Accounts Receivable Customer Service
Resume:
Darlene P. Hollis
Fairview Heights, IL 62208
618-***-**** / *********@*****.***
Summary of Qualifications
Mid-level manager with 22 years of revenue cycle management experience. Knowledge of National Correct Coding Initiatives, Local Coverage Determinations and code linkage. Adept in coordinating overall functions of medical billing. Thorough understanding of Medicare, Medicaid, commercial, managed care and worker compensation payers.
Core Strengths
A/R Follow-up Customer Service
Cash Posting EDI transactions
Coding Leadership/Team Building Skills
Credentialing Problem Solving Skills
Medical Billing Specialist
Consultant 2010-2016
Entrusted to manage all facets of day-to-day accounts receivable functions, coding, claims filing, payment posting, refunds, credentialing and follow-up communications with insurance companies. Established and maintain sign-on/passwords for on-line verifications. Assisted with Electronic Health Record (EHR) Incentive, PQRS and Meaningful Use Reporting.
Collaborate with patients, vendors, and clearinghouse.
Mentor staff on registration process reducing rejection/denials.
Reconcile daily deposits to daily cash postings.
Create end-of-month reports for reporting purposes.
Reduced accounts receivable by utilizing unpaid claims reporting.
Secondary and Tertiary billing.
File insurance grievances and appeals.
Attend medical billing seminars, workshops, and training.
Healthcare Support Staffing
Accounts Receivable Representative, 2015
Responsible for accounts receivable collections and follow-up. Analyzed accounts for underpayments made necessary adjustments on manage care, commercial, Medicare and Medicaid accounts according to hospital’s contract. Obtained missing referrals/authorization. Appealed and re-filed denied claims.
Kforce – Healthcare Staffing
Interim Cash Posting Manager, 2012 - 2013
Managed daily operations of cash posting for eight facilities. Supervised staff of 25 interviewed, hired and trained personnel. Work collaboratively with Follow-up, Registration, IT staff and vendors. Initiated new policies and procedures for negative and zero remit postings. Established policy and procedure for credit card payment postings were none previously existed. Identified and reconciled over $5 million in unapplied cash receipts. Worked closely with appropriate staff ensuring electronic deposits/remits and lockbox conversions uploaded without discrepancies.
City of Clayton – Clayton, MO
Accounts Receivable Supervisor, 2005 - 2010
Supervised staff of four. Recruited, interviewed and selected employees. Managed and trained accounts receivable, accounts payable and customer service counter staff. Assisted Finance Director in preparing fiscal budget. Ensured end-of-month balanced with general ledger. Processed business, liquor and temporary merchant licenses. Participated and facilitated departmental staff meetings. Received and processed purchase orders. Managed ambulance billing and collections. Identified, corrected errors and problems before escalating to department heads. Liaison between patients, billing company and collection agency.
Verified patient’s insurance eligibility.
Established and maintained insurance verification access.
Attended medical billing seminars and training.
Resolved residents’ complaints.
Developed and implemented collection system for outstanding invoices.
Integrated parking and court revenue with financial reporting system.
Developed end-of-day procedures to diminish time spent on end-of-month balancing.
Created departmental policies and procedure manuals.
Increased employee productivity by revising, defining and documenting job roles and responsibilities.
Prevented approximately 30% of patients from going to collections on a monthly basis, resulting in payments from insurance companies.
Peoples Health Centers – St. Louis, MO
Accounts Receivable Supervisor, 1998 – 2005
Hired, managed, trained and monitored staff of 20 to include accounts receivable and registration staff. Responsible for performance appraisals: rewarded, mentored and disciplined employees. Responded to the daily influx of telephone-based and written communications from patients and insurance companies. Conducted on-site training sessions for billers and registration staff. Managed and distributed payments, charges and adjustments. Coordinated strategies and improved collections/cash flow. Monitored HMO contracts ensuring proper reimbursement. Participated in end-of- month reporting and closing. Served as a liaison between directors, providers, vendors and staff.
Significantly reduced registration errors minimizing rejections.
Managed the successful processing of charges/billing claims for over 25 providers.
Created and implemented electronic billing process.
Developed and implemented end-of-day balancing for registration staff.
Southern Illinois Healthcare Foundation – East St. Louis, IL
Payments Team Leader, 1994 - 1998
Trained new employees on standard operating procedures as it related to medical billing. Supervised payment posting, balancing, adjustments and secondary billing for three sites. Scanned and mailed insurance claim forms and billing statements. Counseled patients regarding outstanding balances and sliding fee scale.
Education
Bachelor of Arts in Healthcare Administration, Concordia University, St. Louis, MO
Membership(s)
-American Academy Professional Coders (AAPC)
Volunteer
-Community Leaders Assisting Insured Missourians (CLAIM). Assist individuals with Explanation of Benefits and Insurance enrollment
Software
AS400, EPIC – Resolute Hospital Billing, Lumeris, Medtech, NextGen, NueMD, Eclaims and InPracsys.
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