WendieSue Hough
Rocky Point,NC
Summary
Experienced Accounts Receivable professional with 20+ years of demonstrated expertise in managing accounts receivable functions. Proactively reduced aged debt by implementing control measures resulting in a 65% reduction in outstanding balances. Expertise in financial reporting and data analysis, utilizing advanced Excel skills. Recognized for implementing process improvements and collaborating with cross-functional teams to streamline operations. Committed to delivering exceptional customer service, resolving queries promptly, and maintaining strong relationships.
Overview
16
16
years of professional experience
Work History
Chief Operations Officer
Buffalo Billing (sister Company Of Advanced Regenerative Care)
06.2021 - Current
- Manage and recruit a team of remote billing specialists as well as oversee the work of internal revenue team members
- Improve staff understanding of the revenue cycle process through regular training sessions
- Collaborate with client staff to train and educate on revenue cycle processes and build workflows to improve and expedite billing processes
- Partner successfully with clients to produce increased revenue and decrease AR days
- Continue to work closely with clients to improve information needed for billing, follow-up, and increased collections of aged accounts.
- Maintain up-to-date knowledge of industry regulations and compliance requirements, ensuring the department remains compliant at all times.
- Prepare cash flow projections, cost analysis and monthly, quarterly and annual reports.
Office Manager
Advanced Regenerative Care
02.2019 - 06.2021
- Handle patient inquiries concerning therapies, insurance coverage, appointments, and scheduling aftercare
- Provide clerical support for all clinical staff
- Coordinate daily operations and handle office tasks such as correspondence, phones, mailing, file management, and database administration
- Greet patients, answer phones, and emails, and route calls to appropriate staff
- Assist clinical team as needed with patient care and make sure patient has a great experience.
- Updated reports, managed accounts, and generated reports for company database.
Accounts Receivable Manager
Well Care Home Health
06.2014 - 02.2019
- Responsible for reconciling/maintaining hundreds of accounts for multiple insurance companies
- Work closely with Clinical Staff, Senior Management, and patients
- Prepare Excel month-end reports to be viewed by all department managers
- Post daily cash manually and through EFT payments daily
- Mail claims and monthly patient statements
- Work extensively through age trial balance for collection of receivables including direct and written correspondences to resolve payment or discrepancies
- Responsible for implementing new programs to streamline workflow
- Assist with year-end annual audit by retrieving and organizing information for audit review
- Back up to Billing Staff by answering phones, handling mail, billing insurance claims, completing follow-up activities regarding outstanding claims, and working on projects as needed.
Medical Coder/Medical Biller
Delaney Radiologists
05.2012 - 06.2014
- Accurately assign ICD-9-CM and/or CPT code(s) and sequence diagnosis and procedures per patient medical record
- Provide coding and documentation advice to coding team
- Analyze billing to improve coding data accuracy for Medicare compliance reimbursement
- Ensure coded data accurately reflects service provided, based on documentation, guarding against fraud and abuse
- Bill insurance claims automated or manual using HCFA 1500
- Verify insurance eligibility and follow up on all insurance denials
- Audit claims for accuracy
- Collect patient payments and maintain patient accounts.
Patient Accounts Representative
Carolinas Health Systems – MedWest Harris Regional Hospital
07.2008 - 05.2012
- Responsible for Medicare, Medicare Advantage, and several government payers for two hospitals, an urgent care center, and a clinic
- Responsibilities include, submission of electronic claims, resolving daily claim edits and payer responses, submission of paper claims in accordance with individual carrier requirements, resolve denials received on accounts by performing all billing and payment follow-up activities with insurance for outstanding balances aged greater than 60 days, and resolve credit balances by applying appropriate adjustments and/or requesting refunds
- Assist in the coordination of daily activities in the Financial Services Department
- Ensure timely adjudication of insurance claims, with minimal outstanding receivables and maximum reimbursement.
Education
Bachelor of Science - Business Administration
Florida State University
Tallahassee, FLSkills
- Profitability improvement
- Attention to Detail
- Operations Management
- Claims Processing Proficiency
- Patient Confidentiality Practices
- Payment Posting Abilities
- Revenue Cycle Management
- Critical Thinking
Timeline
Chief Operations Officer
Buffalo Billing (sister Company Of Advanced Regenerative Care)
06.2021 - Current
Office Manager
Advanced Regenerative Care
02.2019 - 06.2021
Accounts Receivable Manager
Well Care Home Health
06.2014 - 02.2019
Medical Coder/Medical Biller
Delaney Radiologists
05.2012 - 06.2014
Patient Accounts Representative
Carolinas Health Systems – MedWest Harris Regional Hospital
07.2008 - 05.2012
Bachelor of Science - Business Administration
Florida State University
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