Objective:
My objective is to have the opportunity to develop and increase my knowledge and skill sets of Revenue Cycle.
Professional Profile:
High energy professional with years of experience working within office and retail environments. Promoted through several increasingly responsible positions. I am a team player with proven records of accomplishments, strategically developing and improving work performance, customer service, time management and organization. I am always exploring new and innovative solutions through hard work, dedication and continued education.
Machol & Johannes LLC: Cash Application Manager – Interim Cash Operation Director
Nov 2017- Present
Operational Functions include:
Responsible for managing the day-to-day activity of the Revenue Cycle, vendor oversight, consumer refunds and other operational functions, including AR billings, AP oversight, denials/rejections, client audits, appeals, payment posting, and reporting.
Develops and implements strategies surrounding specific audited reports ensuring compliance, financial viability, and continued improvement.
Coordinates and organizes work functions within assigned departmental area, working collaboratively with internal and external customers, communicating needs and developing solutions to problems ensuring department and organizational targets are met and/or exceeded.
Ensures processing of consumer accounts for accuracy, timeliness and compliance enabling staff productivity to meet/exceed benchmarks.
Coordinates, conducts and/or participates in staff meetings, client meetings and other management related meetings utilizing time management and efficiencies to make the most of resource usage.
Provides communication related to change in practice and regulation, monitors impact of change, and develops strategies to improve revenue performance. Identifies technical training and personal development training opportunities for staff and leaders.
Centura Health: Cash Operation Manager – Professional /Hospital claims
Jan 2015- Present
Operational Functions include:
Responsible for managing the day-to-day activity of the Revenue Management call center; self-pay vendor oversight, patient refunds and other operational functions, including financial counseling, patient registration, price quotes, pre-authorizations, super census, charity process, billings, collections, denials, appeals, payment posting, and reporting.
Develops and implements strategies surrounding specific audited reports ensuring compliance, financial viability, and continued improvement.
Coordinates and organizes work functions within assigned departmental area, working collaboratively with internal and external customers, communicating needs and developing solutions to problems ensuring department and organizational targets are met and/or exceeded.
Ensures processing of patient accounts for accuracy, timeliness and compliance enabling staff productivity to meet/exceed benchmarks.
Coordinates, conducts and/or participates in staff meetings, payors meetings and other management related meetings utilizing time management and efficiencies to make the most of resource usage.
Provides communication related to change in practice and regulation, monitors impact of change, and develops strategies to improve revenue performance. Identifies technical training and personal development training opportunities for staff and leaders.
Centura Health: Insurance Center Supervisor
May 2012- Jan 2015
Core Responsibilities include:
Monitoring of staff through monthly one-on-ones and performance reviews
Monitoring Kronos
Holding team meetings on policy and procedure updates and Press Ganey
Communications with team members as a whole and individually on a daily basis
Operational Functions include:
Troubleshooting unresolved accounts
Running reports on volumes by facilities, insurance plan codes and cas codes
Monitoring Insurance queues and account aging
Auditing
Pulling stats for Insurance Center Associates
Posting zero payment and Adjustments
Reviewing High Dollar accounts
Team building
Training new associates and monthly team process reviews
Centura Health: Cash Control Supervisor
Nov 2007 – May 2012
Core Responsibilities include:
Monitoring staff through monthly one-on-ones and performance reviews
Monitoring Kronos
Holding team meetings on policy and procedure updates and Press Ganey
Communication on a daily basis team as a whole and individually
Operational Functions include:
Troubleshooting posting errors, missing applied payments and variances
Running reports on volumes by facilities, insurance plan codes and cas codes
Monitoring queues, suspense account balances and account aging
Creating Monthly and Quarterly suspense accounts
Auditing
Month End Cash Goal Report- projection reporting by facility and overall month end goals
Pulling stats for Cash Control Associates
Posting
Reviewing electronic posting accuracy
Team building: 212 degrees, insights, colors, and getting to know your coworkers game
Training new associates and monthly team process reviews
Creating training material and how too’s
Accomplishments
Cross training essential job functions and responsibilities for Cash Team as a whole
Reduced outstanding suspense accounts to be within current policy timeframes
Merged cash processes with the CHPG (formerly PRS) including work queues, system access needs and fully cross train like duties
Med Lockbox – developed go live time line and test schedules, testing imaging and posting processes to limit quality errors; developed correspondence queues to increase productivity; implementation of nine lockboxes since Sept 2010
Development of process improvements for balancing Med Assets Reconciliation
Tog Agency posting electronically resulting in decreased manual posting
Centura Health: Patient Account Representative-Cash Posting
May 2007- Nov 2007
Core Responsibilities include:
Posting, processing, researching and tracking of electronic/manual payments for
several medical insurance companies
Utilizing time management and processes to accurately complete postings
Assisting in researching and eliminating posting errors
Management of individual exceptions/postings allowing for the growth of individual
work performance and overall team performances
Single point of contact for the tracking, distributing and resolution of old and
new recouping transactions
A top performer amongst peers
Recipient of the Quality Pillar Award in August 2008
Albertson’s LLC: Service Operations Manager
January 1998- October 2007
Core Responsibilities include:
Management and supervising of others
Job training of all newly employed associates
Scheduling and payroll
Regularly updating and implementing company policies/procedures
Data Entry
Bookkeeping
Cash Management
Efficiency, Labor and Sales reports
Customer service
Education:
Smoky Hill High School, Colorado Graduated: May 2000
CSU – Healthcare Management and Administration July 2012- Present
Technical Skills:
Proficient in PC and Macintosh computer systems
Proficient in Mircosoft Word, Excel, PowerPoint and Outlook
Medical systems such as: Meditech, Medipac, Document Management System, Med Assets, Base Recover, LSS, Lawson and Epic
Certification:
Epic 2015 - Payment Application for Single Billing Office
References are available upon request.
Tannis Little
2654 S Gibraltar St. Aurora Co 80013 Mobile: 720-***-**** E-mail: adhijh@r.postjobfree.com