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Revenue Management Healthcare

Location:
Humboldt, TN
Posted:
February 04, 2024

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Resume:

Monica Johnson

Nashville, TN *****

ad3c7m@r.postjobfree.com

+1-629-***-****

I'm highly experienced professional with a diverse background in the corrections system and healthcare revenue management. With 13 years of dedicated service in the corrections system, I've excelled in various roles, including training as a Field Training Officer (FTO), overseeing booking procedures, and serving as a Sergeant responsible for the supervision of a floor housing 169 inmates, while managing a team of 5-8 officers.

In addition I have extensive corrections experience, also I have 18 years in healthcare revenue management, I began as a Self Pay Collections representative and progressed to Collections Management. My expertise in this field has allowed me to navigate the complexities of healthcare billing and collections, ensuring optimal revenue generation for healthcare organizations. I'm commitment to continuous learning and open to new ideas. I'm always expanding my knowledge and skill set, staying up-to-date with industry trends and best practices. I have a very strong work ethic, exceptional leadership abilities, and a passion for delivering results, I'm a valuable asset to any organization.

Authorized to work in the US for any employer

Work Experience

Client Advocate

PathGroup - Remote

January 2023 to October 2023

• Call clients for valid patient demographics, insurance information and client bill information.

• Process client/patient bill accessions.

• Process TES edits related to client/insurance billing.

• Search websites for insurance requirements.

• Verify and process monthly client bills for mailing.

• Process electronic monthly client bills/queries.

• Communicate between client and PathGroup regarding billing corrections and account payment.

• Process monthly direct fee and manual client bill charges.

• Serve as liaison between marketing representatives and client.

• Monitor incoming client payments to ensure accurate and timely posting of client payments and resolve any correction.

• Work with client to resolve any outstanding balances as well as credit balances.

• Perform all job responsibilities in alignment with the industry's best security practices and regulatory guidelines to protect the confidentiality, integrity, and availability of protected health information and other sensitive company data.

Front Desk Patient Representative PRN

CareNow - part time

January 2022 to October 2022

• Checks-in patients in a timely manner. Ensures all Web Check-in procedures are followed

• Answers phone calls to the clinic and provides information or refers questions to others as needed

• Verifies insurance timely and accurately

• Ensures the occupational client's preference card is followed and occupational procedures

• Reviews all patient paperwork to ensure completeness and insures collection of necessary insurance / demographic information

• Completes Daily Balance Checklist after each shift. Includes all forms of payment are accounted for and documented.

Financial Advisor Student Enrollment- Temp

Fisk University - Assignment Completed

June 2021 to September 2021

• Provide a professional, helpful, welcoming tone and a positive attitude for faculty, staff, students, families and community members.

• Provide support for the financial aid department such as greet and direct visitors, answer phones, schedule appointments.

• Resolve administrative issues related to office functions using established policies and procedures, making appropriate referrals as necessary.

• Assist students and families with financial aid processes or other specific student support services within federal, state and/or institutional guidelines.

• Comply with all college rules, procedures, guidelines, and laws/regulations governing public employees, including but not limited to those related to document retention and destruction, FERPA and confidentiality.

Juvenile Detention Specialist Officer 2 - 3rd shift Youth Opportunity Investments

August 2020 to June 2021

• Maintain safety and security for the community, staff and inmates.

• Successfully completed training, A, B, C pods, Central Center.

• Trained new hires over policy procedures and safety. Sr CSR Tier

Cigna Healthspring

February 2019 to September 2020

• Responsible for handling complaints that are too complex to be handled by junior staff.

• Participating in regular product training exercises to maintain product knowledge for new customers.

• Data entry of new sales made by field agents, over creating reports of data accuracy for each field sale agents and upper management.

• Call Center taking inbound calls

• De-escalation of customer calls

• Enrollment for new customers responsible for explaining the policy coverage. Senior A/R Specialist / Bad Debt Collection Specialist Premiere Credit Of North America

February 2017 to February 2019

• Trained new hires on all systems, protocols and procedures for several different states.

• Administrator of payer portals which controlled permission to gain access to systems.

• Collections on first and third party unpaid medical claims.

• Manage high volume of outbound and inbound calls.

• Knowledgeable with state and federal laws for compliance purpose. Office Manager / Content Management Specialist

Farmers Insurance Group

May 2014 to January 2016

• Greeting customers

• Schedule meetings for office agents, photo shoots, interviews

• Responsible for all social media marketing on all platforms Yelp, Mata, BBB, Facebook, Twitter etc.

• Responsible for bookkeeping, deposits, renewal of client's policies Self Pay Collector

PASI - Franklin, TN

April 2008 to July 2013

• Collecting fast paced environment, as a patient account representative I was responsible for facilitating resolution of account issues and collecting balances from patients.

• Negotiated payment arrangement, negotiated settlements with the patient's, family members of the estates, adjusters for MVA's, Workmen comp & law firms.

• Collected $650,853.47 within 8 month, Collector of the year 2012.

• Collection’s High Rollers 2008, 2009, 2010, 2011, 2012. Collector of the month 9 time in 2012. Collections Manager

Urgent Care Team

July 2005 to February 2008

• Collecting fast paced environment, as a patient account representative I was responsible for facilitating resolution of account issues and collecting balances from patients.

• Negotiated payment arrangement, negotiated settlements with the patient's, family members of the estates, adjusters for MVA's, Workmen comp & law firms.

• Trained new hires on all systems, protocols and procedures for several different states.

• Administrator of payer portals which controlled permission to gain access to systems.

• Collections on first and third party unpaid medical claims.

• Manage high volume of outbound and inbound calls.

• Knowledgeable with state and federal laws for compliance purpose.

• Conducted onboarding, training new hires, benefit enrollment and background checks Education

High school diploma

Associate Degree in Healthcare Administration

Draughons Jr

Skills

• Yardi

• 10 Key Data Entry

• Payroll

• Auditing

• Meeting Facilitation

• Citrix

• Property Management

• Workday

• Microsoft Excel

• Microsoft Word

• ADP

• Pivot tables

• AS400

• Live Chat

• Business Analysis

• Epic

• Microsoft SharePoint

• I have a 501c3 (10+ years) Languages

• English

• Expert

• Customer service

• Workday

• Negotiation

• Leadership

• Yardi

• Team management

• SharePoint

• Payroll

• Analysis skills

• Marketing

• Live chat

• Citrix

• Business development

• Bookkeeping

• Accounting

• Auditing

• Medical coding

• Business analysis

• Salesforce (10+ years)

• Sales

• Financial services

• Epic

• Store management

• Interviewing

• Security

• ICD-10

• ICD-9

• Legal research

• Property management

• Financial auditing

• Clinical research

• Anatomy knowledge

• ICD coding

• Office management

• Content management



Contact this candidate