Wendi Devine
Accounts Receivable Supervisor
Casselberry,FL
Summary
A motivated, energetic professional with 24 years of experience in all aspects of Revenue Cycle Management. Experienced professional who is detail and goal-oriented, with strong interpersonal organizational, communication, and leadership skills. Ability to multitask, work independently, meet deadlines, have exemplary problem-solving skills, and handle confidential information.
Overview
25
25
years of professional experience
Work History
Accounts Receivable Supervisor
New Season (Substance Abuse/MAT Treatment Center)
2020.04 - 2022.09
- Managed a team of 12 Accounts Receivable Coordinators (4 in office and 8 remote), 6 remote Insurance Verification Coordinators, 3 remote Prior Authorization Coordinators and 5 (in office) Cash Application Coordinators.
- Hired, managed, developed, and trained staff, established and monitored goals, conducted performance reviews, and administered salaries for staff.
- Reconciled daily AR ledger and verified proper posting. Identified, researched, and resolved billing variances to maintain system accuracy and currency. Identified and resolved unbilled charges, claims, and unapplied cash.
- Posted revenues by verifying and entering transactions from the lock box and local deposits approximately $11 million net monthly.
- Attended weekly meetings to discuss and optimize strategies and to define clear targets and objectives and communicated to other team members.
- Managed daily billing process for 80 centers across 20 states. Generated 1,000 - 5,000 claims a day.
- Generated reports and analyzed trends to maximize reimbursement and reduce claim denials. Researched and followed up on denied insurance claims.
- Complied with HIPAA privacy and security regulations to protect patients' medical records and information.
- Imported 835 files on daily bases for electronic posting and researched and downloaded missing EOB's from various payer portals.
Accounts Receivable Coordinator
New Season (Substance Abuse/MAT Treatment Center)
2019.09 - 2020.04
- Verified discrepancies and resolved clients' billing issues through active listening and open-ended questioning, escalating major problems to manager.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Located and resolved billing errors and promptly refiled rejected claims and analyzed complex Explanation of Benefits forms to verify the correct billing of insurance carriers.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Researched CPT, HCPCS, and ICD-10 coding discrepancies for compliance and reimbursement accuracy.
- Posted and adjusted payments from insurance companies and reported all denial trends to upper management.
- Worked assigned outstanding AR for multiple centers for 80 centers across 20 states.
- Reported billing error and collected a settlement of $90k from a third-party payer
Billing Team Lead
Allscripts
2018.04 - 2019.02
- Worked down the legacy system from Jewett Orthopedics, processed and uploaded Worker's Compensation claims into 3rd Party system Stone River (P2P)
- Worked with Overseas vendors to ensure payments were posted correctly to legacy accounts.
- Researched and resolved billing discrepancies to enable accurate billing.
- Assisted with billing inquiries and provided timely responses to enhance customer satisfaction.
- Provided excellent customer service, developing and maintaining client relationships
- Monitored customer accounts to identify and rectify billing issues
Billing Team Lead
Jewett Orthopedics Clinic
2011.04 - 2018.04
- Held full accountability for direct oversight of 12 team members, including delegation of assignments and productivity reporting while concurrently assisting patients with billing and payment inquiries for multiple clinics locations and arranging payment plans along with setting up recurring credit card payments.
- Researched and resolved billing discrepancies to enable accurate billing by working with multiple departments to check proper billing information.
- Assisted with billing inquiries and provided timely responses to enhance customer satisfaction.
- Worked effectively with medical payers such as Medicare, Medicaid, PPO, and commercial insurances to obtain timely and accurate payments.
- Managed month-end closing process, bad debt adjustments and reporting, worker's compensation claims/AR, special contracts, correspondence, processed patient statements, set up of EFT and ERN along with daily import/export of 835 & 837 files, managed ACH, ERA, EDI, Credit Card, and Lock-box on a daily basis.
- Posting and reconciled daily electronic and manual payments with 95% accuracy (monthly net revenue $3.5 million to $4 million) along with bank reconciliation.
- Leveraged advanced skills and industry expertise to review claims for all major insurance carriers, processed electronic and paper claims of 15,000-20,000 monthly, resolved file rejections, and resolved denials for multiple payers, appeals for all major payers, ran weekly AR reports and maintained daily claim count spreadsheets
- Performed in-depth research and analysis to resolve outstanding accounts receivable balances, processed patient and insurance refunds of 500-1000 monthly, and researched charge-back notifications.
- Department trainer.
AR Supervisor and Payment Supervisor
Florida Radiology Associates
1998.01 - 2011.04
- Oversaw a team of 5 accounts receivable coordinators and 2 computer operations coordinators.
- Managed all aspects of the import/export of 100-200,000 daily charges, and 2,000- 5,000 daily X-Ray files for 3 databases, managed both end-of-day and month-end procedures and reporting.
- Demonstrated ability to manage multiple responsibilities and duties in a fast-paced, dynamic environment through processing and submitting 100-200,000 electronic claims files for multiple hospitals, reviewing and resolving rejected files.
- Managed outstanding A/R issues, weekly performance audits, posting daily payments of $1000.00-$150,000.00, bank deposits and adjustments for all payers, and managing refund checks for 3 databases.
- Processed and printed 200-1,500 monthly refunds for all 3 divisions and prepared and sent monthly bad debt file to an outside collection agency.
- Imported 835 files on daily bases for electronic posting and researched and downloaded missing EOB's from various payer portals.
- Generated reports and analyzed trends to maximize reimbursement and reduce claim denials. Researched and followed up on denied insurance claims.
- Attended weekly meetings to discuss and optimize strategies and to define clear targets and objectives and communicated to other team members.
Education
High School Diploma -
Lake Mary High School
Lake Mary, FL1990
Skills
- Microsoft Word, Excel, Pivot Tables, 10-Key, Google Docs and Google Sheets
- Management Skills and Team Leadership
- Office Supplies, Inventory, and General Office Functions
- Organizational Skills
- Problem-Solver
- Cash/Deposit Reconciliation and Account Reconciliation
- CPT Code, ICD-10, HCPCS Knowledge, and UB04/HCFA 1500 forms
- Third Party Payor Portals
- Computer Skills, IDX (Group Cast) Change Healthcare (formerly Emdeon) Allscripts, Pulse, Data Media, P2P Stone River, Waystar (Zirmed), Methasoft, SUD/MAT
- Third Party Payor Portals
- Computer Skills, IDX (Group Cast) Change Healthcare (formerly Emdeon) Allscripts, Pulse, Data Media, P2P Stone River, Waystar (Zirmed), Methasoft, SUD/MAT
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
Accounts Receivable Supervisor
New Season (Substance Abuse/MAT Treatment Center)
2020.04 - 2022.09
Accounts Receivable Coordinator
New Season (Substance Abuse/MAT Treatment Center)
2019.09 - 2020.04
Billing Team Lead
Allscripts
2018.04 - 2019.02
Billing Team Lead
Jewett Orthopedics Clinic
2011.04 - 2018.04
AR Supervisor and Payment Supervisor
Florida Radiology Associates
1998.01 - 2011.04
High School Diploma -
Lake Mary High School
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