-Managed and monitored monthly revenue of over 250 dialysis clinics in 24 states from government entities including Medicare and Veteran Affairs-Oversaw 12+ staff members and incoming call center for patient billing inquiries and payments-Tracked Revenue delays and reported to Executive and Accounting Teams-Monitored Medicare audits and communicated with Clinical and Regulatory staff any issues with medical records and coding for facility staff re-education-Created and improved Standard Operating Procedures-Developed audit processes to ensure billing was completed within Federal guidelines-Developed, updated, and implemented processes to improve workflow and to go paperless-Oversaw automation of Self Pay bills and new Medicare billing system, EASE, with outside vendor representatives-Mentored Accounts Receivable Supervisors; reviewed and advised on new processes and coached them through difficult staff situations.

-Oversaw and trained 25+ staff members on billing practices-Created and developed call center for patient billing questions-Monitored the billing of 250+ facility bills to patients for out-of-pocket cost-Managed, audited, and reconciled Medicare cost reports for all financial classes-Review and approve refunds and adjustments from direct reports to ensure quality and accuracy of billing

-Created and implemented training program on Medicare rules and regulations for all Billing and Reimbursement Specialists-Transitioned all Self Pay billing and cost reports from individual staff to a team of 10+ staff-Developed new billing processes and ensured monthly billing was completed timely and accurately by staff

-Billed private and government insurance companies for dialysis services-Worked with insurance companies to resolve billing and reimbursement issues-Identified and adjusted bad debt, write offs, credits and debits.

-Licensed in over 20 states to sell home and auto insurance-Answered incoming calls to potential customers, providing insurance quotes and processing new business sales