Revenue Cycle Billing Manager

K ATHY H ARDY CFPC.. CPC..

Revenue Cycle Billing Manager

*** * **** **. ******* Idaho 83661 208-***-**** *********@*****.*** CAREER PROFILE

I have invested more than 10 years in the Medical Billing Cycle from coding to Revenue cycle to programming and set up of software for company needs. I am dedicated in making the process simpler and easily managed. I have always given 110% to every role I am in and have brought value and knowledge to every task worked. EXPERIENCE

REVENUE CYCLE BILLING MANAGER

Advanced Specialty Care 02/2022-12/2023

Programed ECW software specific to the needs of 2 practives with 5 specialties all insurance and submitting appeals electronically with documentation attached

Ran reports and identified top 5 denials rejections and edits, designed training and then trained staff to reduce errors

Overall cash flow increased denials and rejections decreased from 48% to 9%, claim turn around times from 100 plus days down to 52.

Appealed claims denied for timely due to 2 years and older and re cooped half million in lost revenue. LEAD CODER

Valley Family Health Care FQHC 06/2019-08/2021

Scrubed documentation and codes for correct coding and missed charges

Managed payments, denials, edits, and collections over team of 4, with 7 locations in two states, 25 or more physicians specialized in OBGYN, Pediatrics, Family Practice, and Behavior Health . CLAIM SPECIALIST PROVIDER SERVICES

Molina Medicaid Services 10/2013-07/2016

Assisted providers with proper billing and EDI claim submission

Lead Special Project for taking on 2 more states Medicaid programs: Learned all software, program details and coverage then developed training material to teach existing staff and new hires, then trained for states West Virgina Medicaid and Maine Medicaid

MEDICARE RISK ADJUSTMENT ANALYST

Humana Ins. 10/2011-07/2012

Reviewed medical records for missed diagnosis for HCC category, identified areas to train individual locations to better track chronic conditions

Trauma Informed Care Champion Special Assignment 2019 to 2021 Chosen by my peers and management

Designed, Created. and presented monthly Created Training material and exercises to present to my team of 15.

Chosen by my leaders to educate on how to recognize, respond, react to people and situations where someone may be experiencing trauma therefore unable to make rational decisions, and how to not be one who re-traumatize

Breathing exercises tp help calm

EDUCATION

AAPC

CFPC – December 2021 online CFPC course August-Sept 2021 re-certified CPC March 2020 originally certified December 2010 Milan institute

December 2009 -August 2010 health care billing and coding Graduated with honors 2010

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