Behavioral Health Company* Billing and AR Supervisor for multi-provider mental health company.* Utilization Review and Accounts Receivable including all medical insurance and private self-pay billing.* Implementation of utilization and billing policies and procedures including Internal Control, billing and accounting software, etc.* Implement and Maintain Clearinghouse data including EFT and ERA.* Fee Scheduled, CPT code and ICD-10 code maintenance* Administrator for all MCO and Financial Institution portals* Reports directly to the CEO for supervision.* Post patient & insurance payments to reconcile patient accounts* Resolve health insurance denials and file appeals* Electronic and paper submission of medical billing* Knowledge of billing procedures, healthcare insurance and medical terminology* Identify and resolve refunds and recoupments due to insurance and patient overpayments* Maintain provider relationships with MCO’s including quarterly provider workshops* Implement and Maintain provider contracts and credentials through CAQH.* Obtain pre-certifications for outpatient procedures and tests* Strong knowledge of Medicare and Medicaid guidelines* All aspects of Contracting and Credentialing for contracted third parties

Behavioral Health Facility * Billing and AR Supervisor for multi-provider and multi-facility statewide mental health company.* Utilization Review and Accounts Receivable including all medical insurance and private self-pay billing.* Implementation of utilization and billing policies and procedures including Internal Control, billing and accounting software, etc.* Implement and Maintain Clearinghouse data including EFT and ERA.* Fee Scheduled, CPT code and ICD-10 code maintenance* Administrator for all MCO and Financial Institution portals* Reports directly to the President/CEO and CFO for supervision.* Transitioned previous employer/smaller company, The Solution Source, LLC from a privately-owned proprietor to a larger multi-company statewide corporation, Omni Community Health, Inc.* Monthly and Quarterly Financial Reporting utilizing Excel with pivot tables* Directly supervise five employees. Regionally supervise eight employees.* Post patient & insurance payments to reconcile patient accounts* Resolve health insurance denials and file appeals* Electronic and paper submission of medical billing* Knowledge of billing procedures, healthcare insurance and medical terminology* Month end closing including balancing, adjusting, running final reports, invoicing & sending statements* Identify and resolve refunds and recoupments due to insurance and patient overpayments* Bank ledger and business check, cash and credit card reconciliation utilizing QuickBooks* Maintain provider relationships with MCO’s including quarterly provider workshops* Implement and Maintain provider contracts and credentials through CAQH.* Check patients in and out, collect copays/deductibles, schedule appointments when short staffed* Obtain pre-certifications for outpatient procedures and tests* Strong knowledge of Medicare and Medicaid guidelines

Behavioral Health Facility* Billing Manager for multi-provider and multi-facility mental health company.* Utilization Review and Accounts Receivable including all medical insurance and private self pay billing.* Implementation of utilization and billing policies including Internal Control, billing and accounting software, etc.* Reports directly to CEO.*Transitioned The Solution Source, LLC. from a privately owned proprietor to Omni Community Health, Inc, a multi-company corporation, in January 2014.

Single physician - Neurology office* Manage small medical office insurance and private self pay billing and all office procedures including provider credentialing, contracts, reimbursement, ordering, etc.* Accounting, payroll and taxes with Quickbooks* Medical Transcription

Third Party Medical Billing Company * Resolve health insurance denials and private transaction disputes as well as file appeals for University of Tennessee Hospital

Durable Medical Equipment (DME) Provider* Posted payments to reconcile medical, personal and business accounts.* Resolved health insurance denials and private transaction disputes as well as file appeals.* Month end closing including balancing, adjusting, running final reports, invoicing & sending statements.

Financial Counseling Center for Navy and Marine Service Members* Provided administrative/secretarial support for the department such as answering telephones, assisting visitors, and resolving and referring a range of administrative problems and inquiries.* Scheduled and coordinated interviews, appointments, events and other similar activities.