Tracey Sheriff
Mount Vernon,OH
Summary
With over 15 years of experience as a supervisor, I have developed exceptional leadership and people skills. I thrive in team environments and are proficient in various Microsoft programs such as Word, Excel, PowerPoint, Microsoft Teams, Outlook, Webex, and Right Fax. Additionally, I am well-versed in multiple healthcare software systems including Epic, CPSI, HMS, McKesson Paragon, CERNER, AllScripts, Healthquest, Optum, Relay Health, Meditech, OnBase Service Now, Oracle People Soft, and Kronos Time and Attendance. My expertise extends to Emdeon, Navient, and Avality with a strong background in claims submission/follow-up for UB04/HCFA1500. I hold a CRCR (Certified Revenue Cycle Representative) certification and possess extensive knowledge in denial management, contract management, billing, and follow-up.
Overview
27
27
years of professional experience
1
1
Certification
Work History
Supervisor for Client and Specialty Billing and Follow-up
Trinity Health
02.2020 - Current
- Together care/Meditech/MD Saves/Data Ark, Healthquest
- Work Hospice Denials, SNF accounts
- Productivity/QA for our team
- NThrive and Medicare websites for coding inquiries when needed.
- Review Contracts to determine if correct payment has been made and if not research to determine the barrier.
- Manage Adjustment Tier II Self Pay and Self Pay Insurance work queues
- Frequently inspected production area to verify proper equipment operation.
- Generated reports detailing findings and recommendations.
- Time and attendance for 12 colleagues
- Tier I and Tier two Huddles
- Microsoft Team’s meetings
- Obtained monthly billing metrics
- Interviewed and Hire colleagues/work with Recruiter
- Completed yearly evaluations/Set Goals
- Colleague performance write up/warnings
- Worked with Clients/Hospitals concerning account balances, worked with other departments, Insurance companies on account discrepancies
- Service Now tickets
- Data Ark
- MD Saves
- Website Portals such as WPS and CGS and Availity
- Epic- Review client charges, fee schedules, labs requisitions. Reconcile accounts for all services including inpatient, outpatient, Review claim for correct charging, fee schedules. through charge router detail, coding and or
- Review units, charges, contracts for accuracy.
- Organ Procurement accounts, determine if Circulatory or brain death, approve adjustment.
- Cosmetic Accounts- Review orders, charges, and agreements. Complete adjustments accordingly
- Hospice claims. Determine if claim is Hospice related by reviewing chart, charges, orders.
- Review downgrades from Inpatient to Outpatient.
- Create related HAR in both HB and PB
- work in MD Saves, Data Ark
- Oversaw daily operations of the department, ensuring smooth workflow and timely completion of tasks.
- Applied strong leadership talents and problem-solving skills to maintain team efficiency and organize workflows.
- Increased team productivity by implementing efficient workflows and setting clear expectations for staff members.
- Resolved conflicts among team members promptly, maintaining a harmonious working environment conducive to productivity.
- Enhanced communication within the team by holding regular meetings and encouraging open dialogue among all members.
- Demonstrated commitment to the organization''s core values, leading by example and fostering a culture of excellence.
- Conducted performance evaluations for staff members, identifying areas of improvement and guiding professional development plans.
- Identified operational inefficiencies and implemented corrective measures to increase effectiveness.
- Evaluated staff performance and provided coaching to address inefficiencies.
- Supervisor for Commercial Billing from 2020-2022.
- I have a strong skill set in charge detail, procedures and compliance.
Registration Representative
Akron Children’s Hospital
10.2018 - 09.2019
- Greeted every guest with personable approach and provided knowledgeable service.
- Registered patient verifying insurance and taking payments if necessary.
- Assist when needed for extra shifts
- fill in physician appointment times when needed
- reconcile payments at end of shift
- ensured waiting area and reception desk was cleaned and organized at the end of the shift.
- Answered and managed incoming and outgoing calls while recording accurate messages for distribution to office staff.
- Supported hospital compliance efforts by adhering to HIPAA guidelines and maintaining the confidentiality of patient information.
- Managed high-stress situations calmly while assisting patients experiencing medical emergencies or other urgent matters.
Director
Acadia Healthcare
01.2017 - 04.2018
- Company Overview: Ohio Hospital for Psychiatry
- Manage a staff of 13 people in three entities
- Complete employee evaluations, position postings
- Time and attendance, Prepare and post Job Descriptions for open positions in Ulti Pro
- Work with Payor representatives concerning contractual problems, payment discrepancies, as well as Behavioral Health Redesign
- Review/work Denials from Payors
- Ensure takebacks are received back to the payor within 60 Days
- Work with Payors concerning claim denial patterns
- Ensure contractual adjustments are correct and withing the contract agreement
- Attend daily flash meeting with all Directors
- Denial meetings with Utilization Review Department
- Review collector’s accounts and work queues
- Provide coaching on items I feel would benefit the organization and increase collections
- Weekly A/R meetings with Staff and Acadia corporate team
- Prepare for month end closure for Three Entities
- Ensure all adjustments, Charity applications, contractual obligations are being met by the payor, prior to month end closure
- Work in HMS Accounting System, run reports and ensure all updates to our contractual pricing is up to date
- SSI Billing Clearinghouse= Work with Staff and SSI to ensure files are coming from HMS into SSI correctly, if not being able to explain what our needs are to the clearinghouse to ensure clean claims
- Train staff, empower them to ask questions, be a part of the conversation during our A/R meetings
- Ohio Hospital for Psychiatry
EDI Account Representative
Quadax, Inc
07.2014 - 05.2016
- Obtaining a designated territory of accounts within Ohio
- Maintaining Client Satisfaction with Xpeditor
- Provide training, education, support needs
- 837, UB, 1500, and 835 claim detail for ICD10
- Ensuring UB and 1500 claims are being placed into Xpeditor for claims management either by manual entry or via 837
- Complete weekly Account Management report
Commercial Collections Manager
Parkland Dallas County Hospital
11.2013 - 07.2014
- Leading a staff of 25 collectors bringing our department from monthly collections of 32 million to a record of 51 million
- Consistently staying at 48 million until my departure
- Implemented process for follow up, Reducing A/R Days
- Completed time and attendance, Employee evaluations, Hiring employees, training and development, staff meetings
- Met with Insurance Representatives from all Payers on large dollar accounts prior to 30 days ensuring Expedited Payment
- Managed A/R from Epic/MedAssets
Patient Financial Services Supervisor
Knox Community Hospital
03.2009 - 12.2013
- Collaborated closely with Director and CFO, outside billing and collection companies with a strong focusing on A/R, bad debt and charity within the revenue cycle
- Conduct/attend, and present meetings within the department, outer department, with vendors
- Complete Bi-weekly payroll using Kronos time management
- Maintain passwords, reporting, create and write edits/formulas for the hospital claims management system Quadax
- Assisted building and implementing McKesson Paragon Patient Financial Services 11.0
- Trained employees, staff
- Assisted in building HPF for Patient Financial Services, implementing and using for scanning documents/reviewing
- I have worked with the following billing systems CPSI, Allscripts, and McKesson Paragon
- Elected and became 2012 Board member for COPAM (Central Ohio Patient Accounting Management)
- Attend monthly meetings and coordinate yearly conference
- National Member of AAHAM (American Association of Healthcare Accounting Management)
- Oversee staff of 25, maintain daily procedures and processes, assist with problem accounts, assist Director with write ups, 90-day evaluations, approval/disapproval of PTO
- Review accounts from collection agencies, approve or disapprove accounts going to legal action
- Represent hospital in court for those accounts that have been sent for legal action, work with patients to assist in a resolution if necessary
- Order supplies for department through Staples, and Paragon
- Complete varies invoices for our departments using General Ledger Numbers
Urgent Care Registration Clerk
Nationwide Children's Hospital
11.2008 - 03.2009
- Using Epic computer software, I greeted patient and interviewed for the most accurate demographic & insurance information, accepted co pays and deductibles offered charity assistance
- Worked with physicians, nurses to maintain patient satisfaction
Financial Counselor/Registration in Emergency Room
MedCentral Health Systems
02.1998 - 10.2008
- Using Sorian Financial computer software greeted, interviewed patient in order to obtain the most accurate demographic and insurance information
- Complete bedside registration in the Emergency Room, and bedside financial assistance to the patients
- Billing and follow up- 7 years’ experience in the business office
- Medicare billing, commercial insurance follow up, ordered supplies for department, maintain files, worked with outside companies to obtain old records
- Worked in Medical records for 2 years assisting physicians, physician’s offices, filing
Education
BA - Business Management
Columbus State Community College
01.2017
Diploma -
Clear fork High School
Skills
- Effective Team Contributor
- Microsoft 365 proficient
- In-Depth Knowledge
- Detailed Charge Analysis
- In-depth Understanding of Medical Coding
- Contract Oversight
- Thoroughness in Analysis
- Process Optimization
Accomplishments
- Supervised team of 12 and at time up to 32 staff members.
- CRCR certified.
- Reduced A/R by identifying charging issues and or contact issues.
Certification
CRCR (Certified Revenue Cycle Representative), Current
Timeline
Supervisor for Client and Specialty Billing and Follow-up
Trinity Health
02.2020 - Current
Registration Representative
Akron Children’s Hospital
10.2018 - 09.2019
Director
Acadia Healthcare
01.2017 - 04.2018
EDI Account Representative
Quadax, Inc
07.2014 - 05.2016
Commercial Collections Manager
Parkland Dallas County Hospital
11.2013 - 07.2014
Patient Financial Services Supervisor
Knox Community Hospital
03.2009 - 12.2013
Urgent Care Registration Clerk
Nationwide Children's Hospital
11.2008 - 03.2009
Financial Counselor/Registration in Emergency Room
MedCentral Health Systems
02.1998 - 10.2008
Diploma -
Clear fork High School
BA - Business Management
Columbus State Community College