Revenue Cycle Physician Assistant
Resume:
Janeen Beltran
Phn 602-***-**** **********@*******.***
Organized Revenue Cycle Management professional with 17+ years of experience within the full revenue billing cycle. Includes credentialing contracting, collections, and all administrative needs for FQHC and all healthcare companies. Excellent in reviewing medical codes, auditing claims, and monitoring regulatory compliance to maximize profits. Successful in identifying areas of improvement, developing strategies, and implementing solutions to increase productivity and revenue.
Professional Experience
The insomnia and sleep Institute of Arizona/Medicus DME. Scottsdale Arizona. January 2023 to present
Lead a team of 22 employees, front office medical assistants, coders, benefits team.
Perform monthly reconciliation, perform bank deposits. Balance sheets, internal auditing coding.
Meet with 6 providers neurologist, phycologist,Internal medicine sleep providers and a physician assistant. Discussing reporting signing off on assessment plans by month end. Training all providers on proper coding.
Teaching Respiratory therapist how to code work with patients documenting all discussions.
Assisting Neurologist with EEG billing, documenting
Performing auditing and confirming on all records ERA, deposits.
Uploaded all fee schedules quarterly, worked side by side credentialing.
Increased revenue by creating a proper protocol that increased revenue by 500k a month.
Assisted the integration team with software updates.
Circle the City FQHC-nonprofit Phoenix, Arizona Revenue Cycle Manager May 2022 to January 2023
●I lead a team of 16 employees, 6 coders, and 10 collection representatives.
●Lead team huddles to discuss capturing all charges, for Physical Therapy, Behavioral Health, provider charges, and two 50-bed respite clinics, including 5 street medicine teams.
●Run A/R reports to discuss them with the Collection team. Create strategies to increase revenue.
●Perform monthly close, through Athena with reporting reports ● I work side by side with the CFO and the accountant for closing, created deposits. Balanced month end.
●Attend monthly JOC calls with our payer reaps, attend Alliance calls and meet with Athena Representative.
●Attend weekly meetings with the finance team to discuss all areas for possible issues or positive feedback.
●Run weekly KPIs for provider's appointments seen.
●Track all monthly grants per zip code and provider specialty.
●Captured 1.9 mils in extra revenue with our Mercy Care funding. Grant writing
●Software that we utilize is Athena management and SharePoint.
●Perform yearly Ahcccs reconciliation, Medicare reconciliation, and Medicare quarterly credit reporting.
Professional Experience
Weight Loss Institute of Arizona/EVSC Tempe, Arizona Revenue Cycle Manager October 2017 to April 2021
●Led team huddles
●Coded surgeries for 3. Anesthesiologists,1. Psychologist,5. Surgeons and 1. Ambulatory Surgery Center.
●Ensured timely billing and patient collections through proactive correspondence and accurate financial reporting
●Supervised payment processing, business charges, and data updates in clinical software
●Compiled quarterly and annual comprehensive reports
●Record and distribute meeting minutes
●Order office supplies
●Cross-trained 20+ billing employees from the front office to the back office
●Created an algorithm within the insurance verification process for higher reimbursement
●Increased revenue by 18 mll from charges from 2018,2020 never paid through negotiations
●Supported successful business operations.
Cardiovascular Institute of Arizona Mesa, Arizona Revenue Cycle Manager April /2015 to October/2017
●Provided full billing cycle services for a busy 5 providers,3 clinics, and serving 300+ patients
●Prepared deposits, entered payments, and posted office charges to maintain accurate financial records
●Followed up on overdue accounts, corrected errors, and resubmitted claims to payers for maximum profitability ● Run month-end reports.
●Reconciled monthly finances and discussed increases or decreases with physicians.
Grand Canyon Anesthesiology Consultants Scottsdale, Arizona Revenue Cycle Manager March /2012 April/2015
●Monitored monthly accounts receivable, appeals, and collections. met performance objectives
●Tracked provider credentialing and negotiated contracts for all major insurance companies
●Led the full-cycling billing team of 40 employees
●Monitored patient payment posting and claims submission
●Led strategic negotiations for out-of-network charges, to ensure the company receives 98% of the balance billed
●Performed performance reviews with team members to ensure productivity was met.
Arizona Arrhythmia Consultants
Scottsdale, Arizona
Billing Supervisor May/2009 to December/2012
●Posted daily office charges, monitored proper coding, verified diagnosis descriptions
●Completed electronic billing and submitted secondary claims to work denial for 100 providers
●Discovered loopholes in insurance companies' policies and utilized process to increase payments for procedures leading to $1.8l in additional profits
●Maintained low accounts receivable numbers
●Ensured clean claims submission
●Instructed team of 25 employees
●Worked AR within 30-60 days
●Reconciled monthly and ran month-end reports.
Agility Physical Therapy Gilbert, Arizona Administrative Assistant/Billing Manager November/2003-May/2009
●Trained 27 new hires on front and back-office procedures.
●Built a high-performing team
●created employee work schedules
●verified insurance
●completed the billing and processed accounts payables/receivables
●created procedures for employees to contact customers regarding past-due accounts
●tracked collection efforts with a 97% closing rate
●performed month-end reports
●monitored appeals and grievances for all major medical payers
●investigations of discrepancies in Medicaid billing, increasing revenue by 50mil.
●developed and updated policy and procedure manual for staff training and HR onboarding
●audited accounts every 3 months, to assure providers were properly completing documentation and complying with industry regulations.
Core Competencies
Revenue Cycle Management, Billing, Authorizations, Collections, Accounts Receivable
Management, Anatomy/Medical Terminology, Verifications, CPT, ICD-10, HCPCS
Coding, Auditing, Process Improvements, Insurance Policies & Procedures, Healthcare,
Regulatory Compliance, Scheduling, Coaching, Staff Training, Reconciliations, MS
Office, Medical Practice Management Software, Accounts Payable, Budgeting,
Financial Reports, Credentialing, Payroll, Business Correspondence, Performance Reviews, Nextgen, Eclinical, Athena, CAQH, Tract Manager and Waystar, Athena.
Education/Certifications Associate Degree in Business, Maricopa Community College 1998- 2004 Studied in Nursing, Maricopa Community College 1994- 2004 Certificate in Medical Billing & CPC Coding, Pima Medical College 1994-1994
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