Robin Button Email & Phone Number

Los Angeles, Ca, Us

Sherman Oaks, California

• Responsible for school districts, all healthcare payers, and private pay receivables.• Communicate with school districts regarding receivable issues and problems.• Submit a weekly update on AR aging with status and written narrative for non-payment.• Billing and Collections AR healthcare payers for Room & Board Services• Resolve past due accounts• Request authorization on all payers for Room & Board Services • Research billing discrepancies and recommend corrective actions.• Work with North Los Angeles County Regional Center on eligibility and outstanding balances• Prepare journal vouchers for all adjustments with proper supporting documentation.

Lancaster, California, United States

• Billed and follow up on outstanding AR claims• Track and trend denial • Submit appeals• Request authorization on all payers for Room & Board Services • Monthly Medicare triple check to ensure admission, discharge, ancillary charges and diagnosis correct for each patient.• Review Patient Access information ensuring residents’ eligibility/benefits and initial authorization were accurate.• Up front collections on Co-insurance and Share of Cost• Assist with month-end close for all billing and collections and generate all necessary reports for corporate accounting department• Cash posting and deposits using the proper accounting procedures and documentation.

Lancaster,Ca

• Oversaw all aspects of the business office of a 299 bed skilled nursing facility.• Supervision of daily billing operations; assured receivables were billed, followed and adjudicated properly and timely for both managed care and government claims.• Responsible for Medi-Cal conversion and TAR’s. • Maintains current resident census data.• Worked closely with Admissions Department on ensuring residents’ eligibility/benefits and initial authorization were accurate.• Assures accurate completion of admission forms, contracts, etc.• Responsible for census, Accounts Receivable, data entry, census reporting, and Private insurance management.• Responsible for Government, Medicare HMO Products Medi-Cal and MCM’s products, Commercial, Workers Comp, and private billing including authorization, initial and follow-up billing, and processing accounts for collections and leg actions.• Responsible for posting of ancillaries charges from vendors.• Performed month-end close for all billing and collections and generated all necessary reports for corporate accounting department.• Monthly Aging Review for all payers.• Facilitated successful internal and external audits through sounds and thorough documentation.• Monthly Medicare and Medicare HMO and Commercial triple check to ensure admission, discharge, ancillary charges and diagnosis were correct for each patient.• Stayed current with changing CMS regulations and guidelines on billing and collection practices, particularly as they related to Medicare and Medi-Cal. • Supervising the daily activities of the government and non-government billing areas, conducted billing audits and maintaining ongoing communication with Rep.• Research missing payments, investigate payment offset, refunds, forwarding balances, unidentified cash, and recoupments to ensure correct reconciliation of monthly cash collections.• Vendor Invoicing.

El Segundo, Ca

• Responsible for supervising initial start-up of new projects and maintaining current projects A/R performance.• Assignment Projects: USC, Long Beach College Hospital, University of New Mexico Hospital and Maricopa Medical Center• Trained and managed average 40 business office associates according to the company standards• Participation in various organization performance improvement, Revenue Cycle, Transition, outreach and Strategic Planning.• Prepare reports or logs as required which contains information regarding attendance logs, hospital requests account information, and compile weekly project report card.• Support for staff to answer questions regarding billing and or collections to ensure staff is following correct process to resolve account• Responsible to report any detected trends (i.e. payer denials, registration and exclusions or omissions in the way the payers are paying the claims), as well as procedural problems, to the client. Recommendations regarding the correction of these trends and/or problems with Patient Access• Develops, monitors, and assesses business metrics in order to refine processes and improve efficiencies• Implement progressive short-term goals that align with clients vision and business goals• Monitored and met with staff regarding productivity and quality assurance goals• Performed year evaluation to review accomplishments, set goals and outline performance improvements • Maintained Department of Health Service compliance and certification with zero deficiencies.• Collaborated with insurance payer to resolve contract under payment, and contract exclusion.• Developed training materials and arranged continuing education opportunities for all staff to increase knowledge and skills. • Created crosswalk processes for Billing & Collection for new projects coming on• Participation in various organization performance improvement, Revenue Cycle, Transition, outreach and Strategic Planning.

Houston, Texas

Managed for Charity Care and Medicaid Conversion and Reconciliation for 20 Hospitals. Responsible for upholding Policy & Procedures for Charity Care and Medicaid Conversion for each specific hospital. Provided supervision for daily Government collection and billing operations.• Oversight and approval of Charity Care for multiple facilities, implemented policy & procedures • Provided customer service to uninsured patients as they navigate the hospital Charity Care process. • Set and evaluated performance and target goals for each employee on a monthly and yearly basis • Met with each employee to review monthly incentives achieved, identified areas for improvement • Conducted training for new staff and provided ongoing education for existing staff • Performed daily Quality Assurance review for accuracy and training• Handled Customer Complaints• Develops, monitors, and assesses business metrics in order to refine processes and improve efficiencies• Challenges the status quo and champions new initiatives• Developed Implement progressive short-term goals that align with company’s vision and business goals• Responsible for recommending hires, assessing performance, and progressive discipline• Developed training materials and facilitated staff training• Identify and report any Patient Access trends for improvement• Resolved patient issues in a timely manner and clearly explained appeal process to charity denied patients Key Accomplishments• Provided oversight for $24 million in Charity Care write off per month ensuring adherence to policies & procedures set by each facility• No major audit findings during annual internal audit reviews• Reviewed and conducted annual training programs for staff • Trained staff on charity conversion software and worked with corporate to resolve problems• Transitioned and monitored “work from home” staff• Assisted insurance collectors in contacting payers for payment resolution

Vernal, Utah

Responsible for Revenue Cycle and day to day functions of the Business Office. Managed Outpatient/Inpatient and ER clerks, patient service representatives, commercial, Medicaid and Medicare billers, cashier and PBX operators.• Managed 20 FTE’s and provided monthly training and performance evaluations for staff including the following: Outpatient/Inpatient registration, ER registration, patient representatives, customer Service, billers, cashier, and PBX operators • Reported monthly to CFO regarding targeted accomplishments and identified areas for improvement• Met monthly revenue goal of $2 million-plus• Ensure registration followed EMTALA Law• Responsible for maximizing the collections of medical services payment and reimbursement from Patient, insurance carriers, financial aid, and guarantors• Responsible for insurance eligibility processes, charge processing, claim submission and processing, payment processing, collections and accounts receivable management, denial management, reporting of results and analysis, concurrent and retrospective auditing, proper coding, credentialing, insurance contract review and oversight, customer service related to revenue cycle, training and development relative to revenue cycle, analytics, and all other revenue cycle management activities.• Management oversight of all business related functions of the patient visit from point of entry to accurate adjudication of the patients’ accounts.• Responsible for recommending hires, assessing performance, and progressive discipline• Conducted monthly team meetings with staff, reviewed previous month achievementsKey Accomplishments:• Ranked 5th out of 50 hospitals for LifePoint in 2005 for year-end indicators• Maintained A/R days at 55, Bad Debt at 2%, and average insurance aging at 8%• Increased POS by 45% by setting up incentive program for Front-end personnel