Experienced manager in revenue cycle consulting, focused on Denials Management.

Information SystemsResponsible for providing ongoing daily end user support for McKesson Practice Partner practicemanagement system and EMR, with primary emphasis on EDI support. The system is used in a multi-specialty physician group, with 25+ locations and two central billing offices.Database maintenance, including month end closing and utilitiesResearching and documenting user problemsOngoing testing for day to day problem resolution or workaroundsCommunicating with vendor, payors, and clearinghouse for resolution of issuesEnrolling new practices and physicians with payors for ECS/ERA , and testing EDIprocesses with new payors prior to go-liveExtensive testing of ANSI version 5010 prior to mandatory upgradeTesting of new software versions prior to upgradesWorking with the central billing offices to increase efficiency and streamline processes,with focus on constantly improving processes, efficiency, and A/RDeveloping training documentationTraining new and existing users on system functionalityProvide system generated and custom reports to finance, administration, billing offices,and practice managers upon request, using Microsoft Excel, Word, and AccessImplementation of practice management system and EMR in new and existing practicesConfiguration of database dictionaries based on individual practice needs

Responsible for patient registration, charge posting, payment posting, A/R, and all duties relating tomedical claims for a Family Practice center with four locations and twelve faculty members, as well as aresidency program.Electronic claims submissionElectronic remittance posting, and manual payment postingPatient registrationInsurance verificationEmphasis on insurance A/R, using reports, online tools, and communication with payorsto reduce A/RCharge posting, and verifying accuracy of charges by consulting notes in EMRResearch denied and unpaid claims, as well as electronic submission errorsInteract with IT team to troubleshoot EDI issuesReconcile end of day and end of monthPatient collections

Ordering of laboratory testsDetermining proper handling of specimens for testingPreparing specimens for in house or outside lab testingDispatching of phlebotomy team for inpatient and outpatient lab drawsReporting and distribution of lab results

Patient registration and schedulingSales, fitting, and dispensing of eyewearInsurance billingInsurance and patient A/R; patient collectionsVisual field testing

Sales, fitting, and dispensing of eyewearInsurance billingVarious postions held from 1985 – 1994 in food service, customer service, and retail