Billing Accounting
Resume:
Tamara D. King
Valley Stream, NY
Summary
Director level accounting professional with 20+ years of overall expertise, 15+ years of management and 10+ years of non-profit experience. Specializing in Medicaid, Managed Care Patient Accounting, revenue cycle (billing/claims submission – AR – Collections), accounts receivables, cash flow and project managements. Comfortable working with large data sets, various multiple funding streams (federal, state, city and private), and line item grants (DYCD, ACS, DOHMH, NYSED). High-energy determined leader successful in building and motivating teams. Presently has 8 (eight) direct reports and has managed as many as (14) fourteen.
Work Experience
Director of Revenue Cycle & Billing Operations
Jewish Child Care Association (JCCA) - New York, NY February 2018 to Present
Provides leadership oversight of the day-to-day (pre-billing, billing and post-billing) activities within the revenue cycle & billing operations related to Medicaid, Managed Care & ACS Census revenues. Revenue close to $200M.
• Provides leadership and structure to senior accountants to ensure, efficient and timely filing of claims within the revenue cycle (patient accounting) billing, associated follow-ups, communications with the funders, the plans, claims and denial management, collections, cash applications, account management, and related fiscal analyses,
• Ultimately responsible for the revenue cycle process by managing the daily operations of the billing operations while working with the accountants on patient collection protocols and outcomes,
• Work with stakeholders in the ongoing development of KPI dashboards and reports to benchmark and monitor trends and practices for CFO & executive/senior management and ensure routine distribution.
• Oversees to ensure the capture of denials, reason codes from payer remittances for the use of education, system set ups, projections on collectability and process improvements.
• Manage communication and processes between billing and business units and identify areas of risk or needed improvement, align best practice methods and maximize revenue where able and within agency’s standards,
• Identify, analyze and resolve revenue cycle issues associated with initial billing, self-pay and insurance denials, A/R collectability, and prohibit at best bad debt,
• Responsible for the revenue cycle process by identifying and reporting any detected trends in payments denials, procedural issues and makes recommendations internally,
• Responsible for monitoring the monthly A/R Aging (accounts within reconcile), Cash Collections, Revenue (projected v. actual) reconcile, ensuring the monthly, quarterly and yearly closes occur seamless and all necessary entries for billings, journals, and adjustments are entered accordingly.
• Cash flow oversight of the daily inflows and monthly projections,
• Increased cash collections by 15% by following up with clearinghouse on the status of submitted claims bottlenecked or rejected by the plans,
.
• Increased current cashflow by 10% by renegotiating with plans to accept claims after late submissions due to Covid 19 challenges
• Shortened DSO from 7 days (changed internal processes)
• Consistently hit benchmark revenues for fiscal 2020 even through the tough trials of Covid 19. Some months have exceeded projections by 20% and was able to capture additional revenue. For fiscal 2021, still hitting said benchmark projections even with Covid 19 challenges
• Spearheaded internal audit of ARs to look for errors in applications, take in revenue and reduce outstanding AR over 365 days
• Acts as a lead in agency annual audit, including preparation and review of required revenue and receivables schedules
• Ample knowledge working with ACS (current agency liaison), OPWDD, DSS/HRA, DOHMH, MCOs, Medicaid and Change Healthcare
• Attends meetings and works closely with stakeholders to convey issues with denial management (un-billed services, held, rejected and denied claims) and propose solutions that will result in claim collections,
• Responsible for monitoring the A/R Aging, Cash Collections, Revenue- Projected v. Actual, ACS special payments reimbursement to foster payments and subsequent bill back to funder,
• Leads revenue cycle accounting team consisting of 4 senior level accountants and 4 revenue cycle specialists with clear and defining roles,
• Maintains an open-door policy by allowing staff to communicate any concerns. Provide 1:1 training as needed. Recommend individual process improvement in order to improve the efficiencies of the team,
• Acts as an expert and remains current on industry-specific changes and emerging trends impacting the fiscal team with complete understanding and staying abreast of payer and funder requirements. Willing and determined to share such information with staff for improved overall job portfolio understanding and knowledge,
• Continuous in building a high-performing team through hands-on coaching and mentorship,
• Interviews, hires, trains and delegates assignment to team members,
Senior Mgr., AP/AR (consultant)
Double Verify - New York, NY October 2017 to February 2018
Provided internal audit insight on potential risk or fraud within the AR or AP transactions. Implemented policy, procedures and stronger internal controls. Monitored for deficiencies. Revenue $250M
• Integral in the automation of the AP and AR functions and metric KPIs for responsibilities going forward
• Oversaw the AP and AR functions - monitored for fraudulent use
• Oversaw payment demands, tax payments, employee expense reimbursement (Concur), AMEX corporate credit card management,
Vice Media LLC - Brooklyn, NY (consultant) 2016 to September 2017
Sr. Manager, Billing & Accounts Receivables
Demonstrated with "hands-on approach" the ability to reduce DSO, assisted with IT team in the development and implementation of a new AR/Billing process to use within a new ERP system, oversight of the global AR and seamlessly brought in functions to run AR/Billing centrally. Full understanding of revenue - A/R – collection cycle includes reviewing from a birds-eye to detailed view. Revenue $250M
• Reduced DSO 90+ within 5 months by 43% via A/R “birds eye view” and drilldown scrubbings,
• Integral in the design of and communicating the necessary components in the aspects of the department's Dynamics and SAP cloud software conversions, included electronic billing, portal creations, dunning module, and generating an AR roll forward to track the daily revenues,
• Successfully restructured department of 6 staff with policies, procedures, mentoring and defined roles,
• Oversaw monthly A/R journal and payment entries, billing invoices, G/L accounts and cash receipts,
Asst, Director, Client Billing & Receivable Operations
Services for the Under Served, Inc. (SUS) - New York, NY 2013 to 2016
Worked under the VP of Finance & CFO to ensure that fee for service claim billings, eligibility/entitlements client direct related expenses, and receivables operations for individuals with behavioral health and development disabilities were submitted to funders with excellence. Revenues $110M
• Oversaw/managed timely and accurate Medicaid and managed care claim submissions, claim and denial management, cash application, and collection monitoring for 2,000+ clients receiving governmental or supplemental assistance (.i.e. HRA, Medicaid, SSI, SSD, HPD housing vouchers, VA grants)
• Developed and lead a team of 8 accounting specialists/analysts
• Interfaced continuously with internal and external stakeholders to ensure client eligibility remained
• Implemented monthly AR reporting scrubbings with clearly defined procedures that reduced unpaid fee for service claims by 67%.
• Reduced DSO from 60+ days to 57 days and over 90 days from 29% to 15% of AR
• Ensured the billing project milestones/goals were met; maintained revenue projections to actuals
• Assisted with enforcing the month-end and year-end close procedures,
• Assisted in the year-end and “pop-up” routine audits performed by governmental agencies (Medicaid, HRA, SSA) verifying the use of agency's funding. Provided documentations, reconciliations and answered auditor's requests
Director, Accounts Receivable Restitution
Safe Horizon - New York, NY 2010 to 2013
At Safe Horizon, a non-profit agency, the fiscal restitution unit notifies complainants (persons) of the amount of court ordered restitution, invoices and collects payment from defendants on behalf of the complainants and alerts the court if the defendant fails to comply. Revenue $90M
• Successfully reconciled over $200K AR within an 8-month period which contributed to a positive financial standing.
• Increased agency revenue received via invoicing surcharges due from 3% to 12%
• Reduced 30% of pending jail sentences into restitution payment agency $5M revenue dollars
• Interfaced with various stakeholders via ongoing court negotiations/discussions (Includes judges, attorneys, probation and parole) and with explanations and updates thereof to the agency CFO and program leadership
• Motivated, mentored and developed a team of 14 accounting staff (managers and specialists) whose core responsibility included claim submissions, A/R applications and collections,
• Oversaw and analyzed the billing data and collections to detect deficient controls, duplication of effort, fraud, or non-compliance with management policies and government regulations,
Director, Billing & Accounts Receivable
American Lawyer Media - New York, NY 2009 to 2010
• Lead billing and receivables operations with team of 5 analysts
• Reduced DSO from 93 days to 44 days within first 6 months; Reduced write offs via AR scrubs
• Responsible for the oversight of timely billing, follow up and AR review - Revenue $10M
Billing, Revenue & Accounts Receivables Manager
SIMAT HELLlESEN & EICHNER, PC - New York, NY 2006 to 2008
• Produced average $3M monthly billings via e-billing mechanisms
• Recorded and tracked billable and non-billable timekeeper time and costs
• Generated fixed fee, detail and summary invoices based on contract or project specifications
• Met individually with timekeepers to ensure all billable time and costs were captured and invoiced
Senior Billing Auditor
VIACOM INTERNATIONAL INC - New York, NY 2002 to 2006
Audited outside legal counsel invoices related to the Viacom's companies (CBS Inc., Viacom Outdoor,
Paramount Pictures, Blockbuster, Black Entertainment and MTV Networks)
• Worked with in-house counsel and external law firms on reconciling billing matter discrepancies which would lead to successful payment resolution.
• Responsible for rejecting invoices or claims for payment that were not in compliance with CBS Inc. Viacom's outside counsel policies.
Senior Legal Billing Coordinator
SHEARMAN & STERLING LLP - New York, NY 1997 to 2002
• Interfaced with firm’s partners on their billing portfolios including all time/cost matters
• Ran billing proformas (WIPs) and draft bills (pre-bills), write-offs, divides, transfers, added premiums; developed bill narratives
Legal Billing Coordinator
JAB Madison & Associates - New York, NY 1994 to 1997
• Right hand to (5) five partner attorneys and their individual billing matters
• Responsible for all diary entries, billing and payment posting
Education
Southern New Hampshire University
Master's in Forensic Accounting, anticipated spring 2021
Walden University
Bachelors, Business Administration/Accounting, achieved May 2014
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