Manager with Expertise in Claims Analysis and Accounts Receivable

BB II LL LL YY KK .LL EE WW II SS

Gran Vía Marqués del Túria, 86, 46005, Valencia (Spain)

(+1) 972-533- 1531 ***********@*****.*** www.linkedin.com/in/billy- lewis-65679380

--OOPP EE RR AA TT II OONN SS MMAA NN AA GG EE RR -- QQUUAALL II FF II CCAA TT IIOONNSS PPRROOFF II LL EE Highly experienced and results-oriented professional with a strong background in providing hands-on management to overall company operations, including medical billing, claims analysis, and accounts receivables. Expert at developing and implementing processes and systems that boost productivity, efficiency, and quality of operations. Capable of fostering a harmonious team environment, building collaborative relationships, and training staff to perform at maximum efficiency. Efficient at working with top-performing teams in concerted efforts to improve organizational productivity. Articulate communicator; English native speaker with working knowledge of Spanish. AARREEAA SS OOFF EEXXPP EERR TT II SSEE

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EEDDUUCCAATT IIOONN

Bachelor of Business Administration in International Business: 2009 FLORIDA INTERNATIONAL UNIVERSITY, MIAMI, FLORIDA St. Louis University, Madrid, Spain (2005–2007)

Epsilon Iota Academic Honor Society

Associate of Science in Information Technology: 2004 EASTERN FLORIDA STATE COLLEGE, MELBOURNE, FLORIDA President’s List Dean’s List

PPRROOFF EE SSSS IIOONNAA LL EEXXPP EERR II EENN CCEE CENSEOHEALTH, DALLAS, TEXAS

Nationwide leading provider of in-home health assessments Revenue Cycle Analyst 2017–Present

Manage key performance indicators (KPIs) and financial data to ensure successful operations of billing and collections.

Demonstrate excellent skills in translating business requirements into detailed reports and special projects.

Secure and properly maintain client accounts receivable reporting and multisystem reconciliation, while preparing and submitting client-specific reports.

Thoroughly evaluate and provide resolution to all claims within the clearinghouse and prepare invoice for clients through the company’s proprietary accounting software.

Perform follow-ups on all outstanding accounts receivable balances.

Employ analytical skills in reviewing, researching, and reconciling all Electronic Remittance Advice (ERA) discrepancies. Notable Accomplishment:

Exemplified expert analysis in insurance claims and accounts receivable, leading to a substantial increase in revenue. TEXAS HEALTH MEDSYNERGIES, FLOWER MOUND, TEXAS

Organization of healthcare facilities to provide support to Texas Health Resources of 29 hospitals, more than 100 outpatient facilities, and more than 250 other community access points Practice Manager II 2014–2016

Assumed full responsibility in overseeing daily business operations of two clinics, with a staff of more than 20 employees.

Developed and implemented performance goals, while assisting the regional director with the execution of long-range plans.

Expertly handled the onboarding process for new practice, including staff hiring, salary administration process, payroll system, key performance indicators, and performance evaluation.

Maintained complete adherence to regulatory requirements and regulations.

Played a key role as first point of contact for insurance companies and external customer-related issues. Notable Accomplishments:

Brought significant increase to employee/patient satisfaction and revenue by establishing efficient work procedures.

Earned Patient-Centered Medical Home recognition for both clinics. BB II LL LL YY KK .LL EE WW II SS

MEDSTAR GEORGETOWN UNIVERSITY HOSPITAL, WASHINGTON, DC Teaching and research hospital with more than 30 departments ranked # 1 hospital in Washington, DC Administrator - Department of Medicine, Division of Rheumatology, Immunology, and Allergy 2013

Held full accountability in managing a staff of 15 employees, along with payroll, computer systems, telecommunications, and facilities.

Observed strict compliance with office policies, while closely monitoring productivity, training administrative assistants, and providing support with problem identification/resolution.

Ensured confidentiality of company records and requirements. Notable Accomplishments:

Streamlined operational development concerning patient care, while providing assistance with strategic planning to ensure revenue generation.

Served as liaison among division chief, clinical operations administrator, finance administrator, physicians, patients, and staff on patient care matters, establishing and cultivating relations between physicians. Senior Accounts Analyst - Department of Medicine, Division of Pulmonary, Critical Care, and Sleep Medicine 2012–2013

Managed the processing of departmental financial transactions and expertly handled time- and payroll-related items.

Facilitated thorough evaluation of existing billing processes to identify necessary improvements to increase revenue.

Trained physicians, fellows, and accounts analysts within the Department of Medicine on medical billing techniques. Notable Accomplishment:

Improved employee morale, personnel relations, and patient satisfaction by conceptualizing and executing strategies, including the establishment of the Employee Satisfaction Committee. Accounts Analyst - Department of Medicine, Division of Pulmonary, Critical Care, and Sleep Medicine 2010–2012

Interfaced with the chief financial officer and medical staff to effectively deliver support services.

Rendered appropriate resolution to missing charges, lag time, and rejection reports through corrective actions.

Developed effective and efficient billing solutions in collaboration with other sections.

Functioned as point of contact for Unified Billing Services (UBS) and other accounts analysts. Notable Accomplishment:

Created and executed efficient billing techniques that substantially reduced missing charges and insurance payment denials, while increasing receivables.

INTEGRATED HEALTH PLAN INC., ST. PETERSBURG, FLORIDA One of the nation’s largest and oldest preferred provider organization (PPO) networks Claims Re-Pricing Specialist/Appeals Specialist 2008–2009

Displayed strong command in utilizing claims reprocessing systems to identify claims re-pricing requirements.

Reviewed provider/client contracts to confirm legal obligations were met.

Built and strengthened professional relationships to represent company and client interests.

Initiated fundamental principles of managed care for all lines of businesses. Notable Accomplishment:

Earned promotion to appeals specialist through excellent performance and professionalism. EEAARRLL II EERR CCAARREE EERR

REGISTRO DE LA PROPIEDAD, VALENCIA, SPAIN

Data Entry/IT Specialist

FLORIDA HOSPITAL, ORLANDO, FLORIDA ABILENE REGIONAL MEDICAL CENTER, ABILENE, TEXAS Health Unit Coordinator

ABILENE TEACHERS FEDERAL CREDIT UNION, ABILENE, TEXAS Teller

TTEECCHHNN II CCAALL AACCUUMMEENN

Windows OS Microsoft Office Applications (Word, Excel, PowerPoint, Outlook, and Visio) Microsoft Dynamics GP (Great Plains) Change Healthcare (Emdeon) GE Centricity (FlowCast) AllScripts EMR CareConnect Epic (Electronic Health Records) DocLink Exponent HR McKesson Practice Partner PatientKeeper Azyxxi ARIA® CareFirst Direct NaviNet Centers for Medicare & Medicaid Services (CMS) Physician Quality Reporting System (PQRS) Meaningful Use

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