Theresa Brown Bhs, Lssgb Email & Phone Number

Sunrise, Florida

TEAMHEALTH 06/2015 - PRESENT◼ Patient Account LeadAccountable for overseeing a payment processing team of 14 staff, ensuring electronic payments are received and posted properlyfor emergency room services for patients. Responsibilities encompass the completion of the Daily Status Report, closing batches, dailyNon-Reconciliation report in CCS, and reviewing and assisting team members to ensure work is distributed and completed in a timelymanner. Emphasis on maintaining accuracy and production and providing daily posting reports to leadership.➢ Manage ~$75MM in electronic re-admittance advice (ERA) files monthly dealing with private insurance companies, as well asMedicare and Medicaid.➢ Process and post payments and apply adjustments to patient accounts, consistently maintaining a 2-3 day turnaround time and99% accuracy rate for all claims.➢ Trained team members on medical billing programs and data entry software, driving professional development to maintain highdepartment quality standards and exceed KPI metrics.➢ Collaborated with technical teams to identify and mitigate potential posting errors, saving department significant time and moneyby addressing programming issues.➢ Review patient accounts to ensure the accuracy of patient invoices.➢ Provide leadership with reports regarding production goals and progress updates.➢ Review Non-Reconciled to ensure team is completing assignments in correct date order.➢ Report any errors or problems that affect payments or adjustments from being applied to services correctly.➢ Ensure all batches are closed at the end of each week.➢ Implemented a weekly review process with team to identify necessary invoice corrections, reducing errors by 37%.

Sunrise Fl.

Monitored collection and payment activities related to worker’s compensation claims, processing more than 2,000 claims per month.Collaborated across 20+ insurance carriers to efficiently process claims while ensuring maximum collection amounts.➢ Resolved an average of 15-20 claims daily, twice the amount required by organizational management.➢ Collaborated with claims adjusters to assess individual customer needs and offer alternative payment solutions as needed,ensuring ~99% customer satisfaction.➢ Ensured accuracy and efficiency of records within the collections system using Availality, Peoplesoft and MedCheck.➢ Assessed opportunities for improvement to drive cost savings, and efficiency within the organization.➢ Delivered on commitments and shared best practices with teammates to enhance performance.➢ Consistently met/exceeded demands, expectations and deadlines through exceptional work ethic and commitment to excellence.

North Miami Beach Fl

Assisted with daily operations of a busy ophthalmology practice. Areas of responsibility encompassed patient relations, scheduling,registration, insurance verification, medical records management, billing and collections, inventory control, and claims processing.➢ Supported the philosophy, goals and objectives of the practice, and contributed to quality management processes.➢ Submitted and processed 1,000 Medicare/Medicaid and managed care provider claims monthly. Processed billing and managedinventory for two physician offices, ensuring optimal accuracy and communication across all sites.➢ Identified and addressed Medicare coding error impacting physician pay. Negotiated with Medicare representatives to increasephysician payment for associated procedures by over $50K over three months.➢ Assisted office administrator with transition to a new practice management system and the merger of office best practices.➢ Coordinated training across 4 physician practices to align all staff on updated protocol.➢ Recognized for quality work, attention to detail and follow-up. Highly regarded amongst management and co-workers.

Bachelor Of Health Services, Health/Health Care Administration/Management

Associate Of Science (A.S.), Health Information Management

Dipolma, Insurance Billing And Coding Specialist

High School Diploma