Melissa Alexander Email and Phone Number

Develop training and education curriculum for revenue cycle operations for global partners and onshore staffCollaborate with RCM managers to ensure global staff and onshore staff meet their KPIs and quotasUnderstanding all the aspects of the revenue cycle management in the operations to onboard clients and staff successfullyTrain staff on all clients, and EMRs, and create workflows for staff to follow to maximize the revenue the clientsDesign, develop, and manage SharePoint Site and assigned LMS trainingsWork with the management team to create a proactive approach to identifying potential issuesOperate cross-functionally within the company to develop, design, and implement project risk, issue management plans, and other project management strategiesTrack and monitor the implementation tracker to ensure clients go live in agreed upon timeframe.

Research denials and underpayment for commercial and government payorsPerform recovery efforts on reimbursement discrepancies and follow ups until resolutionsFollow up on appeals, send medical records, and denialsDevelop strategies that to improve reimbursement after identifying trends that negatively impact reimbursementManage accounts to ensure maximum reimbursement and prevent future revenue loss while meeting all payor and government guidelinesPerform timely and detailed follow up on revenue accountLook for trends in aging report for recovery effortsResolved escalated medical claims issues from all payors

Responsible for developing, managing, and directing daily activities for the revenue cycle call centerOnboarding and implementation of new clients and retentionManaged contracts, renewals, and negations with contracted physicians/provider groupsMedical billing and coding, running aging reports, process and complete appeals and denialsHandle full cycle recruitment and retention, training and development of all onshore and global partnersBuild and maintained professional relationships with providers to ensure provider satisfaction of contractsProvide services and education to network physicians/providersWork with payor relations and vendors on finding trends to increase revenueCreate quality measurement forms, report data, and work with physicians and staff to improve processes

Oversaw overall operations and improved the operational systemsDeveloped plans for success for our clients with mental and behavioral disabilitiesResponsible for recruiting and onboarding new staffMaintained low turnover rateMaintained compliance of staff and the organizationDesigned workflow procedures and processesCreated and implemented long term goals for the companyResponsible for training and development of new hiresDeveloped initiatives for staff that will contribute to long-term operational excellence; surpassed target goals for increase of business

Developed plans for success for our clients with mental and behavioral disabilitiesManaged payroll and staff o 130 employees, processed payroll details and corrections in KRONOS, completed Medicaid billing for residences using AS400Recruit nurses and nurse practitionersComputed census reporting for residents, oversee office supplies to all the departments, balanced payroll accounts and resolved payroll discrepancies