Result-driven and hardworking individual with vast experience in revenue cycle management, process improvement, financial analysis and data management.
Financial Analysis and Reporting
Patient Account Management
A/R & A/P Management
Revenue Cycle Management
Training and Coaching
Financial Workflow Management
Liaised with departmental heads to perform detailed review of financial and operational metrics with the goal of identifying and capitalizing upon opportunities for process improvement, denials management and improving patient satisfaction.
Planned, prioritized and assigned task to departments during implementation of a new process or project. Coordinated with the performance improvement team to increase monthly cash flow and reduce monthly write off due to operational or clinical denials. Coordinated with training manager to develop or update training materials for front end staff.
Managed the day to day operations including staffing, training, support and education of the Utilization Review department. Implemented and follow standardized billing department policies and procedures and ensure that the clinical department comply with the standard operating procedure for maximum collection and regulatory compliance. Managed third party billing including denials and appeals management. Collaborated with the hospital accounting and finance team to generate reports, budgeting and general ledger posting.
Managed contracts lifecycle for the Mental Health First Aid Instructor training.
Utilized AvidXchange and Concur to review and approve all expense reports and invoices. Coordinated with the Operations Manger and Director of Operations to ensure that all training/project deliverables are finalized before the start of the training. In coordination with the accounting department, prepare all monthly financial reporting for month end closing using the CRM database. Train operational staff on new business policies. Conducted research through survey and interview to identify gaps with the CRM database and plan for future state implementation.
Provided administrative support to physician and interpret medication report using ICD-9 to enter diagnosis and patient information. Reviewed claims to ensure accuracy. Reconciled refund accounts for processing of refund checks.
Investigated and resolved patient billing complaints and questions, initiated adjustments as needed, investigated all zero payment EOBs (Explanations of Benefits), and exercised all options to obtain claim payments.
Conducted weekly overview on monthly account aging and reported inconsistencies or followed up with collections.
MANAGEMENT & STRATEGY INSTITUTE
Six Sigma Lean Professional
Six Sigma Green Belt – In process
HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION
Certified Revenue Cycle Representative
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