Alexandra Gates-Clark Email & Phone Number

Chandler, Az, Us

Chandler, Az, Us

Responsible for the direction and leadership of operational, financial, systematic, and personnel activities of the revenue cycle.Responsible for the continuous management of provider enrollment, claim submission, payments, and insurance reimbursement. Prepare and deliver reports to cross functional leaders outlining progress toward meeting annual goals and objectives. Actively seeks opportunities to improve reimbursement and financial outcomes.Creates an environment that encourages diverse opinions, recognizes differences, and incorporates continuous process improvement.

Supervise functional leadership within the billing department to ensure appropriate coverage within the functional areas according to daily variants.Assist, resolve, and report any problems to Director, Revenue Cycle Management regarding the day-to-day operations within the department. Generate and distribute daily, monthly, and quarterly reports as it relates to the various functional areas within the billing department and subsequent performance.

Supervise functional leadership within the billing department to ensure appropriate coverage within the functional areas according to daily variants.Identify training opportunities through quality assurance reviews and prepare training materials for ongoing training resources. Coach functional leaders in the tracking of employee progress and delivery of feedback monthly to billing team representatives.Represents the Billing Department and interfaces with other departments as needed to respond to and resolve issues

Led the implementation of the strategic vision to build out newly established Billing Concierge position within the reimbursement department. Establish and maintain workflows of the billing concierge position including both inbound and outbound call management, financial assistance program maintenance, release of information waivers, and coordinated insurance claims appeal efforts.Follow up with patients in a timely manner and administer financial assistance programs or other alternative programs as appropriate.

Recruited to perform routine audits on current billing and reimbursement practices to ensure efficiency and accuracy of outsourced billing team.Prepare and deliver monthly reports to Surgeons/Practice Owners outlining progress toward claims payment and resolution.Tasked with producing and delivering a proposal to Surgeons/Practice owners outlining the cost and return on investment of migrating billing and reimbursement functions in house as compared to current outsourced billing model. Culmination of proposal resulted in an annual cost savings of $15,000 with current billing and reimbursement vendor.

Mesa, Arizona

Handpicked to relocate from company headquarters in San Diego, CA to build out new reimbursement division to establish and maintain the Medicare line of business.Provided leadership, mentorship, coaching, applicable training, and overall guidance for 20 specialists. Supervised workflow of Quality Control, Call Center, and Collections team to ensure appropriate coverage within the department according to daily variants.Maintained a relative balance of individual responsibility over various insurance aging regions and realigned when necessary to provide adequate coverage.

San Diego, Ca

Support Patient Billing with payor and customer related questions and issues. Perform Quality Review assessments to ensure employees meet department expectations and adhere to quality assurance guidelines. Identify training opportunities through quality assurance reviews and prepare training materials for ongoing training courses. Track employee progress and provide feedback on a monthly basis to the reimbursement specialists and department manager.

Manage and track all stages of the claims process for contracted and non-contracted payors. Demonstrate proven knowledge and technical skills to perform insurance follow up with positive financial results to include accuracy, timeliness, and attention to detail. Work closely with Accounts Receivable to keep customer accounts current.Quality control review of outgoing orders and verification of reimbursement information related to orders. Maintain a high level of integrity and confidentiality/patient privacy (HIPAA).

Sharp Mary Birch, San Diego Ca

Umbilical cord blood collections, preparation and storage of blood samples, and verification of medical records.Build trust and minimize patient discomfort during phlebotomy procedures while efficiently collecting bloodspecimens.Conduct maternal and family medical questionnaires.

Conduct insurance verifications and obtain prior authorizations for the Dermagraft skin substitute.Answer technical reimbursement questions for providers, billing and coding staff, and sales representatives. Analyze data and draw valid and logical conclusions based on information provided by insurers and documented medical policies. Responsible for meeting performance metrics established by management.Maintain a high level of integrity and confidentiality/patient privacy (HIPAA).

Bachelor Of Science - Bs, Applied Management

Associate Of Arts (A.A.), Pre-Nursing Studies

Emergency Medical Technician

Certified Phlebotomy Technician, Phlebotomy Technician/Phlebotomist