Experience with Microsoft Word, PowerPoint, Excel, TIMS, Bonafide, Brightree (13 years).
Demonstrated adaptability to change and ability to respond to challenges in a fast and ever changing DME environment.
Reimbursement director specializing in documentation, compliance, and contracting with excellent interpersonal skills and the ability to communicate between departmental barriers to achieve success. Compliance, efficiency, and reliability are cornerstones of my work ethic and practices. Competitive advantages include extensive billing experience in the DME industry, medical coding, process review and improvements, M&A integrations related to billing, interaction with government and commercial payers, employee coaching and training.
Overview
19
19
years of professional experience
1
1
Certification
Work History
Director of Reimbursement
Reliable Medical Supply LLC
01.2021 - Current
Managing a team of up to 45 employees, conducting interviews, training of new department leaders, employee reviews and disciplinary action, training and education, productivity reporting, process improvements, month close review and assisting the CFO and Controller, customer complaints and conflict resolution.
MAMES MN Legislative Committee
MAMES Regulatory Council Member
MAMES Region B Medicare Council Representative (elected)
Assisting with company acquisitions and integration, assisting with financial audits and overall company reviews as it relates to proper billing and cash flow processes.
Coordinated with other departments, such as finance and legal, to address cross-functional issues related to healthcare reimbursement.
Reviewed proposed changes in regulations or legislation pertaining to healthcare reimbursement, assessing potential impacts on organizational operations.
Enhanced revenue growth by implementing effective reimbursement strategies and streamlining processes.
Championed process improvements within the reimbursement function, resulting in streamlined workflows that boosted productivity levels.
Mentored and coached reimbursement team members, fostering a culture of continuous learning and professional growth.
Chief Operations Officer
DFR Enterprises LLC
01.2020 - Current
Increased profitability by optimizing sales and fulfilling lower overhead costs.
Streamlined operations by implementing process improvements and optimizing resource allocation.
Implemented business development strategies, logo designs and website designs.
Made decisions with broad and positive impact on security management operations.
Spearheaded technological advancements that streamlined workflows while maintaining.
Billing Manager
Reliable Medical Supply LLC
01.2017 - 01.2021
Managing a team of up to 30 employees, conducting interviews, training of new department managers, employee reviews and disciplinary action, training and education, productivity reporting, process improvements, insurance verification, prior authorizations, contract management (review & analysis), claims billing, aging resolution, payment posting, funds confirmation, month close review and assisting the CFO and Controller, customer complaints and conflict resolution
MAMES MN Legislative Committee (both state and federal), assisting with company acquisitions and integration, assisting with financial audits and overall company reviews as it relates to proper billing and cash flow processes.
Billing Supervisor
Reliable Medical Supply LLC
11.2015 - 01.2017
Managing a team of up to 30 employees, conducting interviews, training of new department managers, employee reviews and disciplinary action, training and education, productivity reporting, process improvements.
Insurance verification, prior authorizations.
Contract management (review & analysis).
Claims billing, aging resolution, payment posting, funds confirmation, month close review and assisting the CFO and Controller.
Customer complaints and conflict resolution
MAMES MN Legislative Committee (both state and federal).
Assisting with company acquisitions and integration, assisting with financial audits and overall company reviews as it relates to proper billing and cash flow processes.
Document Control Lead
Reliable Medical Supply LLC
10.2015 - 11.2015
Managing a team of up to 30 employees, conducting interviews, training of new department managers, employee reviews and disciplinary action, training and education, productivity reporting, process improvements, insurance verification, prior authorizations, contract management (review & analysis), claims billing, aging resolution, payment posting, funds confirmation, month close review and assisting the CFO and Controller, customer complaints and conflict resolution
MAMES MN Legislative Committee (both state and federal), assisting with company acquisitions and integration, assisting with financial audits and overall company reviews as it relates to proper billing and cash flow processes.
Billing Supervisor
Reliable Medical Supply, Inc.
01.2011 - 03.2015
Supervising 10 employees, assisting in interviews and train new department manager, assisted with reviews & disciplinary actions, training and education of other departments and new employees, ran reports for productivity and claims to be worked and resolved, billed claims, faxed, worked with patients and answered questions, dealt with insurance companies in regards to claims and claim processing problems, assisted with review of complex rehab charts for accuracy and medical justification, worked front desk reception as a fill in, insurance verification, item quantity verification, medical chart filing and scanning, copying, faxing, mailing of office paperwork, represented the company during 2 educational opportunities, worked aging of claims to be paid, assisted with audits both internal and external, assisted with whatever other duties the department needed without hesitation.
Reimbursement Specialist
Reliable Medical Supply, Inc.
03.2011 - 08.2012
Supervising 10 employees, assisting in interviews and train new department manager, assisted with reviews & disciplinary actions, training and education of other departments and new employees, ran reports for productivity and claims to be worked and resolved, billed claims, faxed, worked with patients and answered questions, dealt with insurance companies in regards to claims and claim processing problems, assisted with review of complex rehab charts for accuracy and medical justification, worked front desk reception as a fill in, insurance verification, item quantity verification, medical chart filing and scanning, copying, faxing, mailing of office paperwork, represented the company during 2 educational opportunities, worked aging of claims to be paid, assisted with audits both internal and external, assisted with whatever other duties the department needed without hesitation.
Quality Control Specialist
Reliable Medical Supply, Inc.
01.2011 - 03.2011
Supervising 10 employees, assisting in interviews and train new department manager.
Assisted with reviews & disciplinary actions, training and education of other departments and new employees.
Ran reports for productivity and claims to be worked and resolved.
Billed claims (HCFA 1500 and private invoice).
Worked with patients and answered questions.
Dealt with insurance companies in regards to claims and claim processing problems.
Assisted with review of complex rehab charts for accuracy and medical justification, insurance verification, item quantity verification, medical chart filing and scanning, copying, faxing, mailing of office paperwork.
Represented the company during offsite educational opportunities.
Worked aging of claims to be paid.
Assisted with audits both internal and external.
Assisted with whatever other duties the department needed without hesitation.
Office Manager, Billing Specialist
Suburban Medical Equipment Inc.
01.2010 - 01.2011
Handled sensitive information with discretion, maintaining confidentiality of company documents and personnel records.
Provided exceptional customer service when addressing client inquiries or concerns via phone calls or email correspondence.
Conducted regular inventory assessments of office supplies, ordering necessary items proactively to prevent stock shortages.
Streamlined office operations by implementing efficient filing systems and organizational strategies.
Optimized office space utilization, leading to more efficient and productive work environment.
Streamlined document handling and processing, reducing turnaround time for client inquiries and requests.
Used industry expertise, customer service skills and analytical nature to resolve customer concerns and promote loyalty.
Researched and resolved billing discrepancies to enable accurate billing.
Identified, researched, and resolved billing variances to maintain system accuracy and currency.
Prepared itemized statements, bills, or invoices and recorded amounts due for items purchased or services rendered.
Collaborated with the collections team to recover overdue payments from clients, maintaining cash flow and minimizing writeoffs.
Maintained detailed records of each account''s payment history, providing easy access to information for audit and analysis purposes.
Accounts Receivable, Billing Representative
Activstyle Inc.
09.2007 - 12.2009
Worked effectively with medical payers such as Medicare, Medicaid, and commercial insurances to obtain timely and accurate payments.
Optimized collections efforts through regular collaboration with the collections team on delinquent accounts strategies.
Adapted quickly to changing technologies or systems upgrades, ensuring minimal disruption to daily workflow during transitions periods.
Researched and resolved billing discrepancies to enable accurate billing.
Reviewed and solved account and billing discrepancies.
Trained new hires on company-specific billing software, policies, and procedures, promoting team cohesion and productivity.
Identified, researched, and resolved billing variances to maintain system accuracy and currency.