Self-motivated Program Supervisor offering a strong work ethic and determination to complete tasks in a timely manner. Accurate and detail-oriented with extensive Accounts Receivable and billing knowledge.
Accounts receivable professional
Accounting operations professional
Complex problem solving
Strong communication skills
Expert in customer relations
Effective time management
Excellent managerial techniques
Researched and resolved collections problems that had been previously missed.
Department of Veterans AffairsLyons, New JerseySupervisory Program Specialist10/2012 to Current
Department of Veterans AffairsLyons, New JerseySupervisory Accounts Receivable Assistant11/2008 to 10/2012
Advance knowledge of policies and procedures associated with the operational activities that determine access to outpatient health care hospital admissions, nursing home care, dental treatment, fee basis, inter-facility transfers and the revenue process by insuring insurance information is up-to-date.
Examine veteran's health care applications for completion, signature and accuracy.
Bill outpatient claims for veterans via Vista Billing System.
Maintain a working knowledge of medical terminology abstract pertinent information, diagnosis, procedures from the patient record and Quadra Med to assign ICD-9, HCPCs, and CPT codes for outpatient, emergency room and E/M claims.
Create and compiles billable Medical Care Cost Recovery (MCCR) Program and creates and compiles billable claims spreadsheet marking non-billable due to noncompliance; generates bills for reimbursement to third party carriers; compiles and analyzes medical and coding data assuring necessary data for accurate billing ;ensures insurance verification; extracts medical information utilizing medical reference materials; determine treated diagnosis and procedures performed; determines regulatory compliance; identifies nature of billing issue; determines applicability of veterans' service connection; maintains patient confidentiality of medical information; utilizes software programs to complete health insurance claims; obtains and releases medical claim information as required by Public law and health insurance Portability and Accountability Act; corresponds with insurance carriers and patients regarding claims.
Access ACM (Audit Compliance Module) on a daily basis to assign encounters to billers to bill, UR Nurse for review of Service Connection and forward other encounters to Coding Supervisor to assign to coders to code.
Work in a support role to management.
Accomplishes accounts receivable human resource objectives by selecting, orienting, training, assigning, scheduling, coaching, counseling, and disciplining employees; communicating job expectations; planning, monitoring, appraising job contributions; recommending compensation actions; adhering to policies and procedures.
Meets accounts receivable operational standards by contributing information to strategic plans and reviews; implementing production, productivity, quality, and customer-service standards; resolving problems; identifying system improvements.
Meets accounts receivable financial standards by Collects accounts by contacting Insurances Contractors referred by clerks; investigating circumstances of non-payment; negotiating and resolving conflicts; expediting payment.
Compile/Analyze and Summarize Data, Process and evaluate reports for work, assignments productivity/collections.
Approve leave requests, Certify Employees time.
Updates job knowledge by participating in educational opportunities; Via TMS and Tele Conferences; maintaining personal networks.
Supervises activities in the accounts receivable, and billing functions.
Responsible for collection activities such as sending follow-up inquiries, negotiating with past due accounts, maintaining cash receipts and referring accounts to collection agencies.
Ensuring that all billing encounters are billed and/or assigned reason not billable in a timely fashion.
Ensures that billers work all billing reports, Enter not/review, MRA, CSW, ePHARMACY rejects.
Maintains accurate records.
Familiar with a variety of the field's concepts, practices, and procedures.
Leads and directs the work of others.
Department of Veterans AffairsLyons, New JerseyAccounts Receivable Assistant02/2003 to 11/2008
Strong communication and Interpersonal skills; Communicate with Veteran and theirs family with confidant and with the up-most respect for the Veterans who has serve our country, Designed and implemented efficient mail room procedures, maintain daily accounts receivable system.
Compute numbers with speed and, accuracy Assist Veteran with billing problems and other issues and concern in reference to their account Assist Veteran who may have difficulties making payments by offering them option to make payments more manageable Initiate necessary paperwork for payment plans/hardships, and write-offs for Veteran Process refunds, internally and externally.
Responsible for other duties as assigned.
Master degree:Business Administration Human ResourcesVeteran of the U.S ArmyBusiness Administration Human Resources Type (40-60 WPM) Co-Chair for Non-MCCF coding Workgroup assist in establishing instructions to assign the encounter to HIMs electronically and a process for HIMs to obtain the encounters electronically for all VISN's
Master Degree:Business Administration Human Resourses2/2010American Intercontinental UniversityBusiness Administration Human Resourses
Accounts receivable, Billing System, cash receipts, coaching, Interpersonal skills, counseling, customer-service, financial, human resource, ICD-9, insurance law, regulatory compliance, medical terminology, Access, Microsoft Excel, mail, Outlook, Power Point, Word, negotiating, networks, quality, scheduling, spreadsheet, strategic plans, Supervisor, Type, 60 WPM, Vista