Thiquita McConaga

• Screened patients for uncompensated care eligibility and assist with completion of the application and documentation requirements
• Followed up with clients by phone, or in writing as needed to encourage completion of applications and to ensure enrollment and ongoing access to needed health care service
• Demonstrates working knowledge of all public assistance programs and is able to screen patients for eligibility for these programs and initiate application
• Worked as liaison between patients and other internal entities to provide resolution for concerns such as billing, coding, charge accuracy, medical records, and detail billing
• Communicated and coordinated with admitting staff, case management, and billing daily to retrieve and share information
• Maintain effective liaison with all collateral agencies, including physician offices, governmental agencies, and all community contacts
• Kept complete and accurate files in compliance with all regulatory requirements in Epic
• Protected patients sensitive financial and demographic information in consistently responsible manner.
• Enhanced company reputation by providing exceptional customer service and support.

Client liaison for Dignity Health (Greater Atlanta Area)

• Analyzes and resolves issues within the revenue cycle process to decrease client's Inventory/AR of $1.9 Billion improving financial performance
• Reconciled over $20M in aged accounts within a 2-month period contributing to positive financial standing
• Identify process breakdowns in the hospital billing, collections, and implanting innovative solutions to address new issues that arise
• Consulted with clients to determine their needs and priorities
• Detailed knowledge of Medicaid, Medicare, Managed Care, and Commercials Insurances
• Follow-up, collections, adjustments, write-offs in addition to reconciliation
• Increased revenue through loss prevention, cash acceleration and denial management
• Perform in depth root causes analysis to determine process improvements
• Prepare and/or provide recommendations for initial and next level appeals for denied and/or underpaid claims.
• Collaborated with legal counsel to successfully resolve complex billing disputes, recovering lost revenue for the organization.
• Increased patient financial responsibility collections through diligent follow-up efforts, effective communication with patients, and streamlined payment plan options.

Client liaison at the University of Massachusetts Memorial Hospital (Worcester MA)

• Reduced accounts receivable days outstanding by implementing aggressive collection strategies and closely monitoring payment status.
• Managed accounts receivable collections to achieve targeted receivables monthly and expedited cash flow.
• Revenue Cycle, managed care, 3rd party reimbursement, and hospital financial resources as well as payer specific regulatory and contractual billing obligations for Medicare, Medicaid and Commercial
• Patient Access updates including Eligibility, Insurance Verifications, Authorizations and Pre-Certifications.
• Verified Coding and ICD-9 codes on claim forms electronically and manually.
• Implemented all secondary insurance and coinsurance claims if applicable.
• Developed and maintained strong relationships with insurance carriers and other key stakeholders within the revenue cycle ecosystem, fostering a collaborative environment that positively impacted overall outcomes.
• Improved financial reporting accuracy by implementing robust data validation processes, ensuring informed decision-making by senior leadership.

• Customized daily workflow by analyzing and delegating daily communication to team.
• Assisted with difficult denials or notices of non-payment, contacting Payer representatives on large trends identified by team members
• Assigned daily correspondence to team for their assigned Payers
• Received adjustment and refund requests from team members and reviews accounts for any further actions needed prior to passing to Supervisor.
• Provided exceptional support during audits by preparing required documentation promptly and accurately, ensuring smooth audit process every time.
• Optimized cash application process by reconciling customer payments with invoices more efficiently, reducing unallocated cash balances significantly.
• Developed comprehensive aging report utilized by management to make informed decisions regarding collections efforts and resource allocation. Assisted management in forecasting cash inflows by providing accurate analysis of accounts receivable data and trends on regular basis.

• Reduced overdue accounts by consistently monitoring and following up on outstanding invoices.
• Developed strong rapport with customers, fostering goodwill that facilitated more effective collections efforts.
• Minimized instances of late payments by providing consistent follow-up reminders to clients approaching due dates.
• Contributed to reduction of bad debt expense by diligently managing high-risk accounts and negotiating payment plans when necessary.
• Contributed to successful cash forecasting initiatives by providing detailed analysis on expected receivable inflows.
• Streamlined account reconciliation processes, enabling faster identification of discrepancies and subsequent resolution efforts.
• Conducted thorough research on new clients, assessing their creditworthiness before extending credit terms.

• Greeted patients and visitors in a courteous and friendly manner.
• Typed correspondence, summary, memos, and forms as requested by physician and practice manager.
• Enter all procedure and diagnose codes in Nextgen.
• Reviewed, and worked daily correspondence.
• Verified insurance eligibility.
• Gathered appropriate documentation for claims submission
• Followed up on unpaid claims and denial.
• Verified accuracy of accounts payable payments, resulting in 25% reduction in payment errors and check reissues.

• Client Liaison for Grady Health System (Atlanta, GA)
• Ensured claims are entered and submitted with 48 hours of receipt
• Bill and collect for different entity (Radiology, Anesthesia, Hospital and etc.) Processed a minimum of 100 claims a day conforming to ICD-9 and CPT-4 standards
• Improved revenue for most recent provider over 32% with same patient load
• Handled claims for all commercial insurance, Workers Compensation, MVA, Medicare and Medicaid
• Accurately apply payments to patient accounts
• Post and reconcile insurance and patient payments
• Research and resolve incorrect payments, EOB rejections, and other issues with outstanding accounts.

• Interfaced directly with a diverse population of patients, responding to various inquiries and concerns
• Communicated with physicians and medical support staff to determine the need for patient services
• Performed a broad scope of clinical procedures, effectively communicating and recording test results
• Obtained patients medical insurance information quickly and accurately
• Ensured the quality control of laboratory procedures, equipment functionality, and regulatory compliance
• Maintained up-to-date computer-based laboratory test results and patient information
• Manage a medical front desk in areas of manual and computerized scheduling, billing, and medical/insurance information, including major carriers and Medicaid.
• Answered phone calls and messages for 12 physician in Dermatology medical facility, scheduling appointments, and handling patient inquiries.
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