Patient Access Follow-Up
Resume:
Leslie Romey CPAR, CRCR
Hephzibah, GA 30815
Cell 706-***-****
Email: ******.*****@*****.***
Objective: Seeking a Management /Supervisor Patient Accounting position with an organization that will allow me to utilize my management skills, abilities, and experience in the medical billing department to ensure the organization’s success. I am very experienced with working an acute hospital setting. I am very experienced with working Accounts Receivable (Current and Backlog or Aged AR.) UB04, 1500, Commercial, Managed Care, Medicare and Medicaid billing and follow-up, Self-pay collection, HMO, PPO, IPA, Follow-up, Self-pay Collection, ICD-9, ICD-10, CPT4, HCPCS, Claim Status, Chargemaster, Contracts review, Denials, Rejections, Patient Access, Inpatient, Traveling Revenue Cycle Consultant / Trainer.
Other areas of experience include Patient Access (Scheduling, Pre- Registration, Registration/ Admission, Insurance Verification/ Pre-Certification, Point –Of-service Collection, Self-Pay, and Finance Counselors and Patient Account (Billing, Coding, Follow-up, and Collections).
Systems used: Epic HB and PB, Meditech, Soarian Financials, E-primis, Paragon, Avality, DDE, NeBo, SSI, Greenway, McKesson Bar, Cerner Patient Accounting, EDS (Medicare) Medicaid billing GA, SC, NC, Fla and MS, Medi-Cal, Athena Collector, MHS GENESIS, HL7, 5010, 4010, HMS, Emdeon, Quadax, Soarian EDM, Soarian Scheduling
Professional Experience:
Solutia Staffing LLC Interim Patient Accounting Manager/ Supervisor (Remote/ Traveler) 12/20 to 09/24 Soarian Financials @ CAMC Greenbrier Valley Medical Center WV
Responsible for supervising the work of healthcare services billing office staff. Communicates unit priorities. Assigns and schedules work based on assessment of work volume and deadlines. Monitors performance and provides feedback. Provides input for performance appraisals. Recommends new hires and salary increases or promotions. Counsels or disciplines as needed.
Responsible for monitoring and reviewing Soarian Financials (edits and billing processes)
Responsible for monitoring and reviewing work for accuracy and timeliness. Identifies and corrects claim edits/errors as needed. Review/edit claims that are held/edit for corrections to release. Clear billing queues daily.
Responsible for training staff in unit operating procedures. Ensures procedures and policies are created and documented. Communicates changes to staff.
Responsible for providing information and interpretation of billing and collection policies and procedures. Ensure hard copy bills are sent timely.
Responsible for assisting in the development, maintenance and enhancement of automated systems to support operations and department goals. Ensures that internal systems are compliment university-wide systems, and that information is reconciled on a regular basis.
Responsible for recommending changes or modifications to operating procedures and systems. Determines most effective means of implementation. Monitors internal operations and evaluates procedures and controls for adequacy.
Responsible for Serving as a resource for other departments and staff and any external contacts requesting information exchange and/or assistance.
Solutia Staffing LLC Interim Patient Accounting Manager/ Supervisor (Remote/ Traveler) 07/16 to 12/20 Soarian Financials @ DCH Health System AL
Responsible for supervising the work of healthcare services billing office staff. Communicates unit priorities. Assigns and schedules work based on assessment of work volume and deadlines. Monitors performance and provides feedback. Provides input for performance appraisals. Recommends new hires and salary increases or promotions. Counsels or disciplines as needed.
Responsible for monitoring and reviewing Soarian Financials (edits and billing processes)
Responsible for monitoring and reviewing work for accuracy and timeliness. Identifies and corrects claim edits/errors as needed. Review/edit claims that are held/edit for corrections to release. Clear billing queues daily.
Responsible for training staff in unit operating procedures. Ensures procedures and policies are created and documented. Communicates changes to staff.
Responsible for providing information and interpretation of billing and collection policies and procedures. Ensure hard copy bills are sent timely.
Responsible for assisting in the development, maintenance and enhancement of automated systems to support operations and department goals. Ensures that internal systems are compliment university-wide systems, and that information is reconciled on a regular basis.
Responsible for recommending changes or modifications to operating procedures and systems. Determines most effective means of implementation. Monitors internal operations and evaluates procedures and controls for adequacy.
Responsible for Serving as a resource for other departments and staff and any external contacts requesting information exchange and/or assistance.
Optum 360 HARP Project Revenue Cycle Program Director 02/2016 to 07/2016
Responsible for assist the VP of Finance in a critical access hospital and will provide leadership and oversight of the hospital revenue cycle operations including Admissions, Business Office, Emergency Department Registration, Outpatient Registration and will ensure compliance with regulatory standards in all areas.
Responsible for Monitoring aged accounts and verifies appropriate collections procedures are being followed
Manages revenue cycle projects at the Practice level, such as audits and budgets
Regularly provides upper management with revenue cycle status including reports, metrics, and presentations
Develops, monitors, and assesses business metrics in order to refine processes and improve efficiencies
Responsible for develop and implement best practice solutions to enhance the client’s overall efficiency for cash collection and inventory reduction.
Responsible for performing a comprehensive Revenue Cycle Assessment of all operational activities and strategic deficiencies and identifying areas for improvement.
Responsible for all executive reporting, development and implementation of programs and processes
to address client issues and ensure Client’s success within the scope of the project.
Responsible for conducting a detailed Revenue Cycle Assessment to include mapping out
of revenue cycle best practice workflow
and provide detailed action plan for achieving resolution
Accountable for the development of project documentation and executive reporting
Identify possible risks, contingency plans or work-around solutions with the client on a
continual basis
Provide on-going process review and ensure successful implementation of process improvement
Oversees and directs management processes to ensure all recommendations are successfully implemented.
Monitors, tracks and reports post tactical action plan to ensure strategic direction
of project is in line with Client’s organizational business plans and expected outcomes
for project life cycle.
Assists in the development of training programs for departments to increase knowledge
of relationship between charge behavior, billing flow and reimbursement.
Nearterm Corp Interim Revenue Cycle Business Office Manager 02/2015 to 02/2016 Cerner Profit Patient Accounting and Registration, Scheduling
Responsible for assisting the Business Office Director and Chief Financial officer in a critical access hospital and will provide leadership and oversight of the hospital revenue cycle operations including Admissions, Business Office, Emergency Department Registration, Outpatient Registration and will ensure compliance with regulatory standards in all areas.
Develops, implements, and maintains the Practice’s revenue cycle standard operating procedures (SOPs)
Assist with developing training materials and facilitate staff training of SOPs, systems, metrics, government regulations and etc.
Responsible for the overall coordination of front office duties to include scheduling, check-in, and co-pay/co-insurance collection, Identifies goals and vision for team
responsible for providing leadership to ensure that the AR staff is properly trained and directed to maintain compliance in all aspects of the facility’s operation and services
Responsible for Monitoring and supporting Claims Manager application for all Medical Faculty Associates clinical areas.
Acts as a focus and resource for claims manager edit issues, to include training and education. Works with Systems support staff to review updates to Local Medical Review Policy (LMRP), and interpret into a user-friendly format for TES application. Provides training on Charge applications.
Responsible for identifying, delivering, and maintaining end to end Revenue Cycle consulting services across a broad spectrum of constituent interests, aligning the Clinical, IS, and Revenue Cycle departmental activities within healthcare organizations to drive performance expectations that interface with all areas of revenue cycle.
Responsible for being able to leverage end to end operational knowledge of Hospital and Physician Revenue Cycle including patient access (registration), authorizations, charge capture, claims processing, billing, payment/reimbursement, and regulatory/compliance.
Responsible for identifying areas for improvement, optimization, and strategic planning.
Cornerstone Advisors Group Independent Senior Cerner Financials Revenue Cycle Consultant (UCI and UC Davis) 09/2014 to 01/2015
Provided high-level consulting to the hospital and academic medical center clients in the design, build, and implementation of Soarian Financials.
Worked with client to define solutions to needs or problem areas, and determined scope of investigation required to obtain solution.
Solutions included installation of alternate methods and procedures, changes in methods and practices, or redesign of products or services.
Workflow analysis and re-engineering, process optimization, clinical and information system design, customization, and implementation.
Responsible for analyzing all aspects of the revenue cycle from charge capture/reconciliation, claims and statement production, payment posting, and aged accounts follow-up.
Meritus Medical Center Independent Interim Director of IP Revenue Cycle, Hagerstown, MD 08/2013 to 08/2014
Responsible for providing strategic leadership to the Department in all areas relating to receivable management, including advising leadership, defining strategic objectives and implementing process redesign, and developing policies and measurement tools to ensure success.
Prepared proposals, priced engagements, approved work plans and ensured engagements were accomplished professionally and timely.
Led and managed complex Revenue Cycle projects, drove performance, and provided the overall direction and oversight of the functional areas (Business Office, Credentialing, HIM) that support the organization's financial and operational goals.
Developed policies, procedures, and workflows related to revenue cycle functions throughout the practice.
Ensured compliance with CMS regulations, company policies, and standards for third party payers.
ITI Staffing Independent SR. Management Consultant Charge Review Auditor, St. Joseph HealthCare System, Northern CA 01/2010 to 08/2013
Responsible for providing a detailed assessment of revenue cycle practices, developing management plans to migrate healthcare clients to a Best Practice environment and implemented the recommended changes identified in these management plans.
Responsible for activities related to client's Revenue Cycle System (Scheduling, registration, billing, Medical Records), including the planning, direction and control of the system.
In conjunction with vendors responsible for identifying hardware, software and network technology required to address the financial data needs of the Institution.
Responsible for developing and implementing solutions to improve the capture of charges and collection of receivables for mid to large physician practices, academic medical centers, ambulatory surgery centers and both for profit and not not-for-profit hospital systems.
Assisted leading healthcare organizations, our clients - with implementation and consulting initiatives to enhance patient care, increase operational efficiency and ensure regulatory compliance.
Early work history
Vista Revenue Solutions Corporation Lead FBCS Training Specialist (Independent Contractor) 02/2009 to 01/2010
Dell Perot System Senior International Revenue Cycle Transformation Manager, 09/2008 to 02/2009 100% travel Middle East Project, UAE
ACS Healthcare Solutions Revenue Cycle Business Office Manager 06/2001 to 09/2008 100% travel
Walden University Online: 2001- 2005 BS. Healthcare Management
Professional Development: CRCE AAHAM, currently pursing certification
Professional Affiliations: Member of GA HFMA, Member of MGMA, Member of AAPC, Certified Patient Account Rep, Member of PMI GA chapter, and also a member of Madison’s Who’s Who Association
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