Engineer a QA program for AR, Payments/Credits, and Authorization departmentsTailor data visualizations and story telling to varied audiencesEffectively shift departments from stagnant, email based sharing of information, to collaborative livesheetsImplement Power Automate to automate mundane notification tasks across teamsResponsible for direct and ongoing development and production of 20-25 salary employees, bothin-person and virtualCreate scorecards using advance Excel formulas, Macros, and VBATrack, trend and report KPIs of 1000+ end users, both domestic and globalCreate “data dump” dashboard templates in ExcelOversee weekly reporting of 1000+ end user metrics to other managers and jointly create/supporttraining initiatives for end users not meeting production/quality standardsConduct weekly Calibration Calls with Global Vendor Partners to determine performance gaps inwritten/verbal instruction to executionMaintain list of 1000+ end users monthly, tracking changes in tenure, job title, and active/term/leave ofabsence to provide the most accurate reporting/trending possibleReport/Present KPIs monthly to Senior LeadershipManage staffing availability to forecast output and meet reporting deadlines

Assess, develop, and implement QA measures for AR FollowupCompile QA data for monthly review to upper managementCommunicate QA results with and provide guidance to reduce error counts in leading issue categoriesDetermine and trend performance rating for individual users by enforcing benchmark standardsCollaborate with internal and external stakeholders to achieve maximum efficiency and maintain astrong business relationship

Serve as liaison to satisfy end client needs by marrying clinical challenges to technical solutionsAssess strengths, challenges, and limitations of clinical office staff to develop practical workflowsolutionsChampion client needs within the organization to ensure client satisfactionMonitor practice financial health through weekly review of key metricsInterpret key metric data to deliver suggestions and actions to physician offices to reduce DSOEffectively de-escalate client temperature through strategic conflict management

Responsible for full cycle revenue management for multiple physician officesWork closely with Revenue Cycle Advisor for focused AR follow up and resolutionCreate and maintain trusted professional relationships with doctors, practice managers, and other stakeholdersDirect global services team to achieve organizational metricsAnalyze data to identify trends for the purpose of creating proactive action plansRecognize practice needs and recommend best course of action by suggesting workflows, building custom work-arounds in PM software, or coordinating with appropriate departmentsRemain current with industry and payer specific changes and software updates

Responsible for timely and accurate billing of multiple physician offices Follow HIPAA regulations effectively Create new patient profiles using Edgemed Database Communicate with designated points of contact of assigned accounts to verify charge information Provide physician office COs with total charges reports Transmit claims using Availity and Optum clearing houses and mail paper claims Retrieve electronic rejections and make necessary corrections by sending voided/corrected claims and credit adjusting ledger Work with collectors to catalyze claims payment from insurance companies Assist with Benefit verification as needed Train new employees for physician billing Provide significant feedback in weekly team meetings Collaborate with IT head to expedite billing process Assist Physician Billing manager with onboarding new clients by organizing provider and census information

Ensure accounts are billed following insurance guidelines and proper HCPCS codes Follow HIPAA regulations effectively Create new patient profiles using Noble House database Verify patient insurance eligibility Contact patients with information about medical supplies available to them Follow up with doctors to ensure patients receive necessary supplies to effectively treat their conditions Analyze progress notes to determine medical necessity of services Review prescriptions for completeness and necessity per diagnosis given Keep team abreast of operational/departmental changes though group meetings and emails Ensure work-flow fluidity and efficiency by coordinating with neighboring departments

Lead team of entry employees and first level managementTrain dozens of employees for entry positions Identify, develop, and promote in store managers for company growth Perform Cash/Operations audits to magnify opportunities for improvement Increase sales and create loyal customer base through Local Store Marketing Maintain superior customer service through employee training Handle elevated customer complaints Forecast weekly sales to ensure sufficient inventory and line coverage Head crew meetings Make daily sales deposits Hire/Terminate employeesCrisis Management