my son and my family.
- I love to sing.
- I love to help others.
- I enjoy sports, traveling, listening to music, and sharing a great meal with friends.
Timeline
Revenue Cycle supervisor
Ingalls Memorial Hospital
03.2015 - 10.2024
Outpatient Registrar
Ingalls Memorial Hospital
08.2003 - 03.2015
High school diploma -
Thornwood High School