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Weekly audits on the receivables.• Liaison between the facilities and internal teams• Manages and directs the operation of denial processing for all managed care, commercial and governmental payers• Meet weekly and monthly to review the receivables with CEO’s or the Owner of the organization.• Monitor and manage cash flow in the company expenditure and ensure a moderate circulation of cash to avoid over projection• Obtain contracts between insurance payor the organization• Ensure the effective management of all incoming specialist referrals• Reviews daily edit reports from the organizations billing system and make necessary corrections to allow electronic submission.• Keeps all executive informed of activities/concerns.• Monitors cash collections and compliance with payments policies.

• Managed a team of 20 collectors, with approximately 14 facilities in 5 states. • Trained, coached, and assigned special projects to employees• Approved refund and adjustments request, assigned special projects• Evaluated staff performance annually and ensures that employees comply with performance expectations. • • Monitored attendance and performance of all staff.• Assessed and managed customer satisfaction by practicing and promoting good customer relations among staff and ensure that employees perform their duties in a courteous, friendly manner that fosters superior customer service.• Managed AR based on Monthly goal Reporting: import to excel• Converted A/R reports into pivot tables based on payer, age, high dollar, and total balance • Analyzed claims data reports and/ or runs assigned sql queries to identify, confirm and execute the recovery of identified overpayments.• Negotiated contracts/rates with the insurances. •Applied analytical techniques during report reviewed to identify potential overpayments and remove inaccurate information and potential false positive returns.• Ability to independently interpret contracts, verify fee schedules and potentially use various pricing tools.• Followed processes including drafting detailed letters, made phones calls, sent emails and facsimiles to providers explaining discrepancies in order to recover overpayments• Worked with internal partners to resolve complex issues and increase collection effectiveness.• Monitored and was held accountable for operational and financial performance goals of the department• Informed director of activities/concerns within Revenue Cycle Department• Monitored cash collections and compliance with payments policies.

• Obtained insurance authorization for appointments and perform general office tasks such as answering phones • Referred and perform a wide variety of task associated with referral tracking to be compliant with the company requirements to ensure patient safety • Processed physician referral orders (EMG, CT, MRI, etc.) using EMR system. This includes obtaining any insurance authorization needed. • Accurately enter notes into MD Plus regarding letters or correspondence from insurance companies regarding insurance authorization or other notifications.

• Hired, trained and coaching of all staff on job functions. • Provided excellent customer service and serve as the first point of contact for all patients. • Processed insurance company billing and paperwork; point of contact for patients with insurance questions • Handled basic daily accounting functions.• Supervised verification of insurance benefits, estimation of self-pay accounts due, collection of deposits, and insures financial sponsorship has been established by applying patient for financial assistance.• Build relationships with other health care centers.

• Cash Posted, adjusted claims, and balanced batch. • Processed refunds and related items as needed. Performed periodic and month-end balancing and reporting activities. • Reviewed plans, policies, and billing procedures for existing and new services and recommended changes to ensure maximization of revenues; reviews policies, procedures, and practices for compliance with established legal standards and state guidelines; ensures that the unit's work complies with standard departmental billed policies and procedures.

• Billed claims on UB04’s and CMS 1500’s• Received encounters, charge entry, submitted claims, worked the rejections report, denials report, and first level appeals• Reviewed all claims for accuracy. Coordinated medical record requests as needed. • Developed and maintain strong communications with CCHC directors and managers to ensured appropriate and timely resolution of denied claims and payment variances. • Performed tasks required to ensure the timely and accurate submission of insurance claims to all third party payers and documented billing activity in the patient accounting system. • Worked daily electronic billing file and submitted insurance claims to third party payers. • Reviewed daily edit reports from the hospital billing system and made necessary corrections to allow electronic submission. • Prepared and submitted manual insurance claims to third party payers who do not accept electronic claims or who require special handling. • Ensured hospital compliance with all state and federal billing regulations and reports any suspected compliance issues to the Medical Billing Supervisor. • Worked with supervision, management and the patient accounting staff to improve processes, increase accuracy, created efficiencies and achieve the overall goals of the department. • Managed and prioritized multiple tasks & problem solving.

Overseeing cashiers & scheduling cashier breaks. • Assisting with returns and product preparation. • Work co-operatively with staff, colleagues and managers in a friendly and efficient manner to ensure a pleasant work environment conducive to a productive work. •Ensure all areas are maintained in a professional and clean manner during shift. •Follow all safety and security policies, programs and procedures. •Able to answer the telephone and speak clearly and professionally.

Scheduled MRIs for patients appointments, verified insurance • Set up patients for therapy, putting patient on the IFC • Processed patient medical records, claims, and other special needs • Handling and answering external as well as internal phone calls and transferring calls to the appropriate departments. • Greeted patients, filed records and correspondence, typed letters and bills, handled referrals • Checked the height, weight, temperature, and blood pressure of each patient • Filing insurance claims for both group private practice insurance

Responsible for all site operations • Proactively managed site administration duties, labor scheduling, inventory replenishment • Managed development, retention, building capabilities, continuous performance improvement • Complied with all safety, security, environmental regulations, emergency operation procedures

Scheduled patient appointments • Explained clinic policy to patients, receiving and delivering messages, • Received calls from hospital labs and x-ray, taking prescription refill messages, • Data entry of more than 150 incoming patients medical information; Ability to operate ten line phone systems with accuracy