Amari Garnes Email & Phone Number

Fort Lauderdale, Florida, United States

➢Contributed to CentralReach's position as the leading SaaS software provider for autism care by efficiently managing billing processes for ABA clinics within CR BillMax, resulting in enhanced insurance claim resolutions and improved client satisfaction.➢ Utilized CentralReach's unique workflow to submit initial, secondary, and tertiary billing, demonstrating meticulous attention to detail and compliance with industry standards.➢ Played a pivotal role in resolving claim rejections by diligently reviewing and correcting errors through the clearing house, ensuring accurate and timely claims resubmission.➢ Collaborated with the ABA community and insurance payors by expertly submitting claims via portals, addressing specific payor requirements and optimizing claim processing.➢ Assisted in maintaining a high level of billing accuracy by proactively identifying and addressing common billing errors, such as missing DX codes, NPIs, and modifiers, contributing to a streamlined claims submission process.

Coral Springs, Florida, United States

➢Vital team leader ensuring a minimum of $1 million total billing per day accurate and timely payment for healthcare services rendered.➢Supervised a team of 3 entry level billing and coding specialists with a $3 million per day billing goal reached consecutively for 8 months.➢Monitored and managed accounts receivable to guarantee punctual and errorless claims for payment, utilizing a proactive approach to identify and address overdue accounts and prevent revenue loss.➢Maintained meticulous records and provided deep organizational insights to support contract negotiations and informed decision-making.

Sunrise, Florida, United States

➢Facilitated a smooth transition to a new billing service for multiple substance abuse facilities by prioritizing the credentialing process for mental health and substance abuse facilities and providers, resulting in a 40% decrease in billing-related issues and errors.➢Utilized knowledge of the Estimated Internal Value matrix algorithm to assist in re-submission of claims, denials, and appeals on aged reports, resulting in a 33% reduction in aged claims and a 20% increase in overall collections.➢Improved revenue generation for facilities by utilizing CyberMed to visually check and scrub claims for any clerical errors before submission to payors in Zirmed, resulting in a 25% increase in clean claims and a 15% decrease in denied claims.➢Maintained exceptional accuracy with Residential, Group, IOP, PHP, Detox billing, and attention to detail in managing accounts receivable, resulting in a 98% clean claims rate and a 99% accuracy rate in managing aged reports, while consistently meeting or exceeding revenue cycle benchmarks.

Margate, Florida, United States

➢Processed and closed auto and medical claims in a timely and accurate manner, ensuring customer satisfaction and adherence to company.➢Consistently exceeded monthly performance goals, achieving an average of 110% of monthly claim closure and settlement targets, resulting in a 10% increase in overall department productivity.➢Developed and implemented effective fraud detection and prevention strategies, resulting in a reduction in fraudulent claims and significant cost saving for the company.➢Maintained a deep understanding of state and federal regulations related to auto and medical claims, proactively ensuring compliance and minimizing risk for the organization.

Pompano Beach, Florida, United States

➢Successfully managed a team of 9 healthcare professionals at multiple locations, overseeing day-to-day operations, scheduling, and task delegation, resulting in 25% increase in productivity and a 15% reduction in patient wait times.➢Developed and implemented a new patient billing process, resulting in a 20% decrease in outstanding patient balances and a 30% increase in timely payments.➢Implemented a new inventory management system, resulting in a 40% decrease in medication waste and a 20% decrease in supply costs, while ensuring adequate supplies were always on hand to meet patients needs.➢Maintained strict compliance with all state and federal regulations, resulting in a 100% compliance rating during annual audits and inspections, and zero penalties or citations.