Revenue Cycle Management

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Wanda T. Miller, CPC

ad5vp9@r.postjobfree.com • LinkedIn URL

Smyrna, TN 37167 • 615-***-****

Revenue Cycle Management

Meticulous and highly analytical professional with extensive experience overseeing full spectrum of revenue cycle management, medical coding & billing, and payment handling in procedural and code compliance.

Well-versed in coordinating daily schedules with staff and clients, drafting rigorous reports, and updating databases for medical records management. Credible history of maintaining a positive and professional attitude towards clients, responding to queries, and timely resolving concerns aimed at improving satisfaction and retention levels. Proven track record of excellence in managing payment issues, accounts receivables, and medical claims. Certified professional coder with a keen comprehension of ICD and CPT codes for multiple specialties.

Areas of Expertise

•Revenue Cycle Management

•Database & Records Administration

•Billing/Coding/Payment Handling

•Processes/Procedures Creation

•HR Operations Management

•Reporting & Documentation

•Training & Development

•Performance Management

•Regulatory Compliance

Career Experience

Revenue Cycle Billing Manager, Vanderbilt University Medical Center Nashville, TN 2014 – 2022

Managed reimbursement of physician charges while serving as specialist. Administered overall unresolved A/R, such as accommodating escalated/transferred from outside vendors and providing keen attention to detail to aged A/R. Steered all aspects of managerial tasks such as staff performance, work allocation, quality assurance, training/development, and hiring/onboarding by collaborating with director. Ensured clinic used proper billing processes/procedures to collect all required payments. Supported senior management by providing feedback on patient demographics, collection of co-payments, and referrals and authorizations.

●Corrected various system billing errors leading to reconciliation of over $10M in outstanding debt (A/R).

●Recovered third-party payments as well as reviewed and dealt with account-related denials for patients.

●Resolved any billing issues by updating clinical and administrative staff in timely manner.

●Facilitated department's billing center by conceptualizing, developing, executing, and maintaining policies/procedures, systems, and operations.

●Drove operational efficiency and productivity enhancements by delivering exemplary operational and strategic leadership to professional billing cash posting team.

●Reviewed claims for ICD-10.

Billing Office Manager, Orthotic & Prosthetic Billing Solutions Inc., Murfreesboro, TN 2008– 2014

Communicated job expectations with employees to attain best outcomes. Planned and conducted performance assessments as well as recommended compensation actions in compliance with policies/procedures. Utilized billing information in development of strategic plans and reviews to meet billing operational standards. Established and enforced production, productivity, quality, and customer-service standards. Maintained relationships with customers to increase satisfaction/retention. Researched, created, and updated billing processes/guidelines to direct staff operations.

●Achieved billing human resources goals by recruiting, hiring, training, and onboarding skilled/talented staff.

●Identified and resolved problems/discrepancies to improve billing system.

●Analyzed billing methods for necessary industry developments to accomplish billing departmental objectives.

●Supervised 15 full-time team billing and collections specialists to streamline daily activities, including insurance verification, paperwork procurement, billing/collections, and outstanding accounts receivable (AR).

Additional Experience

Certified Billing & Coding Specialist–United Surgical Partners, Inc. Dallas, TX

Billing Office Manager–Baptist Plaza SurgiCare, Nashville, TN

Billing and Coding Specialist–Baptist Ambulatory Surgery Center, Nashville, TN

Education

A.S. Degree– Management & Marketing Technology

Hinds Community College, Raymond, MS

Technical Proficiencies

Microsoft Office Suite, MediSys, Advantx, Lytec, Bright Tree, Futura, OPIE Clinical, OPIE Billing, CollaborateMD, Gateway, ZirMed, Linkia, Epic-Estar

Certifications

Certified Professional Coder (CPC)

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