Manager Management
Resume:
ERICA K. COLLIER
Dallas, Texas 75220
Email: ******@*****.***
OBJECTIVE
To obtain a challenging position with a growth oriented organization; Seeking
an affiliation in which I can effectively and efficiently produce quality work through a highly orderly approach utilizing my Revenue Cycle Management experience.
SUMMARY OF QUALIFICATIONS
• Proficient with CMS 1500 Physician AR Collection Management
• Proficient with UB04 Hospice/Home-Health AR Collection Management
• Medical ICD.9/ICD.10 and CPT,HCPCS Coding
• Medical Chart Audits/Chart Documentation Coding review
• Proficient Billing systems; Centricity Flowcast, Misys Tiger, EMR, Homecare, Medical Manager, AdvantX, SMS, Navinet, Availity, HMS, Salesforce, Conga
• Proficient with Claims clearing house systems ; E-Commerce, Zir-med, Emdeon
• Credentialing Physicians/Mid-Level Providers
• Strong knowledge of Medicare, Medicaid, and Third party payer reimbursement
• Proficient understanding Revenue Cycle Management processes through claims adjudications.
• Strong Analytical and problem solving skills
• Excellent communication and training skills
• Proficient ability to reduce outstanding AR into cash collected
• Monitor AR staffing, production, quality and provider enrollment goals per SLA for 3 Offshore partners
• Managed care par/non-par fee contracting
• Excellent team player, motivates staff to exceed expectations while working together to achieve common goals
WORK EXPERIENCE
1/2010 – present Schumacher Group Medical Billing
A/R Regional Manager - Dallas, Texas
Manage all aspects of the Revenue Cycle Management and Credentialing/Provider Enrollment management by region to achieve and maintain timely adjudication and goals. Monitor payer trends by state, facility, claim denials, no response claims and claim underpayments by verifying contract par/non-par fee schedules using PCM to identify and resolve issues affecting reimbursement and or adjudication. Review aging reports by payer, state and facility. Monitor the staff’s QA results and provide training opportunities as necessary. Monitor Overpayments/Refunds accounts to ensure accuracy, timely processing while maintaining regional goals. Monitor AR staffing by encounter volume, maintain staff production and quality goals per SLA for 3 Offshore partners. Manage department personnel aspects including, staffing levels, staff performance and coaching sessions. Manage the administrative aspects of the department including, development of policies and procedures, maintenance of ETM working files and acquisition of new facilities.
5/2008 - 5/2009 American Institute of Gastric Banding
Central Business Office Manager - Richardson, Texas
Daily operations of the Central Billing Office including staff work assignments, hiring, coaching and performance evaluations/appraisals; monitored QA results and provided training for CBO and 7 satellite offices as necessary. Maintain revenue cycle management by developing and implementing collection systems; analyzing and evaluating the patient check-in, insurance verification processes; coding and clinical denials; monitoring managed care, third party reimbursement, and accounts receivable management, including bad debt and cash collections.
Monitor payer trends, claim denials, no response and rejected claims. Implemented electronic claims processing and reduced A/R days by 40% in120 days. Monthly medical chart audits and chart documentation coding review. Corporate physician, mid-level providers credentialing and managed care par/non-par fee contract negotiations.
6/2007 – 2/2008 Trinity Hospice LLC
Billing Manager - Dallas, Texas
Managed Hospice and Home health billing department operations to ensure accurate and timely submission of Medicare, Medicaid and Commercial billing by billing staff as appropriate. Monitored monthly aged A/R accounts to identify payments and denial trends. Quarterly chart audits, chart documentation review to identify and correct deficiencies. Provide ongoing coaching and new hire training to billing staff with regard to daily processes and workflow. Manage care contract fee negotiations for Corporate managed care plans for 19 satellite locations.
2/2000 – 5/2007 Trinity Women's Center
Practice Administrator - Dallas, Texas
Practice Administration operations for physician practice for 2 branches. Implemented electronic claims Processing , EMR and expansion for satellite office location.
Prepared annual, quarterly and monthly practice operations budgets, Accounts receivable, Accounts payable, financial revenue/projections, monthly financial statements. Medical chart audits and chart documentation coding review. Benefits administrator and staff recruiting. Credentialed physicians and mid-level providers and managed care fee contract negotiating. HIPAA and OSHA compliance officer.
12/1997 – 2/2000 CSANT- Cardiothoracic Surgery Associates of North Texas
Insurance Verification Department Manager - Irving, Texas
Managed Insurance Verifications Department responsible for verifying medical insurance plans and obtaining referrals, authorizations and hospital pre-certifications for 24 satellite offices. Responsible for new hire department training and satellite front office staff training. Implemented remote access to area hospital admissions network systems which decreased department’s completion goal rate from 72 to 48 hours or less. Demonstrated strong management skills in customer relations, recruiting and department cost control. Assisted the Credentialing department to maintain 150+ managed care plans fee contracts for a 54 physician multi-group practice.
EDUCATION
El Centro College
Dallas, TX
CERTIFICATIONS
Certified Medical Office Manager (CMOM)
Practice Management Institute, Dallas, TX 2004
Certified Medical Coder (CMC) (Sitting for exam 10/2012)
Practice Management Institute
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