SHELLY ALEXANDER
Supervisor
Concord,NC
Summary
Seasoned Accounts Receivable Supervisor with a proven ability to lead and mentor high-performing teams through targeted training and performance management strategies. Expertise in healthcare billing and collections, with a strong knowledge of compliance regulations, including HIPAA, ensuring adherence to industry standards while maximizing efficiency. Proficient in leveraging patient billing software and Electronic Health Record (EHR) systems to streamline workflows and optimize revenue cycle management. Committed to enhancing organizational performance through innovative solutions and continuous process improvement
Overview
8
8
years of professional experience
Work History
Supervisor
OrthoCarolina
11.2022 - Current
- Manages the daily operations of the Accounts Receivable team, ensuring accurate and timely billing, collections, and payment posting
- Optimizes workflow efficiency and addresses operational issues to ensure alignment with revenue cycle objectives
- Monitors and reports essential AR metrics—including aging, days in AR, and collection success—to support data-driven decision-making
- Identifies operational trends and recommends process improvements to enhance efficiency and performance
- Develops and implements corrective actions that improve cash flow, reduce outstanding balances, and strengthen overall financial performance.
- Maintains organizational compliance by adhering to federal, state, and payer-specific billing regulations and ensuring all billing activities meet regulatory standards
- Audits and maintains accurate patient account data, identifying and resolving discrepancies quickly to improve billing accuracy and reimbursement timelines
- Oversees team performance by delivering training, mentorship, and performance evaluations, improving productivity, accountability, and skill growth
- Implemented a monthly quality assurance audit process to ensure accurate account management and optimize cash collections
- Serves as a liaison with providers, external departments, and insurance payors to resolve discrepancies, reduce receivables, and minimize bad-debt expenses
- Works closely with insurance companies, adjusters, and case managers to resolve claim denials and payment delays, ensuring timely and accurate reimbursements
- Leads initiatives to optimize billing systems and processes, introducing improved methods and quality controls that enhance operational performance and revenue accuracy
Accounts Receivable Rep II (Team Lead)
Ensemble Health Partners
11.2017 - 11.2022
- Conducted thorough reviews of aged high dollar accounts, securing appropriate and timely reimbursement for multiple hospitals and insurance carriers
- Led resolution of high-dollar hospital claim denials for the AR and Special Projects teams, contributing to increased reimbursement and reduced outstanding balances
- Examined claim denial patterns and partnered with management to identify trends and implement solutions addressing root causes
- Served as the primary liaison for staff, mentoring new hires and supporting existing team members to promote professional growth, accountability, and a collaborative work environment
- Designed and implemented comprehensive onboarding programs, ensuring smooth integration and effective training for new staff members
- Developed comprehensive SOPs, tip sheets, and reference guides to streamline departmental processes and support client operations
- Conducted weekly account review meetings, providing guidance on claim issues and supporting team problem-solving to improve accuracy and efficiency
- Partnered with leadership to review and update orientation and training programs, ensuring relevance and effectiveness
- Performed monthly Quality Assurance audits, implementing corrective actions that improved accuracy, compliance, and operational efficiency
- Leveraged billing platforms (e-Premise, Relay Assurance, SSI) to accurately process and correct UB-04 and 1500 claims, improving claim approval rates
- Prepared and submitted technical and clinical appeals, successfully overturning denials and supporting timely reimbursement
- Ensured compliance with federal and state regulations and payer-specific requirements by maintaining up-to-date knowledge and applying it to organizational processes
- Assisted Supervisor with other duties
Education
Associate of Applied Science - Medical Office Administration
Gaston College
05-2017
Skills
- Microsoft Office
- Epic (Super User)
- Epremis
- SSI
- Paragon system
- HMS
- Meditech
- Cerner
- FinThrive
- Navinet
- Availity
- Government (Tricare, VA)
- Commercial
- Misc Commerical
- Medicare/Medicaid Traditional and HMO
- Workers Compensation
Timeline
Supervisor
OrthoCarolina
11.2022 - Current
Accounts Receivable Rep II (Team Lead)
Ensemble Health Partners
11.2017 - 11.2022
Associate of Applied Science - Medical Office Administration
Gaston College