15+ years of initiating and delivering substantial results, effective change for healthcare organizations across a wide range of industries including Revenue Cycle Management, account reconciliation, contract maintenance, and client relations. Thorough Billing Specialist with great financial reporting prowess and account management knowledge. Focused, industrious and driven to perpetuate mission and values. Proven success in maintaining client relations, forecasting multimillion dollar accounts for Acute and Ambulatory portfolios while negotiating complex contracts.
Skills
Revenue forecasting
Discrepancy reconciliation
Billing statement management
Fiscal reporting
Coaching and training
Proficient in SalesForce
Issue resolution
Special projects
Client relations
Debt management
Experience
Billing Analyst, 06/2018 - Current Fiserv, Inc. – Lewisville, TX,
Assist Project Managers, Financial Analyst, company Executives in implementing process improvement for tracking billing issues and root cause analysis finding corrective action resulting in increase in revenue received.
Work closely with executive management as the SMEAD on data conversion transferring information from one system to another.
Engage in internal and external client conference calls regarding billing and contract terminations.
Work closely with Sales, legal and business development team to ensure contractual terms are met on client’s and company behalf.
Train and coach new hire’s on billing, disputes, and process improvement on multimillion dollar acute accounts.
Discuss changes in internal processes and procedures to enforce execution.
Develop and implement policies to resolve outstanding balances.
Work closely with C-Level executives, sales and business development team to promote special project success.
Executed solutions for internal process issues to streamline operations.
Implemented process improvement solutions to increase department efficiency.
Administer queries, resolving reconciled items for unbilled accounts.
Collaborate with billing functional area and business units to secure accurate customer invoicing within established deadlines.
Communicate with credit, collections, customer service and operations department members to assist with and remedy billing issues.
Managed Northeastern region financial performance over 240 acute and pro premiere accounts equating to $51 mil in monthly revenue.
Engaged in monthly trend analysis and reporting.
Negotiated and re-mediate complex client inquiries to maintain adequate cash receipts to foster the organizations financial goals.
Engage in communication with best business practice, cross operational teams to research and resolve client inquiries.
Provided collectability analysis reports on a quarterly basis to support bad debt calculations.
Maintained client relationship on Acute and ambulatory portfolio by addressing any disputes with products and Services.
Prepared key financial presentations and reports.
Maintained functions in strategic role and developed analytical metrics to improve processes, accountability, collectability, new systems, and procedures.
Worked closely with internal client team on reporting concessions and credits to reduce budget revisions and forecasting revenue.
Developed growth plans by identifying key clients, key targets and priority service lines.
Produced and reviewed tracking spreadsheets, financial reports and business documents using excel, Salesforce and Oracle software.
Utilized financial analysis to prepare plans of action for investment.
Created in-depth spreadsheets, which detailed trends and forecasts for revenue, profitability and expenses.
Built and strengthened client relationships to form long-lasting partnerships.
Coordinated and supervised daily activities for business support, technical support, and production by generating pulse reports and (KPIs) to ensure department production was met.
Create cases internally to assist patients with information needed to access patient portal.
Demonstrated industry recognized best in KLAS customer service in interactions.
Maintained high first touch completion rate for medical organizations FollowMyHealth patient portal and EHR.
Communicated technical processes in clear language to keep non-technical personnel informed and updated.
Consulted via telephone to understand user problems, run through testing scripts and ask probing questions to locate root causes.
Documented repair processes and helped streamline procedures for future technical support actions.
Consistently responded to customer service emails within standard response window.
Updated software versions with patches and new installations to close security loopholes and protect users.
Patient Financial Services Supervisor, 12/2009 - 12/2013 Danbury Health Systems – New Milford, CT,
Monitored pre-recorded and live inbound and outbound calls to ensure quality assurance.
Managed monthly BPA Collaboration meetings on quality assurance for prerecorded calls.
Coordinated, supervised and was accountable for team’s daily/weekly/monthly productivity goals.
Set priorities for team to ensure task completion and performance goals were met, such as productivity, Quality, and Revenue.
Conducted annual performance reviews and monitored employee’s performance on departmental measurements to drive continuous improvements.
Provided coaching and feedback to staff including formal corrective action.
Reviewed patient accounts, back up documentation to determine the nature and extent of problem and any actions taken by patient or third-party payers.
Provided expertise and customer service support to patient, clients, attorneys, and providers.
Coordinated and supervised daily activities for business support, technical support and production by generating pulse reports and (KPIs) to ensure department production was met.
Troubleshot and resolved department issues to maintain patient satisfaction and keep optimal patient flows.
Created and maintained facility documents and records, maintaining accuracy while managing sensitive data.
Led and motivated 30 employees through supervision, training and coaching on duties and daily operational activities.
Implemented new hire training to further develop skills and initiate discussions on task prioritization.
Participated in company meetings with department heads to discuss department goals, forecasting and revenue cycle.
Collaborated with Quality Team to develop outcomes statistics.
Created and implemented policies and procedures for effective pharmacy management.
Formulated and implemented testing and interpretation practices and procedures to maintain standards of care and quality assurance benchmarks.
Education and Training
Bachelor of Science: Healthcare Management, Expected in 12/2021 - Capella University, School of Business and Technology - , GPA:
Certifications
Lean Six Sigma Yellow Belt Certification
Accounting and Finance for Non-Financial Managers
Additional Information
AWARDS/ACADEMIC ACHIEVEMENTS
, Stepping Up to Leadership Award
Awarded $10k Scholarship for Academic Achievement
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School Attended
Capella University, School of Business and Technology
