Latanya Simons Email & Phone Number

Remote

Manage A/R aging balances within the Revenue Cycle of the nation’s largest podiatry healthcare group. Administrate claims for 12 assigned physicians through Athena EMR/EHR system. Collaborate with physicians and clinical staff regarding clinical documentation, code selection, referrals, authorizations, and insurance verification to ensure efficient and accurate billing and payments. Document and report all discrepancies and suboptimal revenue cycle behavior. Answer patient and medical staff inquiries regarding billing issues.

Tallahassee, Florida, United States

In my most recent role, I was entrusted with the task of coordinating all aspects of daily coding, billing, and AR to ensure a timely revenue cycle. Conducting regular cost analysis studies on procedures and submit timely reports of findings to Chief Accounting Officer (CAO) and Director. Performing vigilant monitoring of accounts receivable and payable, including conducting monthly aging analysis. Enabling efficient office operations management by directing front office and billing staff. Remaining abreast with CPT, ICD, and filing requirements of all third-party payers. Driving collection process by creating and maintaining financial policies. Managing patient and insurance collections with strong focus on accounts receivable. Contributing to accurate financial reporting by reconciling daily and month end process. Actively involved in creation and negotiation of insurance contracts for southeastern surgery center.My accomplishments within this role are following:• Deployed new financial policy for southeastern surgery center.• Ensured effective coding by providing feedback to physicians on documentation needs.• Enabled attainment and success of goals by uncovering and resolving underperforming areas.• Improved billing accuracy/efficiency by posting all urology and retinal procedure charges for surgery center.

Florida, United States

Leveraging exceptional professionalism, I was assigned the responsibility of ensuring seamless workflow across fast paced chronic pain clinic by overseeing daily operations. Reducing billing errors by recording inpatient and outpatient charges into Allscripts billing system. Leveraging E-time database system to manage payroll records. Communicating chronic pain Management monthly revenue, growths, expectations, and improvements by orchestrating monthly meetings with staff and providers. Conducting interviews as well as rolling out new hire onboarding. Increasing patient access to specialty office visits by securing insurance coverage and obtaining prior authorizations for in-office procedures including Botox, trigger points, epidurals, and injections. Ensuring timely handling of financial transactions by arranging and processing daily deposits and insurance payments.A section of my key contributions include:• Improved skills of administrative and clinical staff by delivering knowledge-rich training.• Maintained 100% accuracy and maximum efficiency via exceptional attention to detail and time management skills.• Safeguarded patient privacy by strictly adhering to HIPAA guidelines while collecting and maintaining patient data.• Resolved inconsistencies related to claims edits/rejections by providing supplementary billing data to central billing office.• Ensured timely payment and processing of claims as per contracted agreements by managing patient billing and following -up with insurance companies.• Reduced days in A/R from 104 to 31 days by assessing collection process, communicating with patients, as well as evaluating and correcting coding errors within five months.• Overachieved required goals of five hundred patient visits monthly for chronic pain management by reducing no show rate by 10% through execution of appointment reminder phone calls two days in advance.

Tallahassee, Florida, United States

My duties comprised of utilizing clear and detailed communication to encourage effective employees. Building and delivering strategic guidance to leadership, administrative, and clinical staff in multidisciplinary clinic setting. Streamlining billing processes by ensuring accurate daily inpatient and outpatient physician billing functions, including medical coding, charge entries, claims, payment posting and reimbursement management. Assigning appropriate ICD-9, ICD-10, and CPT codes by delivering administrative support to physicians as well as interpreting medical reports and data. Authoring diagnosis codes and reconciling codes against offered services by assessing patients' encounter forms. Contributing to aging accounts management by deploying process improvements initiatives.My key-contributions for this role are mentioned below:• Prevented unmanageable debt statuses by reconciling reimbursement issues on past due accounts.• Revealed hidden revenue by identifying process inefficiencies, coding errors, and claim denial patterns.• Achieved incremental account status reporting and increased data accuracy by designing/implementing new procedures.• Achieved 75% increase in revenue compared to previous year by improving billing restructuring initiatives, enabling TMH Neuroscience Center to achieve ICARE collection's goal for first time since inception in 1990s.

Tallahassee, Florida, United States

I was responsible for ensuring accurate balances, timely billing, collections, and clean claims submission to various insurances companies electronically and by paper by auditing all patient account receivables balances including Auto, Medicare, Medicaid, Managed Care plans, and Private Pay. Crafting detailed aging reports on monthly basis.Within this role, I had following achievements:• Resolved patients' account inquiries by playing integral role as focal point of contact.• Determined medical coding procedures, fee errors, and omissions, driving necessary adjustments to patient accounts dependent on negotiated rates.• Received recognition for achieving 20% increase in claims reimbursement by developing department wide process improvements.

Certification, Medical Insurance Specialist/Medical Biller

Certificate, Administrative Medical Specialist With Medical Billing An Coding