Verneda Ball

Revenue Cycle Supervisor, A/R Supervisor, Collections Supervisor, Fraud

Wylie, TX 75098

adcrs0@r.postjobfree.com

469-***-****

Authorized to work in the US for any employer.

SKILLS: Revenue Cycle management, Collections management, Customer Service management, Accounts Receivable Management, Accounts Payable, Payment Posting management. 10Key, PC, Fax, Copier, Scanner, Microsoft Word Power Point, Excel,. IVR, Passport, CMS, Availity. Centricity, Epic, Anasazi, GE, Telcor, Company specific systems Work Experience

Revenue Cycle Coordinator

IES - Dallas, TX

July 2019 to Present

• Integrated Emergency Services Dallas, Tx Mednax

Audit provider charges, insurance claims and patient accounts. Post payments. Respond to attorney billing requests. Ensure claims are processed accurately, through review and audit functions to ensure timely payment.

Respond to inquiries, questions, and concerns from patients regarding the status of claims in a clear, concise, and courteous manner. Monitor aging of claims to ensure timely follow-up and payment. Coordinates, monitors, and manages the follow-up on unpaid claims. Ensures follow- up and reimbursement appeals of unpaid and inappropriately paid claims. Ensures appropriate documentation of billing, follow-up, collection, and appeal efforts are recorded on accounts. Identifies, researches, and ensures timely processing of billing errors and corrections as they relate to claims. Actively participates in problem identification and resolution and coordinates resolutions between appropriate parties. Reviews error codes associated with claims to ensure correction, re-submissions, and subsequent payment. Analyze common errors to support quality assurance efforts. Ensures corrected claims are sent out and monitored for payment. Communicate collection problems to management and makes recommendations for changes. Participates in administrative staff meetings and attends other meetings and seminars, as required. Assists in evaluation of reports, decisions, and departmental results in relation to established goals. Recommends new approaches, policies, and procedures to influence continuous improvements in department efficiency and services performed. Serves as a member of the Accounts Receivable Department Team. Performs duties necessary to ensure the team's projects/goals are completed. Takes ownership of special projects, researches data and follows through with detailed action plans. Revenue Cycle Manager

Adeptus Health - Irving, TX

January 2018 to May 2018

Company reorganization.

Responsible for the daily operations of Reimbursement / Collections, Cash Posting and Patient Advocates Call center success.

Collecting for Facility and Specialty Provider services nationally in Emergency Room Departments Including hiring, counselling, employee reviews, scheduling, additional training promotions and. Oversaw and delegated priority tasks.

Successfully and continuously met or exceeded, monthly revenue goals of $8,000,000.00 to

$10,000,000.00.

Oversaw and delegated priority tasks.

Responsible for Reimbursement Specialist collection activities, production and goals, Patient Advocates call center volumes and patient satisfaction.

Ran and analyzed revenue reports, aging reports, productivity reports, call monitoring as well as provider and payer reports for monthly Manager meeting's. Centricity, Epic, CMS Navigator, RLS, IVR.

Researched and resolved all escalated customer issues, payment issues, insurance issues and claim issues

Developed and implemented departmental policies and procedures for maximum reimbursement. Trained employees to determine commercial Insurance over and under payments As well as the follow through in correcting and receiving maximum reimbursement, or issuing back credits to correct patient accounts.

Accounts Receivable Supervisor / Revenue Cycle

Trident USA Health - Plano, TX

November 2014 to October 2017

Responsible for 29 direct reports

19 Offshore reports, where I was successful in training them on our systems by way of Skype. Revenue Cycle Reports for National SNF and Mobile Medical collections and rebills.

• QA A/R and Eligibility Team production and errors

• Wrote Standard Operating Procedures

Trained all new employees on policy for A/R, Call center, customer service and IVR and Commercial Insurance over and under payments.

Ran specialized Accounting and Employee productivity reports to use for the monthly Research and correct accounts in SLAR, SWEAR, TELCOR, LIS, Passport, Availity, E-Care Next, Exponent and Epic

Re-bill claims as needed

• Researched and resolved escalated claim issues

Posted private pay and third party payments, balanced batches and ran journal reports. SPECIALIST

Humana / Concentra Urgent Care - Addison, TX

September 2009 to October 2014

Successfully organized and trained staff on the Government A/R collections, rebills, coding requirements.

Reviewed explanation of benefit documents to assure that maximum reimbursement received. Responsible for the accounts receivable management for all Medicare and Medicaid revenue.

• Developed training program and taught Medicare billing classes to CBOs. Managed the accumulation and verification of all necessary documentation required for billing.

• Worked directly with Medicare, Medicare intermediaries and the internal credentialing department to assure that all Medicare set up is correct and accurate and all bills are in the correct format with the correct information.

• Designed and wrote policy and procedure for Medicare Billing. Billed all major commercial insurances and for Medicare and Medicaid

• Responsible for clinic laboratory and radiology billing for clinics and ER clinics

• Trained and audit employee coding and payment posting, make corrections and file appeals as needed. Trained to use IVR and call center customer service.

• Assisted the VP and CBO Director in all aspects of receivables and special projects. Followed up on all outstanding Medicare / Medicaid claims and collections. Resubmitted corrected bills when necessary.

Audited payment posting to ensure the correct payments received and all adjustments posted correctly. Responsible for Medicare receivable in the forty states where we offer urgent care services.

• Managed all Medicare services, developed policy and procedure in accordance with state/federal regulations.

Oversaw the timely resolution of all claims and appeals.

• Provided direction on escalated problem accounts and claims. Communicated with agency personnel on incorrect payer data identified. Followed-up on accounts for billing, overdue accounts for collections via phone calls, re-submissions and adjustments for billing errors.

Answered questions from billers / collectors regarding process, coding, and systems; act as a resource to the team.

Provided functional related feedback to team

SR. BILLING ANALYST

Liquid Environmental Solutions - Dallas, TX

September 2007 to September 2009

Reviewed and processed work orders, POS, driver manifests, and adjudicate billing invoices. Processed billing documents using Route Manager and Great Plains. Responsible for Daily invoicing of our Customers• Answer and address incoming Customer calls/emails/ faxes.

Checked and distributed incoming mail. Created and maintained Customer files. CLAIMS ANALYST CUSTOMER SERVICE

Perot Systems Corporate - Dallas, TX

July 2006 to February 2007

Reviewed, processed basic claims according to established guidelines. Answer questions on claims status and general information. Performed data entry function in the claims system database. Responsible for continuously meeting production and quality control standards. Scrub, corrected and verified UB's and 1500 claims prior to payment.

BILLING MANAGER / REIMBURSEMENT ANALYST

Life Path Mental Health Mental Retardation - McKinney, TX June 1998 to June 2006

Successfully redesigned billing department and Increased revenues by 82.5% Attended and participated in corporate meetings with the CEO, CFO, department directors and board members.

• Attended national quarterly state consortiums and reported back to CEO on behalf of company. Continuous audit of client and insurance company accounts. Designed, developed delegated and oversaw departmental procedures and projects.

• Designed and developed Managed Care claim processing, contract approvals and negotiations. Investigated and researched billing procedures and practices.

• Coded claims E/M coding, ICD9 and CPT4. Made recommendations to recoup maximum revenue.

• Advised and implemented reorganization and corrections to the billing department, and coding procedures.

Responsible for auditing monthly statements for medication payment verifying and updating of client insurance coverage.

Analyzed and ran computer generated service, and insurance reports.

• Trained front office staff for client financials, obtaining correct demographics, scheduled appointments, payment collections and posting.

Education

Associate in Psychology

Erie, PA

May 1976 to November 1977

Skills

• Accounts Receivable (10+ years)

• claims (10+ years)

• Collections (10+ years)

• CREDIT (10+ years)

• Posting (10+ years)

• Medical Coding (5 years)

• Excel (9 years)

• Microsoft Word (10+ years)

• Microsoft Office (10+ years)

• Typing (10+ years)

• Microsoft Outlook (10+ years)

• Driving Experience (10+ years)

• Microsoft Excel (10+ years)

• training (10+ years)

• Medical Billing (10+ years)

• Billing (10+ years)

• Computer Literacy (10+ years)

• Inventory Control (3 years)

• Loss Prevention (1 year)

• English (10+ years)

• Medical Terminology (10+ years)

Certifications and Licenses

Real Estate License

August 1987 to August 2020

Assessments

Organizational Skills — Proficient

May 2019

Arranging and managing information or materials using a set of rules. Full results: https://share.indeedassessments.com/ share_to_profile/2da95b9a91d54477a5ed0e9be9a52018eed53dc074545cb7 Cognitive Ability — Proficient

May 2019

Measures a candidate's ability to combine pieces of information to form general rules or conclusions. Full results: https://share.indeedassessments.com/ share_to_profile/8bb651b1613ea44226620dcab382e025

Accounting: Basic Principles — Familiar

May 2019

Measures a candidate's ability to prepare financial records according to federal policies. Full results: https://share.indeedassessments.com/ share_to_profile/1b9609002a7aa63257b543219a0d3654eed53dc074545cb7 Customer Service Skills — Proficient

March 2019

Measures a candidate's skill in evaluating approaches to customer service & satisfaction. Full results: https://share.indeedassessments.com/ share_to_profile/6b9032fb5a9bd8ac80a6a8f3933a9ef8eed53dc074545cb7 Customer Service Skills — Proficient

March 2019

Measures a candidate's skill in evaluating approaches to customer service & satisfaction. Full results: https://share.indeedassessments.com/ attempts/6accde3eb698ebce2f0cff3b45fb765aeed53dc074545cb7 Customer Focus & Orientation — Proficient

March 2019

Measures a candidate's ability to respond to customer situations with sensitivity. Full results: https://share.indeedassessments.com/attempts/ f23c4e3aa0daec94ed5f75a94553c464eed53dc074545cb7

Written Communication — Proficient

March 2019

Measures a candidate's ability to convey written information using proper grammar rules. Full results: https://share.indeedassessments.com/ attempts/7ae54a1235e0af9aa6651b910cb101baeed53dc074545cb7 Indeed Assessments provides skills tests that are not indicative of a license or certification, or continued development in any professional field.

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