881-8500Revenue Qualification ManagerManaged four different departments: revenue qualification, Medicare billing center liaison, prescriptions and re-authorizationsCreated positive working environment and tools to allow authorization coordinators to decrease their suspended from $150k to $26kCentralized 20 individual branch prescription coordinators into one department responsible for obtaining prescriptions for entire regionDecreased overall suspended over 30 days to 3.5%; below corporate goal; Managed 25 employeesInterviewed and hired new personnel, initiated action plans and various methodologies to motivate staff to perform at peak efficiencyDeveloped reports used to identify trends and problematic payorsResolved highly complex accounts and customer service issuesResponsible for management of three different departments: cash applications, collection and liaisons for centralized Medicare department and branches

Integrated new acquisitions into Apria's computer system, using tools from other travel teams and creating new processes to make integration seamless and efficientTrained management, billing center and branch employees on Apria's computer system, ensuring proficient integration, Medicare compliance protocol and Apria's best practicesAudited acquired company's charts based on Medicare, Medicaid and HIPAA requirements and made recommendations for correctionsWorked with various branches and billing centers to facilitate reduction of suspended revenue, created adjustments as necessary, obtained and updated Medicare CMN's and prescriptions

Created new processes and daily routines for a more effective department which resulted in posting growth from $100,000 monthly to over $1,000,000Responsible for developing and implementing plan to merge medical records for billing center consolidationSupervised six employeesCash Application RepresentativePosted $60,000 daily with no errors for three yearsSubmitted and tracked all refund requests including insurance and patient paymentsReconciled all batches posted in a spreadsheet for the general ledger and reported monthly to the corporate office

Collected from various non-government insurances, including Premera and Group HealthAudited all Medicare delivery documents for accuracy in Apria's system and matched Medicare's documentation requirementsObtained reauthorizations for various managed care programs based on the medical need of the patient