Highly knowledgeable professional with over 10 years of industry experience. Demonstrated success in exceeding company expectations and recognized as a strong leader. Adept at leveraging expertise to drive successful outcomes and deliver exceptional results. Committed to continuous learning and staying updated with industry trends to ensure optimal performance and contribute to organizational growth.
Overview
11
11
years of professional experience
Work History
BUSINESS OFFICE LEAD
MEMORIAL HERMANN SUGAR LAND SURGICAL HOSPITAL
05.2023 - Current
Planned and coordinated logistics and materials for board meetings, committee meetings, and staff events.
Streamlined office procedures to increase productivity, achieving a measurable reduction in processing time.
Coordinated staff schedules, maintaining optimal coverage during peak hours without compromising service quality.
Managed accounts receivable, ensuring timely invoicing and collection of payments.
Communicated effectively with staff members, physicians, and patients, employing active listening and interpersonal skills.
Assisted with regulatory issues such as compliance.
Leveraged patient feedback and performed continuous process improvements to streamline day-to-day business operations and patient satisfaction.
Addressed and remedied all patient or team member issues.
Created and implemented organizational policies and procedures.
Enhanced operational workflows, analyzing and redesigning processes for improved efficiency.
Maintained high level of patient care by conducting regular audits of medical record accuracy.
Implemented new processes for managing patient flow, minimizing wait times while maintaining high-quality care standards throughout the practice.
REVENUE INTEGRITY ANALYST & COLLECTIONS
MEMORIAL HERMANN SUGAR LAND SURGICAL HOSPITAL
05.2022 - 05.2023
Provides extensive knowledge of claims and reimbursement and maintains collection efforts for Managed Care, Medicare and Medicaid, Worker's Compensation and Commercial plans
Reviews financial obligation with patient and authorized party, provides payment arrangement documentation and counsels patient about facility charges, insurance coverage and patient responsibility
Responsible for analyzing and optimizing revenue cycle processes by identifying opportunities for improvement and implementing strategies to increase revenue and improve patient satisfaction
Responds to and resolves complex and varied inquiries and requests received from patients and physicians as well as clinical departments and off-site offices regarding collections on outstanding accounts
Assists daily with other insurance-related business office procedures such as verifications, scheduling and registration
Enhanced revenue integrity by identifying billing errors and implementing corrective measures.
Optimized claim submission process by resolving discrepancies before final submission, reducing denial rates significantly.
INSURANCE COLLECTIONS SPECIALIST
HOUSTON PHYSICIANS' HOSPITAL
08.2016 - 05.2022
Coordinated with insurance companies to review the benefits and eligibility, authorization requirements, claim status and investigated reasons for claim denial
Maintained an accurate and detailed monthly Accounts Receivable Report regarding collection efforts
Responsible for calculating allowable and determining appropriate reimbursement then appealing claims as necessary
Ensured that all posted payments are reviewed for accuracy and comprehensiveness
ADMINISTRATIVE ASSISTANT
CHARLES M. STAGG CPA
01.2014 - 08.2016
Established and implemented office operation procedures and processes
In charge of processing and reconciling a variety of accounting documents such as: invoices, departmental billing, employee reimbursements, cash receipts, vendor statements and journal vouchers
Reviewed and approved all supply requisitions
Assembled federal tax extensions as well as tax returns
Managed accurate document retention practices; protection, retrieval, transfer and disposal
Education
Associates of Applied Science - Health Information Management
Alvin Community College
Alvin, TX
05-2024
Certification - Health Information Management-Medical Coding
Associates of Applied Science - Health Information Management
Alvin Community College
Certification - Health Information Management-Medical Coding
Alvin Community College
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