Engineer Manager
Resume:
Raesha Lee
***********@*****.***
QUALIFICATIONS:
• Over four years of experience as Team Lead/Supervisor for hospital and physician
billing and collections of past due accounts
• Ability to strategically manage and analyze AR and billing activity and consistently
report to senior management
• Ability to identify and solve problems and to coach others as necessary
• Supervised teams of 12 or more ensuring performance of duties and
responsibilities as expected
o Provided training and direction for new patient financial service
representatives
o Performed supervising responsibilities for government and commercial
billing and collections by assisting with training and assigning and
overseeing the work of others
• Updated and implemented policies and standard operational procedures when
needed for best practices in regards to billing and collections
• Electronic and manual Medicaid, Medicare, Medi-Cal, Commercial and Third Party
Liability claim submissions
• Verified and updated insurance registration and account information
• Processed payments and posted to accounts accurately
• Review payment denials and discrepancies and rebill for payment
• Ensure compliance with all state and federal billing regulations
PROFESSIONAL EXPERIENCE:
HealthCare Resource Group
Biller/Patient Account Representative 4/2012-10/2012
• Identify problem accounts with payers; investigate and correct claim
errors, follow-up on missing account information, and resolve past-due
accounts
• Answer inquiries by phone regarding past-due accounts and insurance
guidelines; research incorrect addresses for past-due accounts
• Contact responsible party to resolve delinquent accounts; prepare
payment plans and monitor adherence to plans by responsible party;
direct accounts to outside collection agencies when necessary
• Contact attorneys, employers, physicians, and others necessary to obtain
information for resolution of credit and collection matters
• Prepare reports to identify and resolve accounts receivable and referral
problems
• Post data; verifies and performs mathematical computations; maintains
files
• Compose and type routine correspondence, memos, letters, etc.
• Perform other duties as assigned
Staffing Coordinator 9/2010-3/2012
• Identified qualified potential candidates via internet job posting sites, internet
search engines, submit resumes, and referrals
• Proactively maintained an adequate pool of resources that were marketed and
used to improve client services
• Maintained internal relationships including support and communication with
Regional Managers, Regional Directors, other Staffing Coordinators, and the
Corporate Office
• Contacted clients regarding staffing services and potential candidates for current
orders
• Sustained positive and professional office atmosphere through phone demeanor,
dress, and correspondence
• Administrated initial screening, testing activities, and new hire paperwork
• Contacted new and current employees regarding job satisfaction, duties, and
HRG policies and procedures
• Created, maintained, and filed employee paperwork appropriately
• Coordinated pre-screening procedures and interviews for potential candidates
Supervisor/Biller/Patient Account Specialist/Cash Poster/Collector 2005-2012
Projects at:
• The Westerly Hospital-Medicare and commercial insurance biller and collector
o Billed and followed up on Medicare and Commercial claims successfully
o Trained new permanent employees on billing system navigation and follow
up procedures
o Became the ‘go to’ person when answers were needed in regards to billing
and follow up
o Back up biller for E-Premis when permanent employee was on leave, out
of the office, or when assistance was needed
• Healthcare Resource Group-Staffing Coordinator Pacific Northwest Seattle
Region
• Billings Clinic-Team Lead for Medicare and Commercial insurance billing and
collections team
o Supervised team of three in successfully billing and follow up for Medicare,
Medicaid and Commercial claims
• St Charles Medical Center -Cash Poster
o Posted government payments as needed to patient accounts
• Multicare Health System- Team Lead for Commercial, Government and TPL
Billing and Follow Up
o Supervised team of ten that successfully met all billing and payment goals
set by upper management
o Team cleaned up A/R in old billing system and successfully billed and
followed up on claims in new system during transition to Epic
• Health Services NW-Medicaid Biller and Collector
• Ashland Community Hospital-Self Pay, Government, Commercial and TPL
biller/collector and cash poster
o Found over four million dollars of unbilled claims that were close to being
denied for untimely lost in hospital billing system
o Billed out claims as needed and received payment
• DaVita-Team Lead Medicaid Biller/Follow Up for 5 states
o Supervised team of eight for success in billing and follow up of ESRD
claims
• Providence Hospital-Everett-Medicaid Adjustment Write offs
• Overlake Hospital Medical Center-Self pay biller and collector
United States Army 1998-2002
Nuclear Biological Chemical Sergeant
864th Engineer Battalion HQ/A
• Noncommissioned Officer
• Provided leadership and took responsibility for assigned personnel
• Trained all ranking personnel and led by example
• Vital link between officers, SNCOs and the lower-ranking enlisted troops that
make up the bulk of the troops in both services
• Performed state-of- the-art detection, and sample collection technology training
• Proficiently administered NBC antidotes and safe patient extraction
• Followed the National Institute for Occupational Safety and Health (NIOSH) Guide
SOFTWARE:
• HBO, Medi-Tech, e-Premis, AS400, McKesson STAR, Last Word, OneHealthPort,
Provider One, Cerner, WaMedWeb, CUBS, Medi-manager, SSI, Data-net,
Paragon, Medisoft and Epic
EDUCATION:
Bridges Learning Center 2004
• Medical Billing and Coding Certification
Contact this candidate