Donna Phillips Email & Phone Number

North Carolina, United States

United States

Remote

• Extensive knowledge in Revenue Cycle Management.
• Provide on and offsite training to set up billing and collection systems and processes.
• Effectively resolve billing and coding issues resulting in increased revenue for medical practices.
• Analyze trends and resolve root cause issues working externally with vendors and payers.
• Conduct payer outreach and research activities and maintain active payer relationships.
• Work claims and claim denials to ensure maximum… Show more

Remote

Belfast, Maine

• Successfully managed a book of business with over 90 clients.
• Managed client performance to ensure positive results and reduce client retention.
• Expanded the services of clients after analyzing their performance and workflow which increased their revenue.
• Identified metrics and defined success criteria to create transparency and visibility into program success and or improvement areas.
• Successfully worked independently and collaboratively within a team… Show more
• Successfully worked independently and collaboratively within a team environment.

• Initiated and assisted appeals as needed to payers following the guideline outlined for that payer.
• Maintained compliance standards in accordance with the compliance policies.
• Accurately followed coding guidelines and legal requirements to ensure compliance with federal and state regulatory bodies.
• Researched and resolved unpaid or denied claims with various insurance payers.
• Aggregated data and monitored activity for trends that were used to identify opportunities to… Show more
• Aggregated data and monitored activity for trends that were used to identify opportunities to prevent future unpaid or denied claims.

• Managed all aspects of the office managing a team of 7, including administrative, billing, Human Resources, policies, procedures, and Payroll.
• Responsible for billing and coding all office visits and surgical procedures.
• Maintained Fee schedules.
• Worked denials and appealed claims.
• Responsible for all aspects of Revenue Cycle Management.