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Quality Assurance Accounts Receivable

Location:
Nashville, TN
Posted:
August 07, 2023

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Resume:

KENISHA BUTTS

Nashville, TN *****

adyrr0@r.postjobfree.com

+1-615-***-****

Authorized to work in the US for any employer

Work Experience

MANAGER of QUALITY & TRAINING

SPECIALTY DENTAL BRAND

June 2022 to Present

Train and audit new hires at dental practices, report to HR and senior management, evaluate staff's performance and provide feedback, assist in implementation of new systems, oversee, and streamline billing and collection accounts receivables process, and monitor employee's productivity and providing constructive feedback and coaching. Identify, monitor, and report to management on performance. Liaison for SDB Recycle and SDB practices ensuring leadership has an ongoing two-way communication channel for strategy, status, and issue resolution/escalation. Provide employees with payer portal access. Utilize Smartsheet, Excel, Dental PM systems, and Zendesk. Supervisor

TENNESSEE ORTHOPEDIC ALLIANCE

April 2021 to June 2022

Manage a team of 24, create and manage team schedules, reporting to HR and senior management, helping to resolve employee issues/disputes, evaluate representatives' performance and provide feedback, train new hires, assist in implementation of new systems, oversee, and streamline billing and collection accounts receivables process, and monitor employee's productivity and providing constructive feedback and coaching.

Supervisor, Amsurg

Amsurg

August 2019 to April 2021

Managed representatives and their performance, communicate effectively with members of management in other departments, worked with other healthcare professionals to improve the efficiency and quality in the delivery of direct healthcare services. Managed finances such as overhead cost and patient fees and billing, stay abreast of changes and new laws and regulations, representative in all meetings, and created work schedules for staff. Keep and organize records of centers services and pulled monthly reports to keep up with KPI.

Ar Collector, Amsurg

Amsurg

January 2019 to August 2019

Follow-up on open balances listed on monthly AR and Payer Follow-up reports, home health and SNF accounts, review and update patient demographics and payer information as necessary for completion of claims payment, verify balances to turnover to the designated collection agency and update the account as turnover to collections, generate correspondence to payers and patients such as appeals, payments and authorization requests, and document all communications regarding account balance follow-up in the patient account.

Supervisor/team Lead

COMMUNITY HEALH SYSTEMS

October 2017 to January 2019

Effectively manages staff performance and workload, analyzes and monitors revenue cycle and accounts receivable metrics focusing on accounts receivable measures. Identify, resolve, and report issues impacting performance objectives, responsible for accurate and timely review and approval of adjustments.

Quality Assurance Specialist/trainer

COMMUNITY HEALTH SYSTEMS

January 2015 to October 2017

Answer employee questions, monitor new hire employee's work using Artiva and Hyland, and OnBase, hold performance reviews for new hires, monitor collector activity for training purposes, meet with department managers to address any concerns involving employee concerns or issues, assist in compiling documents for employee performance, meet with employees monthly to review issues as a group. Train denial in identifying reimbursements on claim regarding a denial. Medicare Health Insurance Representative, Community Health Systems MEDICAID

January 2013 to January 2015

Verify claim status, health benefits by phone or website, note accounts in hospital system, print bills from hospital system and mail/fax to insurance companies, review & appeal denials, assist patients with accounts, send documentation of production to manager. Assist manager in trends of under/over payment and identified payment inconsistency.

Healthcare Collector

COMMUNTY HEALTH SYSTEM

March 2011 to April 2013

Made outbound calls and took inbound calls utilizing an Auto dialer, effectively analyzed accounts to assist with questions using FACS, AS400 (Med Host), and Meditech, STAR, and DAR researched and conduct all notes and account work using FACS, gathered insurance information from patients. Assisted with billing claims, analyzing and review claims, and EDI data as well as contracts to adjust and report on current state and research claims.

Manager, Evergreen Cash Advance

Evergreen Cash Advance

September 2006 to March 2011

Assisted customers with payday loans, processed car loans, handled cash, deposited monies into bank, maintained daily paperwork, and month-end inventory. Co-manager

LOVE

December 2002 to September 2006

21

Supervised 25 employees, coordinated weekly schedule, managed all recruiting/termination, assisted with customer complaints, returns/exchanges.

Education

ASSOCIATES

NAIONAL COLLEGE OF BUSINESS AND TECHNOLOGY

Associates in Healthcare Administration

Skills

• Data Analytics

• Office Management

• Accounting

• Implementing new processes: helping where there is need for change.

• Quality Assurance: review others work to ensure accounts worked properly.

• Account Reconciliation

• Leadership Skills- I have taken courses in leadership and have used the skill and helped others accomplish this as well.

• Journal Entries

• Project Management

• Bank Reconciliation

• Training & Development

• Continuous Improvement

• Program Management ADDITIONAL

• Training: getting training material together in a document to train.

• Account Analysis

• General Ledger Reconciliation

• QA/QC

• Quality assurance

• Quality audits



Contact this candidate