Diamond Lewis Email and Phone Number

· Reduced total A/R by 63% in first year by implementing process improvements andstreamlining billing procedures.· Increased clean claims from 67% to 90% by analyzing denial patterns and correcting billing errors, improving cash flow.· Boosted claims paid within 90 days to 97% by effectively managing appeals, disputes, and collaborating with insurance representatives on complex payment issues.· Leveraged EHR data to identify payer trends, false denials, and system issues; produced data-driven reports to inform management decisions.· Disseminated updated insurance policies and fee schedule changes through regular team communications.· Ensured compliance with evolving behavioral health policies, CPT/HCPCS codes, and electronic claim submission (835/837) requirements.

· Managed and approved adjustments, write-offs, and revenue cycle actions outside standard procedures, ensuring accuracy and compliance.· Developed and presented monthly financial reports analyzing key claim trends and processing patterns.· Led escalated collection efforts, addressing denials, partial payments, and accounts over 60 days in aging, resulting in reduced outstanding balances.· Resolved over 800 claims per month using system files, Excel reports, and customer communication channels.

· Evaluated appeal submissions for accuracy and eligibility, compiling relevant clinical information from multiple systems.· Identified trends in claim denials and reported findings to management to drive resolution and reduce future denials.· Identified trends in claim denials and reported findings to management to drive resolution and reduce future denials.· Analyzed denial patterns and recommended actionable solutions to improve overall denial rates.

• Investigated and processed corrected claims, ensuring accurate application of deductibles, copays, and coverage outcomes.• Utilized multiple systems to gather data for claims processing, consistently meeting efficiency and accuracy goals.• Ensured compliance with evolving federal processing guidelines.

• Provided direct patient care, support and comfort to patients and their families• Provide crisis management services as deemed necessary• Determined appropriate behavioral intervention and worked with MD/RN to create treatment plans• Planned, implemented, evaluated, and monitored treatment activities/groups

• Provided routine rehabilitative care to mental health patients• Implemented treatment programs and emergency intervention• Initiated and lead therapeutic developmental activities• Taught and practiced improvement of real-world skills• Supervised medication administration• Managed conflict with appropriate and effective communication