E:ac0ztp@r.postjobfree.com

T: 619-***-**** ***** Addicks Stone Drive, Houston, TX

Whitney N. Reed

Summary

A proactive and reliable Manager who can effectively identify and resolve financial, business office and customer service issues to the benefit of a facility. Flourishes in ever-changing, fast-paced business environments and positons in leadership.

Career Experience

Business Office Manager, Aurora Behavioral Health, TX (11/2016-Current)

•Managed the Financial Services department and Financial Counselors: Staffing, employee training, terminations, performance reviews, and delegation of responsibility

•Accounts receivable for 90-180+ days of AR

•Organized and conducted weekly accounts receivable meetings

•Met and exceeded monthly collection goals/reported revenue for all patients and payors

•Verified benefits for all payors (commercial, Medicaid, Medicare and Managed Care for in-network and out-of-network policies)

•Prepared specialty reports to present to directors, executives and physicians

•Denial management: Claim editing, submissions, denials and appeal follow-up

•Monitored daily admissions to identify financial risks for the hospital

•Reconciled and prepared monthly physicians billing and payments

•Deposits and bank reconciliation

•Month end close

Financial Services Manager, Elements Behavioral Health, TX (12/2014-12/2016)

•Managed the Financial Services department and administrative staff: Staffing, employee training and delegation of duties

•Developed procedures to meet and exceed the monthly cash collection goal

•Acted as a liaison for level of care changes, insurance updates and continued care between the clinical staff, clients, insurance companies and other facilities

•Case management for pre-certification, denials and concurrent reviews

•Researched and analyzed healthcare plans to identify payer trends and monthly projections

•Customer experience management and complaint investigation and resolution

•Assisted with COBRA elections and payments/Medicaid eligibility and applications

•Assisted with business development solutions

•Created and implemented training programs to increase collections and strengthen financial procedures

•Educational support for all inpatient and outpatient clients

Benefits Coordinator, United Healthcare CA (03/2013 – 10/2013)

•Maintained the health plan platform migration and escalation process within PBM business team

•Processing and distribution of specialty medications (oncology, fertility, addiction medication, multiple sclerosis, pain management and severe allergies)

•Maintained processes necessary to collect balances due/overpayments which resulted in the recovery of thousands of dollars on a weekly basis

•Collaborated with PBM’s to secure data and provide the support necessary to maintain compliance

•Customer service in the High Touch department

Patient Care Coordinator, Morris Group-Eye Care Solutions Inc., CA (12/2010-03/2013)

•Provided administrative support for the patient care activities of six doctors in order to promote pleasant and effective communications with patients, staff and doctors

•Front and back office upfront collections

•Solely managed accounts receivable for all patients under the supervision of the Business Office Manager throughout 2012-2013

•Preformed ophthalmic medical billing to ensure accurate payments in accounts receivable

•Managed healthcare pre-authorizations and referrals

•Kept organized documentation of prescription refill requests and fulfillments

•Trained new employees on medical billing platforms and data entry software

Education

Masters in Business Administration –December 2014-University of Phoenix

References Available Upon Request

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