Manager Management

Melenisa Brown

Revenue Cycle Manager

Tampa, FL *3626

*********@*****.*** - 214-***-****

● Accomplished Director with 20 years of extensive experience in Healthcare, Customer Service, and Hospitality Management.

● Proven ability to cut costs and decrease staff turnover

● Adept at various accounting procedure and practices

● Skilled Operation Manager with solid experience managing all levels of multiple projects including budgeting and administration.

● Expertise in Multi-Million Dollar P& L management

● Active member of HFMA Organization

● Solid experience managing Cross- functional teams

● Over 10 years of EDI/ ERA experience

Efficient in QuickBooks, Advantax, HST, Advanced MD, Drchrono, Altapoint, Imagio, Zirmed, Windows software, Peachtree, and AS400, Salesforce, Nextgen, Navacure, Centricity, GHN, GE, PrimeSuite, Intergy, EDI implementation and daily usage

Executive-level Director with [20] years of managerial experience, Strong strategic-planning and people- management skills.

Willing to relocate: Anywhere

WORK EXPERIENCE

Revenue Cycle Manager

Tampa, FL - April 2017 to September 2017

• Manage ASC and Anesthesia billing for four multi- specialty facilities

• Created training modules for the insurance verification and authorization team

• Created Medical Policies manual for physicians

• Created training modules for revenue cycle team

• Analyzed the top denials for each client and identified solutions to increase cash and A/R days.

• Expert Knowledge of governmental/commercial billing/reimbursement requirements for multiple states

• Implemented new PM software to include ERA/EDI set up

• Project oversight and management, including interaction with support staff, Billing and IT department.

• Updated and created policies and procedures for all facets of revenue cycle process Director of Revenue Cycle

Minimally Invasive Spine Institute - Dallas, TX - November 2014 to November 2016

• Managed COB for 5 multi-specialty companies including 12 offshore staff, 30 stateside collectors, and 3 Supervisors

• Serve as primary point of contact for, and liaison between chiefs, physicians, and directors to facilitate proper lines of communication and expedient problem solutions.

• Analyzed the top denials for each client and identified solutions to increase cash and A/R days.

• Reduced average days in A/R from 180+ to 90 days in a six-month time period. Increased net collections from 30% to 55%.

• Coordinate with offshore management to effectively work all tasks allocated for daily resolution.

• Expert Knowledge of governmental/commercial billing/reimbursement requirements for multiple states

• Implemented new PM software to include ERA/EDI set up

• Project oversight and management, including interaction with support staff, Billing and IT department.

• Provide leadership development for all client representatives in managing workflow and overall health of assigned facilities; monitor daily outcomes for onshore and offshore staff to meet productivity standards.

• Updated and created policies and procedures for all facets of revenue cycle process Practice Manager III

THM-Presbyterian Hospital - Dallas, TX - August 2013 to November 2014

• Managed daily operations for 3 medical clinics with annual gross revenue exceeding $3 million in gross charges annually

• Increased practice revenue by 40%

• Increased revenue by improving front desk work collections processes from $50 per day to $750 per day

• Directed the cross-training of personnel to effectively utilize employees as well as to build skill levels coached, recruited, hired, terminated, and disciplined personnel.

• Worked closely with billing staff to monitor charges and payments.

• Communicate trends and issues to Senior Management during Monthly Organizational review Regional Accounts Receivable Manager

Schumacher Medical Billing Group - Dallas, TX - August 2012 to October 2013

• Managed 22 offshore staff, 30 stateside collectors, and 7 Supervisors

• Coordinate with offshore management to effectively work all tasks allocated for daily resolution.

• Expert Knowledge of governmental/commercial billing/reimbursement requirements for multiple states

• Establish plans of action to resolve unanticipated rejections and denials of previously billed accounts.

• Project oversight and management, including interaction with support staff, Billing and IT department.

• Provide leadership development for all client representatives in managing workflow and overall health of assigned facilities; monitor daily outcomes for onshore and offshore staff to meet productivity standards.

• Communicate trends and issues to Senior Management during Monthly Organizational review Business Office Manager

MicroSurgery Institute Dallas - Dallas, TX - April 2006 to July 2011

• Managed multi-million-dollar P&L for 25 surgical facilities

• Developed and maintained revenue cycle policies for over 25 physicians

• Negotiated and settled over 30 claims at a 70 to 85% rate of total billed charges monthly

• 95% success rate in payment negotiations with patient

• Exceeded financial goals of patient revenue and payment reimbursement in my first 16 months by 65%.

• Implemented new collection EDI software for Insurance carriers to promptly pay all claims within 30 to 45 days

• Brought outstanding revenue balance from 80% down to 25%.

• Increased claim submission errors by 100%.

• Certified Medical Office Manager

• Created and maintained all financial reporting for 25 surgical facilities

• Managed and maintained all accounts receivables for facilities including commercial, worker's comp, self- pay, Medicaid (elderly), and managed care.

• In charge of ordering and maintaining Inventory for business office and clinical team.

• In charge of all patient's charts, Admissions, and imputing information in Advantx,

• Direct contact with Doctors and offices,

• Managed 4 department heads and a total of 48 staff members

• Managed all 3rd party collections

• Five years' experience in billing and CPT-4/ICD-9 coding for multi-specialty surgical facilities

• Responsible for creating and maintaining all policies and procedures, and training for existing employees and new hires

• Knowledgeable in all governmental laws and regulations regarding facility operations

• Post patient and Insurance payments,

• Reviewed appeal efforts effectively for all insurance carriers to ensure maximum reimbursement.

• Reconcile daily, weekly, and monthly banking for over 25 physicians.

• Basic Knowledge of AAAHC regulatory standards and practices.

• Assisted with transitioning the facility from a management company to a free standing ASC. EDUCATION

MBA in Accounting

Walden University Present

2015

BS in Accounting and Financial Management

Platt College - Dallas, TX

April 2007

Bachelor of Science in Accounting Financial Management Cincinnati State - Cincinnati, OH

June 2002

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