Billing Representative Manager

LADONNA WASHINGTON

**** ******** *** ***** *** VEGAS, NV 89031 * 702-***-****

*************@*****.***

Accomplished, strong organizational and leadership skills highly motivated decisive leader with a proven success record with the knowledge that demonstrates the ability to work under pressure in high production environment.

Solves routine problems on my own with analytical reasoning and flexibility.

Results oriented, detailed oriented with a positive work ethic and strong team player.

EXPERIENCE

NOVEMBER 2009 – FEBRUARY 2021

ED ADMITTING SUPERVISOR, University medical center

Responsible for the day-to-day operations of 14 Admitting/Discharge Representatives in the areas of Adult Emergency Department, Pediatric Emergency Department, Trauma and Perinatal Unit of 16 employees and 7 per diems. Ensured that department functions were carried out according to policies, procedures and expectations while on shift.

Managed department work and problem solved which required me to engage in staffing actions daily. Complete daily schedules and assign assignments, direct the work of others and monitor key metrics while on shift.

Review Quality and Accountability process, reporting of statistics and ensures compliance of all work-related activities. Work required familiarity with the department and/or hospital policies, services, layout and organization.

Assisted Patient Access Registrars through on the job training, education and registration support. Provided feedback to the management regarding performance issues of the department staff and overall effectiveness of department policies, procedures and practices.

Kept overtime hours to a minimum of 1 hour by ensuring work was detail and patient registrations were complete. Flexed employees' home.

Review Kronos payroll system daily. Monitored productivity and attendance.

Completed employee evaluation timely and sets up goals for the following year to achieve.

Accepted and resolved customer concerns while in the registration department. Collect and receipt cash and answer basic customer service questions. Performs routine registration tasks in addition to ordering and stocking of department supplies, log IT tickets.

Completed special projects with no Supervision and other duties as assigned by the Patient Manager and Director.

Promoted within the company as a Scheduling Authorization Representative where I verified benefits for Inhouse patients. Obtained authorizations for Inpatient and Observation status. Faxed notification of admission to insurance company and notified case managers.

Control desk were assigned orders from transferring to Inpatient, Observation to Outpatient in a bed status. Excel spreadsheet, processed Direct admits orders. Updated errors of Admit Representative for the correct Insurance carrier codes, policy identifications and notifying Admitting Specialist.

Admitting/Discharge Representative data entry verified patient demographics and insurance coverage. Collected copay and deductibles. Balanced bank at the end of shift. Trained new employees. Office equipment such as phones, copiers and facsimiles. Working efficient under stressful conditions.

DECEMBER 2008 – MAY 2010

BILLING REPRESENTATIVE, Fremont medical center

Billing Representative for Emergency Room services. Handled all aspects of electronic billing through Misys.

Assisted in payment posting from Explanation of Benefits, Reconcile Accounts Receivable and wrote appeals. Assisted in daily mail that included insurance Explanation of Benefits, patients' correspondences, denials, Worker’s Compensation paperwork and HCFA forms.

Handled multiple responsibilities that were assigned to me. Data Entry, customer service. Answered incoming calls for all billing departments from The Women’s Center, Pediatrics, Family Practice and the Emergency Room visits.

OCTOBER 2003 – SEPTEMBER 2008

BILLING DIRECTOR, WOMEN’S SPECIALTY CARE

Supervision of medical office staff of 30 employees in a billing procedure. Responsible for billing for 5 offices, 15 physicians and 7 Nurse Practitioners.

Handled all aspects of electronic charge posting through Intergy. Sent electronic statements to patients for balances due.

Direct interaction with collection agencies in resolving delinquent accounts. Payment posting from Explanation of Benefits. Updated office staff and physicians with any coding changes and update from Medicare and various other insurances companies.

Ran weekly and monthly reports to monitor insurance payments and patient's balances. Problem identifier and solver. Maintained balance performance in areas of production and quality.

Managed multiple responsibilities and deadlines. Implemented new effective office policy to create better work flow. Held monthly meetings.

Coordinated payroll with Human Resource responsibilities including new hire paperwork, salary compensations, time off requests, employee evaluations from 90 day to yearly and employee termination.

First Billing Director title where we brought in over a million dollars.

Promoted within the company positions held Check Out, Surgery Scheduler, Lead Billing Representative, Office Manager and Billing Manager.

EDUCATION/CERTIFICATIONS

NATIONAL CERTIFIED INSURANCE & CODING SPECIALIST ID# 721202

LEADERSHIP CERTIFICATE COLLEGE OF SO. NEVADA

MEDICAL ASSISTANT CERTIFICATE NV CAREER INSTITUTE

HIGH SCHOOL DIPLOMA ED W CLARK HIGH SCHOOL

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