• Assists management with workflow and work distribution; monitoring and maintaining compliance and performance standards by ensuring production and quality standards are met.• Maintained customer retention rate 40% above company average.• Reduced average days in A/R from 79 to 61 in a 3-month time on 4 TrueBilling clients, and increased net collections from 65% to 82%.• Assists with development and implementation of department and project action plans.• Directs daily Revenue Cycle operations, including but not limited to training, cash posting, billing, re-verification of benefits, etc.• Train, mentor and resolve revenue cycle process related questions for team.• Ensure the quality of each team members claim resolution activity.• Advises performance deficiencies; makes recommendations for retraining of employees.• Assists in identifying and coordinating process improvement opportunities within the organization.• Updates management with system and procedural issues which require analysis and resolution and compiles production reports for work group.• Works with coders, practice managers and other staff as needed to resolve errors and release corrected claims.• Monitors assignments in the electronic billing system to assure resolution of errors and edits.• Processes billing interfaces and/or interface edits; identifies and resolves problems as they arise; reviews and corrects claim edits and denials to ensure proper payment for services rendered.• Researches and distributes correspondence from insurance carriers and ensures resolution for claims.• Investigate patient account questions, etc.; assists Coders, Posters, Contracting, Front desk and Practice Managers as needed.• Completes special projects that require defining problems and determining work.• Identifies problems and inconsistencies with federal, state, and private payer claims, and patient charges utilizing various reports; research problems, summarizes findings and makes recommendations.

• Created a company culture initiative that raised employee satisfaction rates by 20% year over year.• Built all daily work and meeting schedules. Grew the team through direct performance feedback and annual appraisals.• Acted as the liaison between the Clients and organization.• Performed proactive revenue analysis by tracking client’s activity against financial goals and key performance indicators (KPIs).• Provided ongoing and timely communication, reporting to the Client on all aspects of the revenue cycle • Analyzed claims, explanation of benefits, correspondence, payer website and/ or any additional information necessary to identify the next appropriate action toward resolution.• Worked closely with remote billing, coding, and posting teams, communicating to proactively solve challenges and improve overall productivity.• Review, correct, and process complex accounts through resolution. • Respond to and resolve difficult and sensitive patient inquiries and complaints.• Ensured the Client has a clear understanding of the variance by reporting on how the variance was identified, the progress of the resolution, and provides documentation support as needed.

• Improved client financial results by analyzing various factors, monitoring variances, identifying trends, and working with internal departments to resolve issues• Participated and/or leads regularly scheduled client calls with the Director • Worked closely with internal departments that can assist in the resolution of solving data variances identified and provide support, as necessary. • Participated in continuing professional education to be current with industry trends and practices. Ensures overall client satisfaction and retention. • Utilized various software systems to generate reports, conduct data analysis, identify trends and variances, develop recommendations, implement solutions, and communicate all to the Client.

• Supervised staff in the Collections team under the leadership of the Team Lead.• Ensured Team members met their daily operational goals.• Resolved ongoing client nuances and responded to their questions and concerns. (both verbal and by mail)• Playing the role of a policy maker for rules and regulations to create a safe working environment.•Scheduled, prepared collected and presented training materials for new employee orientations.

• Reviewing billing practices to guarantee accurate revenue recognition and invoicing. • Preparing for financial audits by ensuring procedural compliance in revenue reporting and collection.• Overseeing bookkeeping practices and facilitating the collection of outstanding payments.• Analyzing revenue cycle data, preparing revenue forecasts, and performing trend analysis.• Preventing payment delays by handling account queries and complaints in a timely manner.• Presenting revenue cycle reports and forecasts, as well as identifying opportunities to increase revenue.

• Answered and responded to calls and emails from Insurance companies and solved their queries. • Researched, validated, and resolved claims and performed billing adjustments. • Handled claims procedures effectively and followed-up with Insurance companies.• Researched, obtained, and submitted supporting documents are required.• Monitored claims process and ensured benefits are received as per terms and conditions.• Assisted in monthly and annual audits and evaluated claims process.