Ruby C. Simmons Cpb-Approved Instructor,Cpb,Cdbs,Cdc Email & Phone Number

Malden, MA, US

Boston, MA, US

RCM Subject Matter Expert for medical/dental providers and private practices. Specializing in A/R clean up. Get paid in 30 to 45 days or less.· Assess and analyze the entire revenue cycle process of an organization.· Identify areas of inefficiency, revenue leakage, or process gaps within the revenue cycle.· Develop and implement strategies to optimize.

Salt Lake City, Utah, US

Assist as Medical Biller and Consultant for RCM Consultation.· Assess and analyze the entire revenue cycle process of an organization.· Identify areas of inefficiency, revenue leakage, or process gaps within the revenue cycle.· Develop and implement strategies to optimize revenue cycle performance and increase cash flow.· Provide guidance and.

Develop and deliver training programs on Soarian Systems, a healthcare information system used for patient management, electronic health records (EHR), and revenue cycle management.· Conduct needs assessments to identify training requirements and gaps in knowledge or skills.· Design training materials, including user manuals, job aids, and interactive.

Wyomissing, PA, US

• Assigned to projects as needed. Perform validation of data for client system conversion from multiple legacy systems (CPSI, GE Centricity, Allscripts, Meditech, Soarian) project. Review and analyze end-user testing in.
• Advise on workflow corrections
• Keep a positive relationship with vendors and clients.
• Perform end-user testing with the team
• Create tickets in SharePoint
• Performed data conversion

Boston, MA, US

• Provide analytical support to resolve various high exposure operating and workflow issues in support of the Professional Billing Office. Lead assessments and develop action plans to resolve problems identified by the.
• Work cooperatively with PBO employees and managers for the purpose of achieving departmental goals and ensuring maximum revenue and cash flow benefit.
• Lead the change control process to facilitate requests from departments to add/change/delete operational and system flows
• Work with Management and Practices Leaders to review potential issues and develop detail action plans for resolution.
• Develop work plans and lead project timelines to complete assigned projects in the most timely and efficient manner possible.
• Perform various assessments, analytical research, and support including, but not limited to root-cause, analyses, cost/benefit analyses, and financial projections.

Boston, MA, US

• Manage the revenue cycle from a systems perspective. Utilizing system enhancements within GE Centricity/EPIC PB and Optum Claims Manager to better assist claims management and workflow. Assure that requests for system.
• Responsible for investigating, troubleshooting and logging of Issue/PROs/Service Now tickets and escalation to pertinent areas, I.e. IT, EPIC Support Team
• Create a request for new and updates to system/ Edit Creation or updating/Claim edits.
• Research CM issues and process improvement with Claim Management on CM Flag issue, updating of rulesets and custom flags.
• Update users to access, work file and views in GE/Work Queues in EPIC.
• Manage Change Control and IT/PBO meetings.

Jacksonville Beach, Florida, US

• Manager Optum Claims Manager System from a revenue cycle perspective. Helping EPIC PB claims to flow properly through the CM and EDI vendor. Creating, updating and managing flag and custom flags. Troubleshooting of CM.
• Create flags, End-user testing.
• Upload KB, LCD, and NDC
• Analyze and complete ServiceNow tickets

East Boston, MA, US

• Acting Director for ten months. Managed 18- 27 employees within the Patient Account Department, which included Billing, Coding, and Collection Specialists to ensure the complete, accurate, and timely billing of patient.
• Makes certain that the Patient Account Department functions effectively, ensuring that maximum cash flow is maintained.
• Reviews and analyzes the revenue cycle process for assigned practices to identify problems, trends, and opportunities for improvement and ensure maximized revenue and timely collections.
• Assists in the development and production of management reports for practices covering all aspects of clinical billing activities, including payments, denials, write-offs, collections, performance to budget.
• Work registration and member enrollment to discuss/resolve registration/charge entry, referral, patient relations, coding, and process questions.
• Work with team to resolve all reimbursement claim edit work queues and keeps all edits work files under a manageable level by closely monitoring, feedback, and following up with internal staff and department contacts.

Boston, MA, US

• Conduct monthly department meetings to review monthly charges, payments, and adjustments with BOM’s, supervisors and billing specialists.
• Reviews and analyzes the revenue cycle process for assigned practices to identify problems, trends, and opportunities for improvement and ensure maximized revenue and timely collections.
• Assists in the development and production of management reports for practices covering all aspects of hospital and professional billing activities including payments, denials, write-offs, collections, performance to.
• Assist in setup of new private practices/clinics/satellites into IDX system, creation of billing areas, updating of new CDM/CPT codes to encounters/PK charge entry systems, work with enrollment to ensure doctors are.
• Work with the referral, case management, and departments to obtain prior and retro authorizations for specialized services.
• Work with practices to discuss/resolve registration/charge entry, referral, patient relations, coding, and process questions.

Boston, MA, US

Responsible for implementing and maintaining close relationships with TMC departments. Developing and maintaining front end billing practices that will enhance reimbursement; promote satisfaction with billing services; provide a communication link between the departments and the billing office, and assist the departments to maximize reimbursement.

Baltimore, MD, US

Supervised 4 Coordinator, Collection of high dollar revenue for BCBS 500k and above, trained and supported staff. Work with Account Manager and BCBS representative to follow up on claim processing issues.

Baltimore, MD, US

Baltimore, MD, US