● Conducted audits of post-service accounts, identifying errors and providing post-work feedback.● Provided account trending updates bi-weekly to client as part of team presentation.● Gave input regarding areas of opportunity with workflows and communications while conducting day to day functions.

• Create and analyze data-specific elements for the Financial Clearance and Scheduling Departments to enhance operational processes and improve reimbursement outcomes.• Conduct monthly quality control audits of all PSC employees to provide real-time and post-work feedback .• Lead audit review analysis of post-service accounts to determine causation of errors .• Review account inventory routinely to identify trends to streamline the pre-appointment process.• Primary administrator maintaining, creating and updating reference materials for the Financial Clearance and Scheduling team's online manuals.• EPIC credentialed trainer in Cadence and Prelude applications .• Conduct virtual training as well as classroom setting training for all new hires and ongoing staff education.

• Managed provider-designated accounts by generating claims daily and making claim coding revisions as needed.• Posted payments from both patient and insurance companies • Created and submitted verbal and formal appeals with insurance carriers.• Supported the new hire training process to get new hires up to speed and aided with their development thereafter.• Conducted monthly billing analysis reports for client invoicing and performance reporting.• Assisted Manager(s) with monthly client performance calls to report trends and make process improvement enhancements.

• Supervisor for both Patient Accounts Department and Posting Department.• Responsible for final hiring decisions and any disciplinary actions of departmental staff as needed.• Created and monitored staff workflow processes, collection procedures, industry trends, and educational tutorials for all staff.• Oversaw handling of daily deposits and posting of revenue generated by all 14 company site locations.• Led the company from 30% electronic remittance to 92% in under a year.• Initiated process with software vendor to create an auto-posting feature and enable document imaging attachments with batch posting.• Maintained historical financial data to include refunds and credits for monthly reporting to company owners and executive management.

• Lead biller for all office visit charges, including obtaining pre-authorization of upcoming diagnostic procedures scheduled in the office.• Liaise with the GE Centricity vendor to set up insurance profiles to bill claims electronically including uploading fee schedules for the acquired insurance contracts.• Troubleshoot system problems, and initiate upgrades or updates as needed to streamline and automate billing workflow.• Compiled monthly account receivable reports to monitor progress and identify any trends• Created intake and billing workflow standards to minimize duplication of work and enhance time efficiencies to deliver overall patient satisfaction.• Credentialed the physician with Medicare and Medicaid in addition to reaffirming CLIA certification.

•Tasked with creating the Provider Relations Customer Service unit to include staffing, process creation and workflow documentation requirements.• Coordinated efforts with interoffice and corporate departments to provide a timely and accurate resolution of provider inquiries.• Provided educational feedback to contracted providers regarding reimbursement, billing practices, and plan requirements.• Coordinated with the provider credentialing unit at HCA regarding billing and provider inquiry trends.• Compiled quarterly and monthly reports for performance review.• Traveled to multiple locations to conduct public forum seminars for Uniform Medical Plan during the open enrollment period.• Attended Technical Advisory Group regional meetings as a representative of the UMP, giving input or presentations as needed.• Discovered and corrected a reimbursement system issue with our software vendors DRG calculation.• Active member of the health plans medical review board to give claim analysis input on high$ and problematic cases during post service reviews.

• Tasked with client onboarding consulting for all billing, clinical documentation, reimbursement workflow and claims analysis.• Managed staff of approximately 20 on site team members across 4 facilities.• Traveled to multiple client facility sites as part of a team to give workflow analysis and process improvement suggestions.• Worked with client staff to analyze and provide internal process enhancement suggestions to maximize production and increase revenue outcomes.• Assisted onsite staff with day-to-day billing operations.• Conducted client meetings providing monthly metric reporting as well as process improvement suggestions. • Responsible for interviewing, hiring recommendations, training, and overseeing permanent onsite staff and temps.• Utilized my contacts with other internal departments to fast-track assistance whenever possible.• Met timeline objectives to integrate and streamline facility internal processes during implementation.• Achieved and superseded production and claim recovery goals.