Mike Boardman Email & Phone Number

Spokane Valley, Washington, United States

June 2022 to PresentManaged a team of 21 Regulatory and Commercial Caregivers for the Swedish Denials department.Coordinated and led all monthly team meetings to ensure all objectives/goals are being fulfilled.Responsible for managing all high dollar priority accounts above $250,000 to ensure accounts are worked in a timelyCollected and interpreted data to identify trends and uncover patternsSubmitted all departmental legal provider relations escalations, worked directly as a liaison to resolve any erroneously denied claimsAttained resolution and worked directly with leadership for all CAR-T high dollar cancer drugs for the departmentCompleted all annual, bi-annual, and performance reviews for the entire Swedish denials department.Calculated productivity and approved all time cards for the department on a weekly basis.Answered all incoming e-mails, calls, and instant messages from any array of departments.Authorized and reviewed all departmental adjustment requests totaling $10,000 and below.Responsible for execution of all IT ticket requests for the department.Awarded the Providence/Swedish CES Growth in Leadership Award for 2023

Liberty Lake, Washington, United States

Responsible for obtaining resolution for all high dollar denials for all Pay Like Medicare accounts.Submitted regulatory and commercial appeals to ensure all high dollar claims were paid timely.Completed follow-up calls to insurance to obtain payment in an expedited manner.Consistently exceeded all production and QA metrics as outlined by the company*Promoted to Swedish Supervisor of Denials June of 2022

Spokane, Washington, United States

Responsible for managing the accounts receivable cycleReconciled cash payments and created credit memos via NetSuite to ensure accuracyCollaborated with Accounts Payable team to ensure all ACH, Wire and EFT posted correctlyExperience in Salesforce navigating and researching customer requestsCompleted vendor request forms for domestic and International customersPerformed collection activities to ensure invoices are paid on a timely basisManaged all third party payment procurement portals to expedite cash applicationMonitored the Accounts Receivable inbox for all internal and external customer inquiriesWorked directly with retention to process all customer cancellations, refunds and reinstatements

Spokane Valley, Washington

Responsible for all cash posting and reconciliation of dental claims for Indian Health ServicesServed as a liaison between multiple providers and hospitalsReported enrollment trends and all problems to management at weekly meetingsManaged customer relationships and implemented new enrollment processesExceeded performance standards for accuracy, timeliness, and confidentialityConducted all work in accordance with the privacy requirements mandated by HIPPACertifications as a Revenue Cycle Specialist - Institutional (CRCS-I) & Certified Compliance Technician (CCT)

Liberty Lake, Washington

Contacted insurance carriers to resolve outstanding accounts via phone, provider website and email. Completed follow up on all unpaid Medicare claims within a timely manner. Assisted patients and insurance with any incoming telephone inquiries. Identified and completed initial billing Medicare, Medicaid and Commercial insurance.

Spokane, Washington Area

Identified and completed initial billing for Workers Compensation claims for the State of Nevada. Contacted insurance carriers to resolve outstanding accounts by phone, web site and email. Supplied insurance with medical records, chart notes and itemizations to show causality. Responsible for appealing denials and attacking resolution for all unpaid claims. Completed follow up on all unpaid claims within a timely manner. Investigated claims to determine compensability.

Spokane, Washington Area

Managed a team of 5 emphasizing customer service. Served as a liason between multiple hospitals. Responsible for all scheduling and performing Total Quality Assurance for the CBO department. Fielded escalated supervisor calls. Assisted patients in need of financial aid. HIPPA certified and proficient in Microsoft Word, Excel, Outlook & PowerPoint.

Electronically secured Phd and graduate student transcripts into paperless files. Organized and transferred legal documents, academic files and Phd dissertations via Ascent Capture.Worked as a liaison between graduate students and University staff