Summary
Overview
Work History
Education
Skills
Accomplishments
Certification
Timeline
Generic

Sidney Clements

Summary

Dynamic Hospital Consultant /Revenue Cycle Specialist with a strong track record a proven track record at Hery Ford Health System, University Hospital and Enable Health.


Ensuring Compliace with regulatory stadards and improving pro ject outcomes.


Known for team collaboration and adapting to project needs.


Problem-solving ,and driving measurable results.

Overview

21
21
years of professional experience
1
1
Certification

Work History

Hospital Consultant

Enable Health
02.2019 - 05.2020
  • Led cross-functional teams to implement strategic healthcare solutions, enhancing patient care and operational efficiency.
  • Developed and executed comprehensive project plans, ensuring alignment with organizational goals and regulatory requirements.
  • Analyzed healthcare data to identify trends, driving informed decision-making for process improvements and resource allocation.
  • Mentored junior consultants on best practices in healthcare consulting methodologies and client engagement strategies.

Revenue Cycle Specialist II

University Hospital - University Health System
10.2017 - 01.2019
  • Analyzed patient accounts to ensure accurate billing and timely collections.
  • Collaborated with healthcare providers to resolve discrepancies in claims processing.
  • Streamlined revenue cycle processes to enhance operational efficiency and minimize denials.
  • Mentored junior staff on best practices for coding and billing compliance.

Medical Biller

Henry Ford Health System Patient Financial Services
01.1999 - 10.2017
  • Developed comprehensive reports on billing trends, aiding strategic decision-making for revenue cycle management.


  • Processed medical claims ensuring accuracy and compliance with regulations.


  • Verified insurance of patients to determine eligibility.


  • Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies

.

  • Ensured timely payments from insurance providers through submission of accurate and complete claims.


  • Delivered timely and accurate charge submissions.


  • Resolved discrepancies in accounts receivable reports, contributing to improved cash flow management.


  • Enhanced accuracy of insurance claims with meticulous verification and updating of patient records.

Education

No Degree - Medical Billing Certificate

Wayne County Community College
Detroit, MI
01-1999

Thomas M. Cooley
Detroit, MI
06-1993

Skills

  • Effective problem resolution
  • Strong attention to detail
  • Leadership and mentoring
  • Client communication
  • Commitment to transparency
  • Expertise in Microsoft Office applications

Accomplishments

  • Medicare Part A, B , C and D
  • Medicaid
  • Blue Cross Blue Shield
  • Comercial insurance
  • Microsoft Word
  • Outlook
  • Epic
  • HIPPA Guide lines
  • EC2000
  • Microsoft Excel

Certification

  • Medical Billing certification

Timeline

Hospital Consultant

Enable Health
02.2019 - 05.2020

Revenue Cycle Specialist II

University Hospital - University Health System
10.2017 - 01.2019

Medical Biller

Henry Ford Health System Patient Financial Services
01.1999 - 10.2017

No Degree - Medical Billing Certificate

Wayne County Community College

Thomas M. Cooley
Sidney Clements