Accounts Receivable Payable

LYNETTE KELLEY-CARSON

Garfield Heights, OH *******************@*****.*** 216-***-****

Experienced Healthcare Administration professional with 25+ years of expertise in healthcare finance, clinical revenue management, credentialing, billing, and staff leadership. Proven track record of managing complex processes, including denied claims resolution, electronic data interchange (ANSI X12), and insurance credentialing for diverse medical specialties such as Behavioral Health, OB-GYN, Pediatrics, and Imaging. Adept at optimizing practice management systems, implementing electronic claims processes, and training staff on insurance fundamentals to reduce denials and improve operational efficiency. Skilled in team leadership, office management, and payroll systems for multi-site healthcare practices.

Healthcare Administration

Medical Billing & Coding

Claims Management

Credentialing & Contracting

Electronic Data Interchange

Revenue Cycle Management

Financial Counseling

Training & Development

Behavioral Health Operations

Client Relationship Management

Business Development

Healthcare Compliance

PROFESSIONAL EXPERIENCE

Collections Contractor & Consultant August 2022 – Present

Shumay Counseling Services – Richfield, OH

Spearheaded the development and execution of strategic medical billing solutions, maximizing revenue cycle efficiency while ensuring full compliance with healthcare industry standards and regulations.

Orchestrated accounts receivable operations to secure timely payments from healthcare insurance providers and patients, driving significant improvements in financial performance and cash flow optimization.

Partnered with key stakeholders to resolve complex billing challenges, streamline payment processes, and reinforce regulatory and operational excellence.

Founder April 2022 – May 2024

Magic Blossom Credentialing & Contracting – Cleveland, OH

Founded and managed Magic Blossom Credentialing & Contracting, streamlining credentialing and contracting processes for healthcare professionals, including physicians, nurse practitioners, dentists, and social workers, to facilitate compliance and secure insurance network participation.

Developed and executed tailored strategies to assist clients in navigating complex insurance credentialing requirements, achieving timely approval and minimizing operational delays.

Provided expert consulting on Practice Management Software Systems, guiding clients in selecting and implementing efficient solutions to optimize electronic data exchange and streamline administrative workflows.

Director of Operations & Consultant Contractor January 2023 – March 2023

Synergy Healthcare Systems BDA Braylon Health Care – Cleveland, OH

Led the transition to electronic claim submission processes, significantly enhancing the efficiency of claims transmission and improving overall operational accuracy and processing timelines.

Facilitated the implementation of LabCorp drug testing services, overseeing contract negotiations, procurement of testing materials, and facility preparation, ensuring full compliance with operational and regulatory standards.

Directed the comprehensive credentialing of medical staff in compliance with industry regulations, while streamlining billing operations and refining customer support protocols to optimize satisfaction and operational performance.

Billing/Finance & Client Services Contractor April 2022 – September 2022

Cornerstone of Hope – Independence, OH

Led the credentialing and contracting efforts for newly hired LISWs and LPCCs, administering NPI assignments and ensuring full compliance with regulatory and industry standards.

Streamlined billing and coding workflows, ensuring precise and timely submission of EFTs and electronic ERAs, resulting in enhanced operational efficiency and reduced discrepancies.

Conducted detailed analysis of self-pay reports to identify financial optimization opportunities, while overseeing the secure management of website access, including login credentials and provider attestations.

Finance/Billing & Accounts Receivable Contractor March 2020 – December 2020

Pipeline to God Counseling – Beachwood, OH

Directed the full accounts receivable cycle, including invoicing, payment processing, and reconciliation, guaranteeing the accuracy and prompt settlement of financial records.

Administered credentialing, contracting, and billing/coding processes, ensuring full compliance with industry regulations and accelerating account resolution timelines.

Partnered with cross-functional teams to resolve billing discrepancies and streamline payment processes, enhancing cash flow and significantly reducing account aging.

Accounts Receivable (Temp) March 2018 – July 2018

Robert Half/Accounts Temp – Cleveland, OH

Managed billing for Medicare, Medicaid, PACE, VA, and Hospice programs, coordinating with Medicaid representatives to ensure accurate medical record management and the timely resolution of billing issues.

Conducted in-depth financial analysis and prepared detailed financial reports, ensuring strict adherence to accounting principles, enhancing the accuracy and reliability of financial records.

Oversaw aging reports and actively resolved outstanding claims, leading month-end close activities to streamline accounts receivable processes and improve the efficiency of financial operations.

Enrollment & Benefits Coordinator September 2016 – March 2017

Cleveland Sight Center for the Blind – Cleveland, OH

Administered and maintained comprehensive client records while delivering ongoing assistance to optimize the utilization of services and benefits, contributing to elevated client satisfaction and streamlined service delivery.

Oversaw the enrollment process for clients, ensuring accurate eligibility verification and the efficient provision of customized services and benefits, resulting in enhanced client support and program effectiveness.

Financial Counselor September 2007 – March 2016

University Hospitals Case Medical Center – Cleveland, OH

Delivered comprehensive financial counseling to patients across multiple departments, including Women’s Hospital, Imaging, OB-GYN, IVF, Breen Breast Center, and Genetics, ensuring clear communication of healthcare costs and available financial options to support informed decision-making.

Collaborated with cross-functional teams to provide detailed financial guidance, enhancing patient understanding of billing processes and options, and contributing to an improved overall patient experience across various services.

Clinical Revenue Department/Lead September 2008 – December 2010

University Hospitals – Cleveland, OH

Led communication efforts with insurance companies to resolve payment discrepancies and authored first and second-level appeals, facilitating the preparation of monthly write-offs for accurate financial forecasting and budgeting.

Conducted thorough analysis of accounts receivable and generated detailed aging reports to identify outstanding payments, ensuring timely revenue collection and enhancing overall cash flow management.

Financial Counselor September 2006 – March 2015

University Hospitals – Cleveland, OH

Enhanced the efficiency of billing and insurance processes for ENT patients by proactively addressing account inquiries and coordinating with insurance providers to ensure timely claim resolution.

Delivered expert financial counseling to ENT patients, addressing complex billing and insurance concerns while fostering clear communication to improve patient understanding of their financial obligations.

EDUCATION

Arts & Science – Kent State University 1986

Certificate Medical Laboratory Assistant – Jane Addams Business Career Center 1980

Licensed by the State of Ohio Department of Insurance, Lines of Authority: Accident & Health

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