Sales Rep Vendor Relationship
Resume:
Marqué Guest-Lee
Tel: 773-***-****
email: ady3pf@r.postjobfree.com
Professional Experience
Experian
Client Relationship Manager November 2020 – present
Responsible for Hospital and Physician group clients who have Experian Revenue Cycle products
Prepare reporting and assist clients in meeting KPIs with Experian products
Responsible for upselling and generating leads for product solutions to clients
Ensure client invoicing is accurate on a monthly basis
Rehabilitation Institute of Chicago
Billing and Collections Manager January 2015 – October 2020
Manage billing and collections for all payers including WC and government payers
Maintain billing system, imports, exports and payer tables
Denial Management
Audit patient bills per request
Monitor payer contracts to ensure billing adheres to contract language
Manage outpatient coding/coder
Oversee b/d agency process
Manage Cash posting
Oversee $146 million in A/R
Manage Charity and Bad/debt process
835 Upgrade/Cerner
Trustmark Recovery Services, Munster, IN
Director of A/R - Contract May 2014 – December 2014
Oversaw and managed collections on third party debt for large hospital and physician clients
Hired, Trained and Managed staff on hospital billing and collections
Analyzed Denials
Implemented Staffing Metrics
Fresenius Medical Care, Westchester, IL
Director of PFS January 2013 – February 2014
Oversaw and managed all aspects of billing and reimbursement for $98 million in A/R for 130 Dialysis Clinics
Responsible for leading and setting goals for a team of 75 FTEs
Put in place staffing metrics and performance metrics for each team within PFS
Reduced DSO days from 89 to 70 days in one year
Re-engineered entire department by hiring and putting in place new management team and redeployment of staff in correct roles
Trained Registration team and Collections teams to assist in DSO reduction and maximize cash collections
Central DuPage Hospital, Winfield IL
Manager Billing and Government A/R March 2010 – August 2012
Responsible for managing billing team (all payors) and clearing house vendor relationship
Responsible for hiring and training office staff
Managed the Government receivable (Medicare, Medicaid, Medicare Replacements, Medicaid Replacements) and follow up team
Coordinate RAC offsets for PFS and work closely with RAC Committee
Managed cash applications team and all cash functions
Working closely with clinical and non-clinical staff to streamline operational processes
Ensure revenue cycle billing and collection guidelines are in compliance with state and federal guidelines
Claims Implementation and EPIC implementation
MacNeal and Weiss Hospital, Berwyn IL
Assistant Manager, CBO March 2006 – March 2010
Supervised the follow-up teams for; Medicare, Medicaid, Billing (All payers)
Managed vendor relationship for billing system
Wrote bridge routines to ensure correct claim editing for all payers
Implemented and coached team on compliance regulations related to CMS and HFS
Managed the entire receivable for both Commercial and Managed Care, Medicare, Medicare Replacements and Medicaid; Kept Medicare within 5% over 90 days
Kept Medicaid receivable below 23% not vouchered status
Claims Implementation to new vendor
RMS Lifeline, DAVITA, Vernon Hills, IL
Manager, Billing and Collections January 2004 – February 2006
Supervised the billing and collections team for all regions (staff of 20 pp)
Worked with physician practices on CMS compliance regulations and procedures
Managed vendor relationship for billing system
Managed credentialing process for Physicians
Managed Denials for all payers
Implemented proper documentation for charge capture on physician Super Bills
Sales Rep, CatBird Networks, Chicago, IL 2003-2004
Sold Security Software to Banks and Healthcare firms
Top sales person for 2 straight quarters
Met one on one with prospects and clients to deliver presentations
Advertising Sales Rep SBC Yellow Pages, Chicago, IL 2003-2004
Responsible for Inside Sales of advertising space in Yellow Pages
Top Sales person for 7 months
Other Related Professional Experience
Billing Manager, Blue Cross Blue Shield Association, Chicago, IL 1993-2001
Education
Robert Morris College – AAS Degree Business Admin
CPB, CPC – AAPC
CRCR - HFMA
Computer Skills: EPIC, Cerner Millenium, McKeson Series, McKesson MS4, Microsoft Word, Excel, Access, ECARE, EPremis, Xactimed/XClaim, Medi-Regs, NEBO Billing System, Misys, AHT, eCube Financials, Zirmed, ClaimSource
References Available on Request
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