Billing Supervisor

Sharri A Rebholz

**** ***** ****** 859-***-****

Denver, Colorado 80221 *************@*****.***

SUMMARY

Experience in Medical Billing Management for a 12-physician office, Client Services Management for a billing service, Client Services Specialist for 13 physician practices, along with Insurance follow-up, payment poster, customer service representative and a Clerical Coordinator at St. Elizabeth Hospital. Excellent customer service skills with success in maintaining and growing client base by becoming their trusted advisor.

Positive attitude

Problem solving skills

Drive revenue

Communication skills

New client acquisition

Exceed/meet goals

Leadership skills

Teamwork

PROFESSIONAL EXPERIENCE

Rocky Mountain Cancer Center 09/2016-12/2016

AR Supervisor- Government team

I supervise 15 employees’, monitor workflow, processes, and coordinate bi-monthly meetings which include team building, review of current issues, problem solving and procedure and policy updates from HR and other departments. Provide weekly J code denial information to the Office administrators along with trending information during weekly calls. Liaison between the office

Managers and billing staff.

Cincinnati Children’s Hospital, Cincinnati, OH 10/2013-05/2016

Community Practice Services, Client Services Specialist

I am responsible for providing consultative assistance and support to CPS practice customers and ensure the financial and operational success and satisfaction of the practices. Manage practice accounts by monitoring process of partners and practices for system support and problem resolution. Formulate and administer workflow enhancements designed to improve business and clinical workflows with a focus on increased productivity and quality. Plan and facilitate Client Advisory Panel and User Group meetings. Provide the necessary assistance to practice to ensure 100% satisfaction. Prepare and coordinate monthly practice reports. Complete an in-depth month end report for each practice by the 5th of each month. Manager to the Reimbursement Specialist, approve time off, perform annual performance evaluation, monitor workflow, and assist in special projects.

Allergy & Asthma, Cincinnati, OH 02/2013- 10/2013

Billing Manager

Initially hired as a temporary employee; then hired as the full-time Billing Manager position due to quick actions and knowledge of medical billing. Responsible for resolving major A/R issues, including major insurance companies take back’s and refund request. Requested meeting with Insurance provider relations representative, financial manager, and physician to articulate an action plan to resolve current issues. Implement billing processes and procedures. External auditor hired which reported the above issue and expressed a favorable resolution and process implementation had been put into action.

Comprehensive Medical Management, Newport, KY 04/2010-08/2012

Client Services Management

I was instrumental in acquiring a new Oncologist client for company whom also was the 1st Oncologist for Comprehensive Medical Management. I was the Manger for this new client and traveled to North Carolina during the implementation process. Managed staff, reviewed electronic insurance denial reports and investigated issues, and made the needed updates for the claims to pass the editing process. I handled client requests, unsatisfied patients, and employee issues. Attended weekly manager meetings assisted other departments when needed. I resolved a 2 year long credential issue that resulted in the client receiving all reimbursement that was due. I was responsible for all data updates to Misys software which included insurance, procedure, ICD.9 and fee schedule updates; along with importing yearly RVU data.

The Family Medical Group, Cincinnati, OH 01/2007-4/2010

Billing Manager

The billing department was formed 6 months prior to my employment. The focus was to set policies and processes; obtain maximum reimbursements and adjust workflow for the staff for optimal efficiencies. An outside auditor reviewed our billing department 2 years later and our billing department received the highest marks the auditor has given. My role expanded to 13 employees who included managing the front desk staff, the referral/prior authorization staff, and the billing department staff.

My duties included but not limited to; preparing monthly financial reports for the 12 physicians, meeting with the Physical Therapist to review A/R and financials, attending yearly strategic leadership meetings, front desk staff scheduling, reducing A/R, handling patient complains, budget payment plans for patients, improving processes within the department, working with insurance representatives, yearly reviews, hiring and firing.

ACS Physicians, Milford, OH 08/2005-8/2006

Billing Director

Opened with the New Company to provide billing management expertise; performed workflow and billing audit for a large Oncology facility. Met with potential clients and was the manager for a rehab pharmacy.

Neltner Billing & Consulting, Independence, KY 09/1998-08/2005

Assistant Director

Began as a Payment poster, insurance follow-up, and customer service representative; became the main contact for our North Carolina, California, and Kentucky Clients and managed the staff members for those accounts. I attend yearly North Carolina Managers Meeting; I also worked with drug company’s co-pay assistance programs to help patients with their co-pay and seek financial help.

I worked with California, Kentucky, and New Mexico’s Medicaid insurance companies to reduce denials and increase the practice revenues.

Provided physicians with month end reports, coordinated weekly and bi-weekly meetings with physicians to review client issues, AR issues, and credentialing issues.

I was the Patient advocate and liaison between insurance companies, hospitals, billing company and physician office.

EDUCATION & CERTIFICATION

Campbell County High School

MGMA Member

PROFESSIONAL DEVELOPMENT

The Happiness Advantage

COMMUNITY ACTIVITIES

St. Elizabeth Hospital volunteer- cancer care unit

St. Elizabeth Hospital volunteer-S.T.A.R.S. grief counseling for children

DARE president for Alexandria Elementary

PTA membership chair Alexandria Elementary

Campbell County School volunteer

Assistant Coach Softball & Basketball

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