Tracy Bain
Walker,LA
Summary
Encouraging manager and analytical problem-solver with talents for team building, leading and motivating, as well as excellent customer relations aptitude and relationship-building skills. Proficient in using independent decision-making skills and sound judgment to positively impact company success. Dedicated to applying training, monitoring and morale-building abilities to enhance employee engagement and boost performance.
Overview
17
17
years of professional experience
Work History
Business Office Manager
Surgery Center Of Zachary
10.2022 - 12.2024
- Implemented employee training programs, increasing overall staff competency and reducing skills gaps.
- Resolved financial discrepancies and customer billing issues with timely attention.
- Updated reports, managed accounts, and generated reports for company database.
- Oversaw office inventory activities by ordering and requisitions and stocking and shipment receiving.
- Established workflow processes, monitored daily productivity, and implemented modifications to improve overall performance of personnel.
- Increased accuracy in financial reporting by implementing robust accounting practices and attention to detail in data entry tasks.
- Oversaw recruitment and onboarding process for new employees, ensuring smooth integration into company culture and workflow.
- Coordinated staff schedules, adjusting workloads to maximize productivity and meet deadlines.
- Coordinated with IT department to resolve technical issues swiftly, minimizing downtime and maintaining operational continuity.
- Worked denials and contacted insurance companies to get claims paid.
- Worked appeals to denied claims
- Worked all Accounts Receivable
- Worked Accounts Payable
- Worked Payroll
- Established performance goals for employees and provided feedback on methods for reaching those milestones.
- Oversaw daily operations, identifying bottlenecks and implementing solutions to enhance workflow and productivity.
- Standardized document handling procedures to enhance accessibility and retrieval times for critical information.
- Fostered a positive work environment by resolving staff conflicts promptly and promoting open communication.
Accounts Receivable Clerk
Amedisys
09.2020 - 09.2022
- Maintained strict adherence to company confidentiality policies when handling sensitive financial data and personal information for clients.
- Facilitated dispute resolution between company and clients, fostering positive working relationships while protecting company interests.
- Posted customer payments by recording cash, checks, and credit card transactions.
- Prepared and mailed invoices to customers, processed payments, and documented account updates.
- Reconciled accounts receivable ledger to verify payments and resolve variances.
- Enhanced financial reporting accuracy by reconciling accounts receivable ledger with general ledger monthly.
- Used accounting software to reconcile accounts, track income, and generate invoices.
- Contributed to month-end closing procedures by preparing detailed accounts receivable aging reports for management review.
- Responded to inbound inquiries regarding accounts and payments.
- Reviewed accounts on monthly basis to assess aging and pursue collection of funds.
- Worked closely with Medicare and Medicaid to provide patient information and process new patients.
- Worked Return to Provider denied claims.
- Corrected denied Return to provider claims.
- Worked closely with previous providers to get new admit patient information and work through any admission issues.
- Filed appeals
- Answered billing questions from private pay patients.
Account Manager
Convergent Solutions LLC
01.2018 - 03.2020
- Responded to patient, family, and external payer inquiries.
- Worked with outside entities to resolve issues with billing, claims, and payments.
- Collaborated with the medical staff to ensure proper documentation and coding for accurate billing.
- Contacted patients after insurance was calculated to obtain payments.
- Electronically submitted bills according to compliance guidelines.
- Identified trends in unpaid accounts, developing targeted solutions for improved revenue recovery.
- Facilitated smooth communications between patients, providers, and insurers, fostering an atmosphere of trust and collaboration.
- Posted payments and processed refunds.
- Ensured compliance with healthcare regulations while processing claims and managing patient accounts.
- Provided exceptional customer service, handling sensitive patient situations with professionalism and empathy.
- Maintained accurate records of all transactions, ensuring timely payments from patients and insurance providers.
- Prepared reports detailing billing actions, flags, and other key information.
- Promoted a positive work environment by actively participating in team meetings and contributing ideas for process improvements.
- Conducted regular audits of patient accounts, identifying discrepancies and rectifying errors as needed.
- Utilized computer programs to create invoices, letters, and other documents.
- Demonstrated adaptability in navigating complex payer guidelines to maximize reimbursement opportunities for the organization.
- Reconciled statements with patient records.
- Assisted colleagues during peak periods or absences, showcasing teamwork skills while maintaining personal workload demands efficiently.
- Monitored flags and resolved urgent items with accuracy and efficiency.
- Reviewed insurance eligibility and verified coverage details to minimize claim denials and delays in payment.
- Negotiated payment plans with patients experiencing financial difficulties, supporting them in meeting their obligations without undue stress.
- Monitored customer accounts for payment delinquency and initiated collection efforts.
- Responded to customer inquiries and provided detailed account information.
- Located customers with overdue accounts and solicited payment in compliance with fair debt collection practices.
- Worked claim denials
- Filed appeals as needed to have denied claims paid.
- Worked with attorneys to have workman's comp claims paid in a timely manner.
- Prepared and submitted legal documents to initiate court proceedings.
Office Manager
National Legacy Hopsice
06.2017 - 01.2018
- Handled sensitive information with discretion, maintaining confidentiality of company documents and personnel records.
- Provided exceptional customer service when addressing client inquiries or concerns via phone calls or email correspondence.
- Coordinated office events and meetings, ensuring timely execution and optimal scheduling for all participants.
- Maintained accurate financial records by reconciling accounts payable/receivable transactions regularly to ensure balanced budgets.
- Served as a liaison between upper management and staff members, facilitating open channels of communication to address concerns or issues promptly.
- Assisted in the recruitment process, conducting interviews and onboarding new employees to promote a seamless integration into the team dynamic.
- Supported department heads in accomplishing their goals through diligent administrative assistance such as report generation and data entry.
- Submitted claims to insurance companies
- Contacted Medicare and Medicaid for patient claims and information.
- Submitted new admission authorizations to insurance companies.
- Completed payroll.
- Made daily calls to patients and caregivers to ensure good patient care.
- Implemented comprehensive training program for new hires, improving their integration into team and productivity.
- Improved team morale and cohesion with regular team-building activities and open communication channels.
Medical Biller and Coder
Dermatology Clinic
06.2013 - 06.2017
- Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
- Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.
- Reviewed patient charts to better understand health histories, diagnoses, and treatments.
- Correctly coded and billed medical claims for various hospital and nursing facilities.
- Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
- Resourcefully used various coding books, procedure manuals, and on-line encoders.
- Interacted with physicians and other healthcare staff to ask questions regarding patient services.
- Assisted patients with understanding their insurance coverage and financial responsibilities, fostering positive relationships and trust between the practice and its clients.
- Expedited payment processing by promptly addressing any discrepancies or issues raised by insurance carriers.
- Developed effective communication channels with insurance companies to facilitate prompt resolution of claim inquiries and disputes.
- Increased accuracy in medical claims submissions by conducting thorough reviews of patient records and insurance information.
- Participated in continuing education opportunities to stay current on advancements within the field of medical billing and coding, thereby elevating the overall quality of work.
- Worked closely with physicians to accurately assign ICD-10 diagnostic codes for optimal reimbursement rates from insurance companies.
- Reduced claim denials through meticulous verification of patient eligibility and coverage benefits prior to claim submission.
- Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
- Played a pivotal role in maintaining positive cash flow within the organization by ensuring timely submission of clean claims and diligent follow-ups on outstanding payments.
- Maintained high levels of customer satisfaction through prompt resolution of disputes related to charges on patient accounts or insurance claims.
- Optimized workflow efficiency within the office by cross-training in additional administrative tasks such as scheduling appointments or managing phone calls during peak periods.
- Trained and mentored junior coders to support growth and development amd apply high-quality coding practices.
- Communicated with insurance companies to research and resolved coding discrepancies.
- Verified signatures and checked medical charts for accuracy and completion.
- Monitored changes in coding regulations to provide recommendations for compliance.
- Input data into computer programs and filing systems.
- Researched and resolved medical record discrepancies.
- Verified accuracy of patient information in medical records.
- Communicated effectively with staff, patients, and insurance companies by email and telephone.
- Scanned and uploaded medical records into electronic medical records system.
- Transcribed and entered patient medical information into electronic medical records systems.
- Assisted in training new staff on medical record processing and filing procedures.
- Collected payments by phone, mail, EFT
Customer Service Representative
Blue Cross Of Louisiana
01.2008 - 05.2013
- Resolved customer complaints with empathy, resulting in increased loyalty and repeat business.
- Managed high-stress situations effectively, maintaining professionalism under pressure while resolving disputes or conflicts.
- Handled escalated calls efficiently, finding satisfactory resolutions for both customers and the company alike.
- Enhanced customer satisfaction by promptly addressing concerns and providing accurate information.
- Responded to customer requests for products, services, and company information.
- Developed rapport with customers through active listening skills, leading to higher retention rates and positive feedback from clients.
- Assisted customers with EOB questions.
- Reviewed denied claims for incorrect denial reasons and sent claims back to be reprocessed correctly.
- Assisted customers to appeal their denied claims.
- Mailed requested information to providers and customers.
- Assisted providers with claim denials and payment information.
Education
Certificate of Technical Studies - Medical Billing And Coding
Remington College
Baton Rouge, LASkills
- Employee onboarding
- Office management
- Office administration
- Operations management
- Records management
- Document management
- Payroll management
- Payroll processing
- Training and coaching
- Account reconciliation
- Meeting facilitation
- Human resources
- Office management software
- Spreadsheet and database creation
- Electronic medical records (EMR) systems
- Home healthcare management
- Customer service
- Teamwork and collaboration
- Positive attitude
- Teamwork
- Computer skills
- Organizational skills
- Attention to detail
- Adaptability and flexibility
- Self motivation
- Time management abilities
- Decision-making
- Active listening
- Customer relations
- Reliability
- MS office
- Documentation and reporting
- Work Planning and Prioritization
- Negotiation and conflict resolution
- Employee training
Affiliations
- AAPC
Timeline
Business Office Manager
Surgery Center Of Zachary
10.2022 - 12.2024
Accounts Receivable Clerk
Amedisys
09.2020 - 09.2022
Account Manager
Convergent Solutions LLC
01.2018 - 03.2020
Office Manager
National Legacy Hopsice
06.2017 - 01.2018
Medical Biller and Coder
Dermatology Clinic
06.2013 - 06.2017
Customer Service Representative
Blue Cross Of Louisiana
01.2008 - 05.2013
Certificate of Technical Studies - Medical Billing And Coding
Remington College
Similar Profiles
Olivia GilmoreOlivia Gilmore
Custodian at Zachary Manor Nursing & Rehabilitation CenterCustodian at Zachary Manor Nursing & Rehabilitation Center
Keshawnna SmithKeshawnna Smith
CNA at Zachary Manor Nursing & Rehabilitation CenterCNA at Zachary Manor Nursing & Rehabilitation Center
Alexandra DeadmonAlexandra Deadmon
Charge Nurse at Surgery Surgical Care Affiliates/Center for Minimally Invasive Surgery CenterCharge Nurse at Surgery Surgical Care Affiliates/Center for Minimally Invasive Surgery Center
Hayden RaineyHayden Rainey
Ironworker at Turner Industries, Geismar, LouisianaIronworker at Turner Industries, Geismar, Louisiana
Kayla ScallanKayla Scallan
Lead Sonographer at Ochsner Medical CenterLead Sonographer at Ochsner Medical Center