Revenue Cycle, Medical billing and coding, posting, account auditing

SHEILA GILES

******.*******@*****.*** 864-***-**** Abbeville, South Carolina 29621

Summary A highly motivated Revenue Cycle and A/R professional. National certifications for RCMS, CPC and CRHCP. Recognized as a self-motivated and multitasking individual with more than 18 years of experience and the drive to positively impact team success. Experienced in Billing, Revenue Cycle, Management, Claim research, Appeals, Leadership, Medicare, Medicaid, Commercial, Private Pay, Hospital, Home Health, Rural Health Clinic, and Critical Access Hospital. Ready to offer first-rate problem-solving and revenue cycle best practices for maximum reimbursement. Initiative for growth and professional advancement. Skills Leadership/Management

Revenue Cycle

Accounts receivable

Coding

Microsoft Office and Excel

Report preparation

Expert in DDE database

Athena, CPSI, Allscripts, Payerpath, SSI,

Optimizing Business Office performance

Research and resolution

Ethical business standards

Hospital, Home Health, Physician Office

Standard operation procedures and processes

Experience Manager/ Coding/ Revenue Cycle/AR Coordinator Abbeville Area Medical Center Abbeville, SC

Daily management of office staff.

03/2006 - Current

Introduced change improvement plans to ensure process alignments with specific goals, methodologies and initiatives throughout office.

Leveraged technological advances and optimized software usage to increase team performance and operational efficiency. ERA and EFT Served as a link between upper management and staff. Assessments, interpreting and resolving work-related issues.

Partnered with peers and cross-functional teams to align operations with targets and strengthen internal relationships. Introduced change improvement plans to ensure process alignments with specific goals, methodologies and initiatives.

Monitored financial bookkeeping for accuracy and compliance, resolving identified discrepancies. Facility Debt Set Off Program, DSH, Medicare Crossover, Bad Debt Managed account receivable and billing functions by leveraging excellent leadership abilities and payer knowledge. Medicare, Medicaid, Commercial, Medical coding professional and facility, ancillary, emergency, therapy, infusions. Continuously working to improve operations and maximize productivity. Reducing edits and developing processes for clean claim rates.

Coordinate with internal and external departments to ensure efficient revenue cycle processes. Advising updates on rules, regulation and billing requirements, S

G

Education McDuffie High School SC 1988

And Member AAPC

Membership Member ArchProCoding

Training

and

Certifications

Certified Revenue Cycle Management (RCMS)

Certified Professional Coder (CPC)

Certified Rural Health Coding and Billing Specialist (RH-CBS) Certified Critical Access Hospital Coding/ Billing (CAH-CBS) Certified Rural Health Clinic Professional (CRHCP) References Julie Fleming 864-***-****

Ingrid Haskell 864-***-****

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