Tamiko Cox
Lawrenceville,GA
Summary
Highly knowledgeable and dedicated revenue cycle management professional with over 20 years of extensive experience in accounts receivable, accounts payable and financial/budget planning practices. Self motivated and excellent problem solver with the ability to lead others in ambiguous situations. Known for the ability to quickly master new software, programs and processes to drive efficiency and automation. Eager to apply my financial expertise, analytical skills and managerial competencies with an organization that promotes success.
Overview
18
18
years of professional experience
Work History
Manager, Revenue Cycle Operations
Emory Healthcare
09.2019 - Current
- Currently monitors and supports revenue cycle operations for 8 divisions which includes 80 clinics comprised of Primary Care, Geriatrics, Employer Health Solutions (Coca-Cola, Delta and Executive Health) and LaGrange specialties.
- Implements process improvements, ensuring accurate charge capture and coding compliance.
- Provides effective, supportive and strong leadership to team inclusive of 14 coders and supervisors to enhance performance, productivity and morale.
- Streamlined workflows to minimize claim rejections and maximize reimbursement rates from insurance providers.
- Partners with the finance team and analyst to produce accurate bi-monthly reports on collection metrics and trends.
- Enhances customer satisfaction by resolving disputes promptly, maintaining open lines of communication, and ensuring high-quality service delivery.
- Established strong relationships with external customers/stakeholder, securing long-term partnerships.
- Manages the Annual Wellness visit audit process for all new providers and current providers requiring additional education.
- Manages and supports manual processes: LTAC, RPM, Wellstar
Manager, Revenue Cycle Management
FusionSleep
04.2013 - 06.2018
- Managed a team of up to 10 employees who were responsible for the billing of approximately 40,000 claims and $6M in collections for four lines of business annually
- Managed the day to day operations of the revenue cycle team which included the performance of billing and submission processes, as well as all related claim follow-up activities and overall account performance
- Monitor key performance indicators and collection goals, resolve billing issues and ensure timely payments
- Mentor employees, conduct performance evaluations, counsel and provide corrective actions to assigned personnel, and worked to facilitate individual and team development that drove positive results
- Provided cash predictions and financial reporting to senior management and CFO ensuring accuracy and timely delivery
- Actively participated in budget development and carried responsibility for achievement of budget targets
- Served as the main contact for various vendors related to the revenue cycle process maintaining open communications
- Worked collaboratively with other departments to identify, install and manage revenue performance improvement initiatives
- Responsible for compliance and enforcement of company/department policies and procedures
- Developed an in-depth process with RCM functions and operations, including front-end cash collections and reimbursement tools used to quote patient out-of-pocket costs
- Optimize productivity while avoiding unnecessary costs such as excess overtime
- Super user and key player in the implementation of a new software system for the company
- Responsible for training and a smooth transition
- Key player in implementing the transition of ICD-10 for the practice
- Successes: Increased Monthly Collections from $890K to $1.5M within a 3-month period
- 97% collection within 60 Days of Date of Service
- Decreased Unbilled Days from 15 to 3 in a 2-month period
- Decreased Cash Posting Days from 14 to 3 within 1 month.
Lead A/R Specialist
FusionSleep
03.2008 - 04.2013
- Oversaw and assisted team members daily to resolve issues and disputes internally and externally
- Responsible for the collection of accurate reimbursement from insurance carriers
- Post insurance and patient payments to outstanding account balances
- Review for accuracy and reconcile all posted payments and report to Finance Department
- Oversee the daily operations of the AR Collections Department
- Assist in the annual audit process and other Finance operations related to collections
- Provide support in implementing new processes and procedures for growing company
- Provide assistance to the Contracts and Credentialing Administrator
- Responsible for the filing and collection of all office visit claims averaging 40 claims a day
- Responsible for the resolution of account balances with patients and carriers (i.e, bankruptcies, refunds, etc.)
- Obtain and document medical benefits for new and established patients
- Trains all new hires associated with the Billing and Benefits department
- Responsible for the set-up and management of patient's payment plan agreements
- In charge of preparing daily, monthly & quarterly Revenue Reports for the Finance Department
- Collect and reconcile all daily cash in-flow from medical practice, report to Accounting Manager and CFO
- Assists in implementing new processes and procedures for new and growing company.
Neo Reimbursement Team Lead
Sheridan Healthcorp, Inc.
06.2006 - 03.2008
- Assisted in interviewing possible candidates and responsible for training of all new hires
- Assisted employees with daily work issues, appealing denied claims and auditing their daily work flow
- Responsible for overseeing follow up, collection and resolution of account balances for contracted and/or non-contracted carriers and self pay payors by staff of 15 employees
- Provide weekly feedback to management on group productivity and/or issues.
Education
Bachelor of Business Administration, Specializing in Accounting -
American Intercontinental University
Associate of Science in Accounting -
Florida Atlantic University
Skills
- Policy implementation and best practices for company
- Revenue Performance
- Denial Resolution
- Financial Analysis and Reporting
- Complex Problem-Solving
- Communication with key leaders
- Healthcare Industry Knowledge
- Billing cycle expertise
- Efficiency Improvements
- Critical Thinking
- Prior Authorization/Registration
- Strong Training and Mentoring Skills
Technicalproficiencies - Softwareprograms
- EPIC
- Athena IDX
- PowerChart
- PowerWorks
- NextGen
- Availity
- Navicure
- TSI Healthcare
- Quickbooks
- MS Office Suite: Word, Excel, PowerPoint, Outlook, Access
- Google Chrome, Google Drive, Internet Explorer, Mozilla Firefox
Projects
Coca-Cola
Timeline
Manager, Revenue Cycle Operations
Emory Healthcare
09.2019 - Current
Manager, Revenue Cycle Management
FusionSleep
04.2013 - 06.2018
Lead A/R Specialist
FusionSleep
03.2008 - 04.2013
Neo Reimbursement Team Lead
Sheridan Healthcorp, Inc.
06.2006 - 03.2008
Bachelor of Business Administration, Specializing in Accounting -
American Intercontinental University
Associate of Science in Accounting -
Florida Atlantic University
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