Responsible for the planning, directing, coordinating, and managing the delivery of RCM services to multiple clients for RCM services in the PT/OT/ST field. Duties included identifying and possessing working knowledge of claim life cycle in revenue cycle process, as well as, identifying contractual write offs, adjustments, trends, and recoupments.

• Responsible for researching, investigating, and paying medical and hospital claims in a timely manner.• Meeting quality and production goals and managing priorities and time wisely.• Investigating coordination of benefits and member details as well as, the ability to interpret coding guidelines, CMS regulations, reimbursement, Medicare Claim Processing for accurate application of policy to claim edits and audits.• Research coding and fee schedule questions supporting various departments.• Serve as a Subject Matter Expert (SME) with proven ability to effectively communicate with all levels of the organization.• Proficiency in medical terminology, medical coding (CPT4, ICD10, and HCPCS), provider contract concepts and common claims processing/resolution practices.• Proficient in Microsoft Office including Outlook, Word, Excel, and PowerPoint.• This is a work from home position. I have been working remotely for approximately 8 years.AccomplishmentsI am the Subject Matter Expert (SME) for the Baylor account and handle all Baylor medical and hospital claims. I am responsible for several dedicated accounts, and lead accounts, including Texas and Prince George and maintain one of the best quality results on my team. Skills UsedFocus on quality and exceeding production goals, time management, extensive investigation and research.

Supervisor over Environmental Services department, scheduling employees work schedules, maintaining cleanliness and sanitization of hospital.

Wireless sales associate selling cellular phones, accessories, managing customer phone and data plans, inventory and customer service.

Answer incoming calls to hospital, handled employee and visitor intercom pages, called hospital codes, answered the Lifeline Emergency Response system, greeted visitors and guests.