Bailey Decarolis, Crcr, Csbi Email & Phone Number

San Tan Valley, Az, Us

Remote

-Engineered robust metrics and work structures, ensuring compliance across a diverse client base.-Developed and optimized a high-performing team. Predicting capacity, ensuring quality deliverables, and guaranteeing flawless client experiences with adherence to strict SLAs.-Positioned as a pivotal knowledge hub, fostering cross-functional collaboration for sustained improvement and program scalability.-Pioneered initiatives for enhancements and the evolution of committee operations into a more robust framework.-Streamlined collaboration with internal teams, aligning seamlessly with client needs for comprehensive problem-solving.-Meticulously directed committee contractual development, aligning agreements with organizational goals and exceeding client expectations.

Mesa, Arizona, United States

-Developed and directed a team of 12 professionals specializing in complex acute Medicare claims, denials, and appeals, ensuring precision and efficacy in resolution-Executed strategic approaches to manage the Medicare Accounts Receivable (AR) inventory, consistently surpassing targets for reducing aged AR through collection.-Identified and initiated projects focusing on intricate workflow, technical, and billing issues to ensure the timely and accurate billing and collection of acute Medicare claims.-Conducted comprehensive analysis and research on complex denial data, steering the team towards informed, data-driven decision-making for enhanced operational efficiency.-Authorized controlled write-offs and implemented innovative measures to preempt claim denials, maintaining a robust financial framework.-Held a pivotal role in talent acquisition, development, and mentorship, overseeing the growth of team members and new leaders through critical conversations, performance reviews, and quality audits.

-Orchestrated the daily operations and personnel management for two high-volume PT clinics, ensuring streamlined workflows and staff efficiency.-Authored queries and analyzed reports to ensure correct payments and adjustments are posted, balance billing, and denial resolution.-Develop front office talent, curating a high-performance team to uphold service standards and operational excellence-Ensured strong patient relations by deploying effective communication strategies and adept conflict resolution, fostering a client-centric environment.-Acted as a liaison between administrative and professional teams, synchronizing efforts for cohesive and efficient clinic operation.-Created an advanced inventory and supply ordering system, leveraging negotiation skills with vendors to optimize pricing and executing monthly orders for all clinics, ensuring seamless supply chain management.

-Optimize and manage the schedule of multiple hygienists and the dentist.-Multi-task while managing a multi-line phone system.-Perform eligibility checks and create patient payment plans utilizing their unique plan benefits.-Identify underpayments and optimize collection.-Communicate with labs to ensure patient satisfaction.

-Using predictive analysis, set and consistently achieve counter sales goals.-Coach team members, focusing on increasing production and confidence.-Grow and maintain the counter’s clientele.-Collaborate with buyers and vendors to ensure adequate stock and staffing.

Health/Health Care Administration/Management

Degree incomplete: I pivoted my focus from academia to hands-on learning within the field from mentors and leaders.

Education record

Graduated

Associate Of Arts - Aa