Tosha Lance Email & Phone Number

Mena, Arkansas

Oversaw complete restructuring of the Healthy Connections billing department to optimize workflow and communication within the department. Ensures strict compliance of healthcare regulations and coding guidelines while managing and optimizing the revenue cycle within the organization. Supervises 13 revenue cycle specialists: answering questions, addressing concerns, facilitating disputes, and ensuring high department morale with low turnover rates. • Generates monthly productivity reports to communicate with stakeholders achievement of key performance indicators• Created and implemented electronic credential tracking system to efficiently manage and simplify payer enrollments, provider license expirations, and vaccine expirations• Oversees credentialing for the organization, including Medicare, Medicaid, Commercial Enrollments, and EDI Payer Enrollments for multiple providers and facilities utilizing CAQH, NPPES, and PECOS systems. • Designs and orchestrates effective training for new employees and ongoing training for current employees• Works directly with financial counselors and practice managers to provide education and feedback to patient care coordinators across multiple facilities• Ensures employee goals and performance standards are met by providing employees with annual and ongoing one on one performance reviews

Mena, Arkansas, United States

Mena, Arkansas, United States

Possessed extensive knowledge of revenue cycle processes to create best practice procedures and provide process improvement recommendations for Liles Vision Center coding and billing department. Responsible for collecting and recoding medical insurance data, coverage information, and billing data. Conducted thorough analysis of medical documentation, applying appropriate coding systems to ensure accurate and compliant billing for vision healthcare services. • Regularly collaborated with healthcare providers and physicians to accurately create and code invoices for all clinical exams, office visits, procedures, extra testing, and frame room purchases• Efficiently managed the claims process, including verifying insurance eligibility for benefits, timely and organized filing, and posting patient and insurance payments payable to ledger• Managed daily reconciliation and deposits• Navigated through insurance rejections and monthly aging reports• Conducted regular audits and quality assurance checks of inventory and coding accuracies• Prepared and sent claims through gateway/bill private insurances• Acted as subject matter expert and provided guidance on billing issues and account questions with customers

Waldron, Arkansas, United States

Successfully managed operations of a 40-bed assisted living facility to ensure an exceptional standard of care. Led a team of 20 employees; including five department managers, business office, maintenance, dietary, nursing, and activities. Dedicated to creating a supportive and nurturing environment for residents while optimizing facility efficiency and maximizing financial performance.• Leveraged various marketing practices to promote the facility in the community and surrounding areas• Thoughtfully planned and executed facility events for residents and staff that enhanced resident satisfaction• Recruited, trained, and supervised a team of passionate team members, providing guidance and professional development opportunities to enhance abilities and performance • Collaborated with residents’ healthcare professionals to coordinate comprehensive care plans that met the unique requirements of residents• Guided residents through Medicaid, VA, and private insurance long term care applications• Managed facility budgets, monitored expenses, and identified optimization opportunities to ensure nursing, dietary, housekeeping, laundry, and activities resources were met without compromising quality of care• Executed monthly facility walk-throughs to guarantee compliance with state regulations in preparation for state facility audits• Fostered positive relationships with residents and their families; answering questions, addressing concerns, and promoting an open line of communication to advance transparency and confidence