Revenue Cycle Accounts Receivable
Resume:
Elizabeth Smith, CPC
*********@*******.***
NORTH GRAFTON, MA
Summary
Collaborative leader with 25+ years of experience in healthcare coding billing and revenue. Strong skills in front end operations, coding, revenue cycle management, practice reimbursement accounts receivable, and compliance with a track record of developing and managing a productive team to exceed company objectives.
Experience
Logix Health-Bedford, MA 5/2022-Present
Associate Director, ED Billing
Oversee and manage Billing Operations staff and processes for the ED Billing and Audit & Training departments
Monitor training of all new employees or those transitioning to new roles
Work with Department Managers to resolve issues within the department(s)
Develop new processes and reinforce existing processes
Communicate new client information to Department Managers and staff
Monitor appropriate workload of staff and staff productivity
Review all current and new employee audits
Monitor the Carrier Payment Audit process
Monitor Contract implementation to ensure completed in a timely manner
Monitor the day-to-day tasks for ED Billing follow up
Ensure staff is trained and aware of job and company expectations
Ensure cooperative team environment
Manage recruitment process
Sr. Billing Operations Manager
Oversees billing management processes to assist in the delivery of a product that is complete, concise and provides an exceptional product to our clients
Configure systems and strategies with the team to ensure the department goals are met
Identify opportunities for improvement with proposed solutions.
Adjust procedures as necessary to create process efficiencies.
Provide project management for complex projects requiring multiple resources.
Prioritize and execute multiple tasks using effective time management.
Ensure cooperative team environment by effectively communicating with staff about department and company initiatives
Adjusting procedures as necessary to create process efficiencies
Sr. Coding Operations Manager
Oversees coding management processes in the assistance of a product that is complete, concise and provides an exceptional product to our clients
Configure systems and strategies with coding operations to ensure the department goals are met
Identify opportunities for improvement with proposed solutions.
Adjust procedures as necessary to create process efficiencies.
Provide project management for complex projects requiring multiple resources.
Prioritize and execute multiple tasks using effective time management.
Ensure cooperative team environment by effectively communicating with staff about department and company initiatives
Adjusting procedures as necessary to create process efficiencies
Conflict resolution among staff
Lead and facilitate recruitment process
Community Health Connections • Fitchburg, MA
9/2020– 9/2021
Director of Patient Accounts
Manage and supervise over 10 employees in the Patient Billing Department for Medical, Optometry, and Behavioral Health Departments for 4 locations
Ensure compliance with all billing and credentialing requirements
Monitor and report on key performance indicators (KPI) regarding over accounts receivable management, aging analysis, denial analysis, and collections
Recommend and implement policies, procedures, and processes to improve efficiency and effectiveness of front-end revenue cycle processes.
Children's Hospital Boston-Shared Service Center • Boston, MA
08/2019 - 02/2020
Senior Manager of Revenue Cycle Services
Managed relationships between Central Business Office and 17 multi-specialty departments and foundations
Oversaw $200M+ in charges per month and $100M in payments per month Reported month-end statistics to the Foundations to inform future operations planning
Liaised with the departments using strategic focus to maximize reimbursements.
Identified denial trends and collaborated with key stakeholders to resolve issues
Milford Regional Physician Group • Milford, MA
11/2007 - 05/2019
Director of Physician Billing
Managed the Billing Department of a Multi-Specialty Physician Billing Group of 150 Physicians, Nurse Practitioners and Physicians Assistants while maintaining a low staff turnover rate of less than 1%
Reported directly to the President of Tri-County Medical Associates and grew charges by over 100% in 8 years, managing over $10M in charges and $5M in payments per month
Researched regulations and trends to develop policies and educate physicians and staff to improve efficiencies
Maintained a denial rate of less than 4%, 30 AR days or less, and 4% AR over 120 days
Implemented process improvement projects, such as Coding and Billing Edits, Contract
Management Software, Refund Management software and eligibility programs
Managed the implementation of Auditing and Monitoring Program resulting in improved coding and billing higher level evaluation and management codes.
Brigham and Women’s Physician Organization 2/2000-11/2007
Revenue & Operations Manager
Billing Supervisor
Compliance Billing Auditor
Coding Specialist
ELS Associates, Medical Coding and Billing Company President & Owner
University of Massachusetts Medical Center
Surgical Accounts Receivable Manager
Director of Patient Financial Services
Manager of Professional Billing Services
Coordinator of Billing & Collections
Skills
Technical Skills
NextGen GE Centricity EPIC Allscripts
Education
Bachelor of Science in Healthcare Administration
University of Lowell-Summa Cum Laude
Hospital Administration
Worcester State College
Medical Assisting Program
Salter School • Worcester, MA
Certification
Certified Professional Coder=American Association of Procedural Coders
Worcester AAPC Area Chapter Secretary
Awards
G.R.E.A.T.-Group Recognition for Excellence and Teamwork- UMass Medical Center
Superior Performance in Accounts Receivable- Medical Group Management Association
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