Sherrilyn Jones
Sherman,TX
Summary
Quality-oriented accounting professional with more than eleven years of experience and a proven knowledge of revenue collection, research, organizational skills. Qualified collection analyst who can develop and analyze a broad range of medical applications. Adept at integrating legacy platforms with new applications, NetSuite, Sage, GAAP, and presenting analysis reports to all levels of management and troubleshooting new applications. Specializes in medical billing applications and legacy platforms. Maintain a strong work ethic, accurate, analytical, highly dependable, detail oriented. Demonstrates integrity, sound problem-solving skills with extensive clerical knowledge. Disciplined in finance, accounting professional and cash management with a great determination to complete tasks in a timely manner.
Overview
10
10
years of professional experience
Work History
REVENUE CYCLE MANAGER CENTER
RELATED DISORDER LLC
06.2022 - Current
- Controls the effectiveness and efficiency of the billing effort including denial management, timely claim filing and account resolutions
- Coordinates with internal teams and payers to generate high reimbursement rates and low levels of denials
- Monitor A/R effectively and ensure aging categories are within established goals and national benchmarks
- Establishes and monitors biller productivity standards and ongoing efforts
- Monitors daily productions of claims, denials, and appeals
- Maintains a continuous quality improvement program to achieve a productive workflow that develops and ensures compliance with all policies and procedures
- Verifies the accuracy and timeliness of billing activities and maintains a 95% clean claim rate
- Reconciles cash posting functions with bank deposits and various AR systems
- Actively seeks opportunities to improve financial outcomes, engaging staff in the process
- Develop, redesign, and monitor key performance indicators including payer mix, A/R, collection rates, adjustments, bad debt write off, estimated collections, appeal success rates, and other requested parameters
- Work closely with other departments related to the revenue cycle process to streamline procedures to achieve the effectiveness and efficiency of the billing and cash posting effort
- Conducts weekly meetings with direct reports and monthly departmental meetings with the staff
- Assist with the development of budgets and monitoring of department operations to achieve goals within budget
- Completes special projects as assigned, attends meetings as CARD representative.
ACCOUNTS RECEIVABLE SPECIALIST
KEYSTONE HEALTHCARE MANAGEMENT
04.2017 - 06.2022
- Proactively solicits payment on overdue account according to payment terms within department’s guidelines and key performance indicators (KPIs)
- Oversee credit hold management for assigned portfolio based on collection model process
- Establish internal & external customer relationships
- Oversee assigned workflow to ensure service level agreements (SLAs) are met, including following collection scenarios and timely escalation process
- Communicates with other departments to resolve issues and improve processes
- Identifies payment discrepancies, and initiates disputes resolution process to facilitate rapid turnaround in collection effort; performs follow up procedures as needed
- When applicable, based on collection model, reviews customer refund check requests prior to manager approval
- Assists management in customer problem resolution & reconciliation and participates in decision-making
- Action expected during monthly AR review meetings with leadership
- When applicable, based on collection model; recommends payment arrangements requested by customers
- Performs related duties as assigned
- Familiarity with credit and collection operations procedures, including reconciliation of A/R activity
- Strong interpersonal skills
- Good negotiating skills
- Post all payments cash, checks, and credit card payment to customer accounts
- Client Services
- Inbound/ Outbound phone calls including voicemails and email support.
COLLECTION TEAM LEAD
POPLAR HEALTHCARE PPLC
06.2013 - 04.2017
- Ensures daily accomplishments contribute toward company goals for A/R
- Research outstanding balances and takes necessary collection actions to resolve in a timely manner
- Research assigned correspondence; takes necessary action to resolve requests
- Utilizes the most efficient resources to secure timely payment of open claims
- Identifies patterns of short-payment or non-payment and escalates issues to management
- Reviews insurance remittance advices for payment accuracy
- Identifies billing errors, short payments, over payments, unpaid claims, and resolves accordingly - reviews residual balances after payments are applied and generates necessary adjustments, overpayment notification, refund requests, and/or secondary billing as needed
- Works within specified deadlines and stressful situations
- Works overtime when necessary to meet department goals and objectives
- Performs other tasks or special projects as assigned
- Answer incoming phone calls from health care providers (i.e., physician offices, clinics) and identify the type of assistance the provider needs (i.e., benefit and eligibility, billing and payments, authorizations for treatment, explanation of benefits)
- Focus on resolving issues on the first call, navigating through complex computer systems to identify the status of the issue and provide appropriate response to caller
- Deliver information and answer questions in a positive manner to facilitate strong relationships with providers and their staff
- Complete the documentation necessary to track provider issues and facilitate the reporting of overall trends.
Education
Bachelor of Science (B.S - Business Administration in Accounting
UNIVERSITY OF PHOENIX
Phoenix, AZSkills
- Excellent customer service skills
- Advanced in Microsoft Office Applications
- Exceptional oral and written skills
Additional Information
- ADDITIONAL SKILLS
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
REVENUE CYCLE MANAGER CENTER
RELATED DISORDER LLC
06.2022 - Current
ACCOUNTS RECEIVABLE SPECIALIST
KEYSTONE HEALTHCARE MANAGEMENT
04.2017 - 06.2022
COLLECTION TEAM LEAD
POPLAR HEALTHCARE PPLC
06.2013 - 04.2017
Bachelor of Science (B.S - Business Administration in Accounting
UNIVERSITY OF PHOENIX
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