Customer Service United States
Resume:
M
Skills
CONTACT
ad2qwc@r.postjobfree.com
Phone
Address
Apt#174 Surprise AZ
United States
Mary England-Parrish
Microsoft Excel, Word,
Power Poin
I am a self-motivated leader with more than 20 years of experience accross healthcare and finance. Building high performance teams through candidate selection and people developement is my passion. Utilizing change management, data analysis, lean processes, and trend based decision making is how I have been successful. I am results driven and a team player. t
Softwares: HC360,
MediAR, MedMetrix,
ePremis, CE2000, Citrix,
ECM, Revenue Recover
Project Management
Data Analysis
Team Leadership
Work Experience
LivWell Infusions Scottsdale AZ United States
Revenue Cycle Manager
Designed and executed in-house billing department
Oversaw transition of business from third party billing company Worked closely with software company to resolve issues with billing program to better mold to LivWell's particular needs
Combined roles and designed job descriptions, in addition to hiring and training new staff
Provided oversight, coaching, audits, and reviews for staff Created reporting to reflect KPI and reviewed with leadership Worked with Change Healthcare on credentialing due to a required clearinghouse change
Created training documents as well as tracking for productivity in addition to tracking claims progress, total posted amounts, contract review, and all other requirements to plan and execute transition of billing department Responsible for creation and execution of training program Worked with in-take to ensure proper authorizations and payor specific documents Designed and implemented patient payment processes Worked with all payors accepted by LivWell and contracted practices from Medicaid, Medicare, BCBC, Aetna, to indigenous peoples tribe payors, VA, etc. Worked with in-take to ensure proper authorization and payor specific documents Nov.2022 - Apr.2023
CVS Health Phoenix AZ United States
Revenue Cycle Supervisor May.2016 - Sep.2022
Oversaw day-to-day operations of teams to ensure timely and accurate completion of tasks for Home Infusion Therapy (Medicaid and Managed Medicare) Monitored and strove to continually improve the collection of payor claims in accordance with the respective contract
Took escalated patient calls to resolve disputes and review accounts to obtain payment
Met with upper management on payors to discuss reimbursement issues and payor publication notices affecting claims processing changes Ensured daily reconcilliation of electronic claim files Worked with various stakeholders to resolve payor/process/patient issues - senior leadership,front-end partners, pharmacy branches, contracts & pricing, collections team, etc
Maintained productivity and quality standards of all PFS functions Reviewed accounts receivable adjustments for accuracy and approve/escalate as needed
Project Managment: Successfully organized assigned tasks, provided progress updates, and completed multiple projects
Worked with the Training and Education department to develop and deploy training for new employees and provide ongoing training as needed Completed annual and mid-year performance reviews for employees and provide timely feedback
Created a positive and productive work environment for employees through team building, coaching, constructive feedback, work delegation, personal example and goal setting that encouraged creativity, open dialogue on work issues, professional growth, and a consistent, high level of performance; encouraged and supported employee decision-making
Complied with and adhered to all regulatory compliance areas, policies, and procedures (including HIPAA and PCI compliance requirements), and "leading practices"
Utilized data to identify trends and root cause analysis for denials management Successfully worked with payor negotiations on settlements in the range of 12 million dollars
Oversaw on-going policy/ procedure/ changes, reorg, and updates that gained buy- in from team in acordance with all principles of Change Management Researchd payor policy changes and trained all departments on billing Medicare for denied cross over claims, as well as pharmacy POS billing, customer service, and patient pay
Co-managed major process change to develop batch billing for pharmacy POS claims and reported out on-going data to improve process
Dollar Financial Group Phoenix AZ United States
Branch Manager/Corporate Trainer
Managed financial branch operations
Developed training for staff; in-store and classroom settings Developed and executed marketing strategies
Jun.1999 - Aug.2016
Utilized SMART goals to create high performing teams Developed client retention programs
Worked with Corporate Collections department to reduce open A/R Completed audits of customer files and provided coaching to staff based on results Responsible for all aspects of branch P&L reports
Involved in training aspect of acquisitions
Taught training classes on multiple subjects such as customer service, loss prevention, collections, and applicable laws
Worked with corporate, staff, and clientel to manage multiple lender changes Educated clients on financial options and explained contracts in accordance with applicable laws
Managed multiple locations to reorganize struggling branches and prepare for new managers
Provided District Manager and Director support
Trained high performing staff in branch to send out to other branches Consistently met or surpassed goals primarily through cost effective practices, exeptional customer service, rate negotiation for small businesses, business to business marketing, and customer retention
Education
Barry Goldwater High School Phoenix AZ United States
, High School Diploma
Glendale Community College Glendale AZ United
States
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