Suzanne Fuller

• Oversaw daily billing operations, ensuring compliance with RCM standards, optimizing workflows, and maintaining accountability for high-quality client service.

• Developed reporting protocols for revenue performance, analyzing payer performance data, and making recommendations to improve billing processes.

• Conducted one-on-one coaching and team-building sessions, implementing feedback loops for continuous staff development and recognizing high achievers.

• Directly oversee client accounts, coordinating with internal teams, payers, and external vendors to enhance billing and collections processes and resolve complex billing issues.

• Conduct regular staff meetings to communicate department updates, gather feedback, and encourage collaboration for process improvements.

• Actively recruit, train, and manage staff, conducting orientation for new hires and providing performance evaluations with actionable feedback.

• Develop and implement workflow standards and policies, ensuring alignment with industry best practices and organizational objectives.

• Monitor aging and payer trends using Patient Accounting System and Clearinghouse, analyzing outcomes to inform improvements in unbilled claims processes.

• Leveraged proprietary real estate technology to deliver expert consultation to clients and provide unparalleled service, elevating client satisfaction in listings, marketing, and home-buying experience.

• Guided clients through the buying and selling process, securing signed agreements with buyers, negotiating offers on behalf of sellers and buyers, and implementing successful pricing strategies, staging, and listing services.

• Executed prospecting and lead generation activities to increase appointments and conversions, consistently meeting or exceeding sales targets.

• Monitored tasks and activities within Command to ensure all processes remained organized and on schedule, contributing to streamlined operations and enhanced client relations.

• Actively participated in script practice, office trainings, and ongoing professional development to refine negotiation skills and stay current with real estate market trends and best practices.

• Recognized for strong communication and rapport-building skills, with a reputation for overcoming objections and providing tailored solutions to meet client needs.

• Processed online and paper appeal submissions for High Dollar Complex Claims.
• Implemented process improvement to shape organizational culture, optimize procedures for higher efficiency and help company evolve and grow.
• Maximized performance by monitoring daily activities and mentoring team members.
• Trained and mentored new team members and managers on accounts payable systems and policies to build cohesive groups and promote operational performance.
• Collaborated with team members to identify trends in unpaid claims and develop strategies for resolution.

• Applied strong leadership talents and problem-solving skills to maintain team efficiency and organize workflows.
• Processes accounts for write-off and for legal.
• Supervised staff of 20 + appeal specialist by implementing company policies, protocols, work rules and disciplinary action
• Trained and developed personnel to improve safety, employee relations and resolve collection issues
• Reviewed established policies and procedures to take on temporary leadership positions, motivate employees and facilitate smooth appeal operations.
• Reduced accounts receivable days outstanding, optimizing billing and collections efforts.

• Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
• Verified insurance of patients to determine eligibility.
• Filed and updated patient information and medical records.
• Reviewed patient records, identified medical codes, and created invoices for billing purposes.
• Communicated with insurance providers to resolve denied claims and resubmitted.
• Delivered timely and accurate charge submissions.
• Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
• Collaborated with healthcare providers, ensuring accurate documentation for seamless billing operations.
• Reviewed outstanding balances owed by patients; initiated collection actions if necessary resulting in improved account recovery efforts.

• Researched and resolved billing discrepancies to enable accurate billing.
• Strengthened client relationships through effective communication regarding billing issues and concerns.
• Maximized revenue potential by identifying and resolving under-billed accounts.
• Contributed to improved financial reporting by reconciling discrepancies between invoiced amounts and actual payments received.
• Prepared itemized statements, bills, or invoices and recorded amounts due for items purchased or services rendered.
• Streamlined billing process efficiency by implementing updated billing system.
• Optimized payment collection times by implementing effective follow-up strategies with clients.

• Performed Aging Report and Reconciliations of Records, Claims Utilizing HCFA 1500 collected past due accounts from insurance companies, research billing discrepancies, Performed corrected billing HMO Medicaid Plans.
• Reviewed medical claims, and Appeal for under payment for complete information and requirements.
• Worked accounts receivable in assigned area to maximize reimbursement.Utilized knowledge of PPO, HMO, Government.
• Contacted various payers and patients to collect on outstanding accounts.
• Performed in depth review of accounts to determine payer coverage requirements based on contract.
• Contacted patients and insurances to obtain payments.
• Submitted appeals and reconsiderations.