Monitor quality of work and productivity on a daily basis to provide coaching and mentoring to associates to ensure work quality and maximize reimbursement.Engage directly with physicians and healthcare executives to address revenue cycle related questions.Establish specific associate goals, department wide goals, and performance tracking.Coordinate with other departments to implement revenue cycle strategies and initiatives.Create and implement comprehensive billing and related policies and procedures for departmental, interdepartmental, and inter-company use.

• Analyzed claim rejections and denials and appealed for insurances (Medicare, Medicaid, and Commercial to include Blue Cross Blue Shield, United Healthcare, Cigna, and Aetna).• Audited appeals and reconsiderations sent by team members to Medicare, Medicaid, Blue Cross Blue Shield, United Healthcare, Cigna, and Aetna.• Investigated and responded to the problems and complaints from patients and their family members and help them understand the complexities.• Responsible for all on-site IT. Liaison with Houston office.• Instrumental in streamlining insurance collections to increase profitability.• Accurately posted Explanation of Benefits to include payments and denials.• Assigned the tasks of reviewing and correcting Interventional Radiology procedures by following standard coding guidelines • Effectively provided training and support in the medical and the legal aspects of collections and medical insurance billing for coworkers

• Responsible for accurately accounting for all monies in facilities.• Handled all aspects of credentialing/contracting for facilities.• Accurately coded/billed all charges for facilities.• Installed Imaging Software for referring medical providers.• Administered reimbursement process and ensured timely resolution of accounts.• Managed and reconciled all data on electronic invoice transmissions.• Audited appeals and reconsiderations sent by team members to Medicare, Medicaid, Blue Cross Blue Shield, United Healthcare, Cigna, and Aetna.

• Responsible for all aspects of coding/charge entry for diagnostic radiology (to include PET/CT).• Instrumental in streamlining patient account collections resulting in increased profits for facility.• Handled all activities in accounts receivable.• Coordinated payer requests and processed all claims.• Maintained a database on computer and entered all required information on same as required.• Audited appeals and reconsiderations sent by team members to Medicare, Medicaid, Blue Cross Blue Shield, United Healthcare, Cigna, and Aetna

Responsible for 24 hour coverage of a 108 bed nursing facility for all nursing staff.Accurately calculated and reported payroll.Assessed the need for new personnel and marketed/interviewed accordingly.

Air Defense Artillery, Emergency Room, Family Practice, Internal Medicine, OB/GYN, Urology, Oncology, Gastrology. Front and back office. Minor surgical procedures. IV and venipuncture. EKG. Assessment and treatment of patients.