Summer Cashion
Fort Worth,TX
Summary
Revenue Cycle/ Accounts Receivable Executive with experience of leading highly effective leadership teams. A visionary with the ability to develop strategic plans for profitable and orderly organizational change. Solution oriented with an eye toward bottom line results.
Overview
23
23
years of professional experience
Work History
Manager of Revenue Cycle
Frontera Strategies, LLC
Irving, TX
07.2023 - 01.2024
- Managed a department of ten employees and maintained oversight of all billing operations including patient insurance verifications, referrals, pre-authorizations, billing, patient private collections, payment posting, denials and appeals.
- Performed data analysis to identify trends in denials or rejections from payers and develop strategies for resolution.
- Implemented new policies and procedures for streamlining workflow processes within the revenue cycle department.
- Oversaw training of staff on changes in insurance regulations and coding updates impacting reimbursement rates.
- Investigated any discrepancies that arise during the billing process and resolved them promptly.
- Provided revenue cycle process support to all clinical personnel, including resolving procedure challenges.
Patient Coordinator/Special Projects Coordinator
Mercy Staffing
Fort Worth, TX
10.2022 - 07.2023
- Monitored progress of special projects and reported progress to senior management team.
- Ensured proper documentation of all phases of the project life cycle from inception through delivery.
- Researched best practices related to special project management processes.
- Coordinated activities between different departments involved in executing special projects.
Account Executive
Simpleigh Wright Promotional Products
Fort Worth, TX
07.2021 - 09.2022
- Cultivated relationships with key decision makers through regular client visits and follow-up calls.
- Identified potential new customers through research of industry trends and competitive analysis.
- Provided timely customer service support to resolve any issues quickly and efficiently.
Director of Field Accounting/Corporate Internal Auditor
PCPMG Consultants L.P.
Plano, TX
04.2004 - 07.2021
- Managed all aspects of revenue cycle for business offices in 112 facilities.
- Developed and implemented start up policies and procedures, billing systems, central billing offices, new BOM orientation classes and all other aspects of billing office for 102 acquisition's in 12 states.
- Developed and grew a team to 26 employees that provided support to BOM's. (2 Divisional Directors, 14 Regional Field Accountants, Medicare Denial Coordinator, Manager of Central Billing, and 8 Central Billing Specialist).
- Successfully managed high-stress situations with many moving parts.
- Reduced embezzlement from resident trust funds, accounts receivable, petty cash, expense reports and payroll through developing an in-house audit tool and internal audit position.
- Reported and assisted multiple local and state office with audits to prosecute business office managers for embezzlement.
- Gathered and provided required documentation to collect final Medicaid payment from the state of Texas for divest facilities.
Regional Account Manager
Ballentrae Healthcare
Santa Fe, NM
12.2000 - 12.2003
- Supported 6 facilities in Texas and New Mexico on aspects of the billing office processes and billing procedures.
- Reviewed and approved Month End Close Reports.
- Monthly review of Resident Trust Fund Accounts.
- Assisted in hiring and training of new Business Office Managers.
Education
High School Diploma -
Joshua High School
Joshua, TX06-1989
Skills
- SNF
- LTC
- Medical Billing and Collections
- Leader/ Management
- Policy and Procedures
- Microsoft Office
- Organizational Skills
- Communication
- Remote Office Availability
- Customer Service
- Problem-Solving
- Auditing
References
References available upon request.
Timeline
Manager of Revenue Cycle
Frontera Strategies, LLC
07.2023 - 01.2024
Patient Coordinator/Special Projects Coordinator
Mercy Staffing
10.2022 - 07.2023
Account Executive
Simpleigh Wright Promotional Products
07.2021 - 09.2022
Director of Field Accounting/Corporate Internal Auditor
PCPMG Consultants L.P.
04.2004 - 07.2021
Regional Account Manager
Ballentrae Healthcare
12.2000 - 12.2003
High School Diploma -
Joshua High School
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