Responsible for a crew of 15 AR reps and one biller for 150 clinics across the nation. making sure that all claims are sent out, clean and correct. Responsible for creating all claim edits and claim scrubs Collecting insurance payments for an AR of over $27 million. With an AR of 7% over 90 days. Creating and pin pointing accounts that need work by AR reps. While maintaining a denial rate of less than 10%.

Leavitt Management/Advanced Dermatology Maitland, Fl. 2001-PresentSpecial Project Manager/File MaintenanceCreating all reports/spreadsheets for the Billing Director – research all issues in Nextgen – create reports for doctors and train – create Nextgen tickets for errors in Nextgen and correct the problem – terrible shot all claim denials – create scrubs and maintain the scrubs – create BBP’s (background business processes) and maintain BBP’s – create new processes and train employees – maintain file maintenance by creating new doctors, locations, fee schedules, insurance companies, CPT’s and DX codes.AR ManagerAccounts Receivable Manager Responsibilities – Managing 25 AR Reps for the nation’s largest dermatology group – interviewing and hiring applicants. Collections between $15 million to $25 million monthly. Claims processed to EDI Company over 170,000 monthly – fixing errors on billing reports and EDI reports. Reviewing all excel spreadsheets daily for all AR Reps – maintaining accounts receivable to an expectable level. Creating all outside excel spreadsheets to insurance companies for under payments, claims paid incorrectly, and claims denied for doctors non par in error. Establishing and maintaining communication with outside Reps/insurance companies – reviewing all correspondences/denials – appealing claims denied incorrectly – obtaining all fee schedules – making sure pre-cert list are up to date and followed. Setting up all new doctors with EDI Company – answering insurance calls – refunding insurance companies – maintaining file maintenance in Nextgen. Maintaining the denied report between 5 to 7 days old from date of posting, and the billed report no more than 50 days old. Outstanding dates of service (DOS) at 18 days old from time of billing. Creating scrubs and claim edits to get clean claims out the door in a timely fashion. Reviewing all claims denials for patterns and issues and developing processes and edits to stop these patterns.

collections/receivable for all insurance companies – processing and transmitting claims to EDI company – answer insurance and patient phone calls – daily correspondences – appeals – payment postingDr Bigley – Chiropractic Orlando, Fl.; Check in/out – collections/receivable for all insurance companies – processing/transmitting claims to EDI Company – printing/mailing claims – answering insurance and patient phone calls – payment posting – daily correspondences – settlements with attorneys for work comp and automobile accidents – rescheduling appointments