Customer Service Revenue Cycle
Resume:
Elease Bryant
********@*****.***
Career Profile:
A skilled leader, entrusted with overseeing billing operations for governments, and private organizations. Focused on ensuring accurate and timely invoicing to clients or customers. Possesses strong leadership skills, attention to detail, and a deep understanding of billing processes and systems. Collaborates closely with various departments such as finance, accounting, and customer service to streamline billing procedures and resolve any discrepancies. Responsible for supervising a team of billing specialists, associates, and customer service representatives.
Technical Skills:
EMR Billing System-IDX/Centricity Nextgen BTC
Phygen Athena Benchmark
Epic On-Co Sharepoint
PowerBi Tritech TriZetto
Waystar Microsoft Applications/365 Adobe/Google Docs
Notary Public
Work Experience:
Revenue Cycle Supervisor, Mecklenburg EMS Agency/MEDIC
09/2022 – Present
• Supervise a team of Revenue Cycle Associates in hybrid work environment.
• Maintain working knowledge of CMS regulations, third-party payers, and changes to insurance laws and perform compliance audits.
• Collaborate with other departments to identify, design, develop, monitor, and implement quality improvement initiatives that meet the need of the Agency.
• Implement all job functions of the healthcare revenue cycle and apply specific methodologies for desired outcomes including EMS claim billing for government and commercial payors.
• Organize workflow and prepare team schedules; review payroll; approve timesheets and leave time; oversees departmental training and quality assurance efforts.
Patient Financial Services Supervisor, Providence Anesthesiology Associates
02/2020 – 09/2022
• Supervised three departments, totaling 35 team members including Billing Services, Financial Counseling, and Out of Network insurances to ensure collaborative work environment was maintained.
• Oversaw the daily production effort of each team and ensured successful billing for external clients, consistency in collection practices and workflows: timely resolution of patient complaints, concerns and questions escalated by staff and management.
• Conducted phone monitoring and project reporting metrics for team and reports operation effectiveness, shortfalls, and corrective action plans with management team and staff.
• Ensured compliance with all Heath Insurance Portability and Accountability Act (HIPAA) standards.
• Assessed the effectiveness of each team by monitoring and analyzing billing issues to continually improve clean claims billing and collection efforts.
Revenue Cycle Manager, Diplomat Infusion Service Group/Optum
04/2020 – 04/2022
• Designed, implemented, and enforced policies and procedures while streamlining effective intake, billing, and collections processes.
• Ensured timely collections processes for overall reduction of A/R balances and coordinate with physician practice personal to obtain insurance authorizations for infusion services.
• Communicated with Managed Care Sales to resolve all on-going payer issues and works with management to establish processes that enable us to continue to grow and meet challenges.
• Oversaw intake, billing, and collections/reimbursement staff.
• Developed, implemented, and enforced policies and procedures as well as streamlining effective intake, billing, and collections processes.
Infusion Billing Team Lead, Arthritis &Osteoporosis Consultants
03/2017 – 04/2020
• Supervised team of benefit specialist associates and supported front desk staff with patient check-in and counseling for self-pay patients.
• Initiated one on one conversation with patients regarding the out-of-pocket expenses for rheumatology infusion.
• Performed benefits verification, prior authorization, and precertification for rheumatology infusions.
• Completed daily reports for infusion appointments scheduled for the week to ensure benefit verification has been performed; patient has been enrolled in the Copay Assistance Program; advised of payment at time of service.
• Monitored associate’s daily Quality Production for accuracy and executed processes in a timely manner and managed the drug reconciliation at the end of day to ensure proper claims billing.
Appeal Coordinator, OrthoCarolina
03/2015 – 03/2017
• Prepared and submitted appeals to insurance companies, ensuring all necessary information and documentation are included while working aged insurance high dollar claims.
• Communicated with insurance providers for claim denials, appeal submissions, corrected claims, coding reviews, etc.
• Contacted patient to follow-up with status of denied claims and/or missing information required for claims processing.
• Monitored the progress of appeals, tracked timelines, and followed up with insurance companies to ensure timely resolution.
• Maintained detailed records of appeal cases, including documentation, correspondence, and outcomes, using appropriate tracking systems or software.
Charge Associate Supervisor, PSA/McKesson
03/2005 – 03/2015
•Supervised 12 employees while executing special projects assigned by operation manager or director and collaborated with other departments as necessary.
• Provided Missing Accession Audits for over 100 physician practices and monitored associate’s monthly Quality Production for accuracy and executed processes in a timely manner.
• Created patient accounts in EMR system attaching demographics and insurance information.
• Distributed monthly status reports for specific clients and coordinated all training for all new and present employees.
• Communicated with insurance companies to resolve any issues such as: withholdings, missing patient information, request duplicate remittances, etc.
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