Experienced, forward-thinking business professional working as an Account Executive and Business Development Manager for USIA, a manufacturing firm that specializes in custom dry suits, waders and dry gear for the United States defense division, public safety and recreational divisions.

Coordinates work and oversees assigned staff. Manage the day-to-day operations of assigned area. Provides input into budget. Develops and implements changes to workflow and work enhancements. Develops and oversees all department QA & QP&M activities. Process clinic and surgical charges in accordance with billing and coding guidelines. Develops data analysis reports. Assist with Denial Management and monthly trend data analysis

Responsible for all assigned staff to oversee and supervise workflow, monitor productivity, coordinate training and resolve system problems. Advises and coaches staff in the fulfillment of their duties, implements new/revised procedures and keeps staff current with policy/procedural changes as appropriate. Establishes and communicates to employees the high expectations regarding quality, customer service, and importance of continual improvement. Assist manager in the day-to-day operations of the assigned area, including problem or conflict resolution involving staff, other departments, patients and physicians. serve as a key resource to other leadership and management personnel. Assists manager in the new hire process. Responsible for maintaining employee time records in L-Time and reviewing, approving or denying vacation time requests. Complete weekly supply ordering for clinic. Monitors patient census for staffing levels. Participate in budget recommendations. Assists designated manager in the day-to-day operations of assigned area.Assists with the development and management of staff training programs including developing standards, workflows and procedures to ensure staff competency relating to specific job functions as well as regulatory and Joint Commission compliance. Provide training to new employees in accordance with training standards. Develops data analysis reports, Assist with Denial Management and monthly trend data analysis for multi-payer systems.

Coordinates work and oversees assigned staff of admitting and patient business services. Maximizes the effectiveness of Legacy's admitting, patient accounts, customer service, billing, financial, payment posting, cash reconciliation and collection services to ensure LHS financial viability and customer service.Develops and oversees staff training programs and procedures to ensure staff competency relating to specific job functions as well as regulatory and Joint Commission compliance. Assists designated manager in the day-to-day operations of assigned area. Provides input into budget. Develops and implements changes to workflow and work enhancements. Develops and oversees all department QA & QP&M activities. Develops data analysis reports, assist with new provider credentialing, reappointments and recredentialing, follow up on credentialing status. Assist with Denial Management and monthly trend data analysis.

Extensive experience with Insurance verification, referrals and authorizations. Monitor charge entry to ensure charges and coding meets guidelines. Provide feedback to providers and staff regarding missing, incomplete or inaccurate charges, assign appropriate diagnosis codes, verify all billable charges are entered. Cash drawer supervisor, reconcile daily cash collections and deposits. Participate in Front End workgroup process improvement reviewing current front end processes, standards and work flows, develop new standards and educational material for training. Instructor for Legacy training new front desk (CSS) and RCS staff on authorizations and referrals, charge review, billing guidelines, payor plan selection, Insurance verification and Insurance standards.

Verify Commercial, Medicare and Medicaid insurance eligibility, benefits and authorizations for scheduled admissions, diagnostic studies and outpatient procedures. Clearly document benefit information within the electronic health record system (EPIC) including copay and deposit requirements for collection. Maintain current knowledge of insurance authorization requirements for commercial, medicare and medicaid insurance's. Schedule inpatient and outpatient surgery, clinic appointments and ancillary appointments Complete cost estimates for self pay patients and collect required deposit amounts. Complete Cash reconciliation and cash deposits for clinics. Extensive experience as Lead providing supervision and back up to front desk and other managed care coordinators. Experience with EPIC, AS400, EPIC trainer, EPIC Poweruser, Network specialist