Career Profile

Results oriented professional possesses a valuable blending of leadership, communication and intervention skills, which has produced an excellent professional track record of being a patient advocate; upholding the highest standards of patient care and Revenue Cycle Management. Possess superior interpersonal qualities with an ability to articulate a vision and influence others in the support of broad objectives and accomplishment of strategic aims.  Also possesses excellent communication, facilitation and conflict resolution skills, working within a positive and engaging work environment.

Seeking full time employment that will expand my Revenue Cycle, Medical Billing and leadership experience, while utilizing current skills, promoting my growth in the medical profession

Professional Employment

AT HOME HEALTH, HOSPICE, AND PERSONAL CARE - Salt lake city, UT

DIRECTOR OF HUMAN RESOURCES/ MEDICAL BILLING MANAGER                     DECEMBER 2014-Present

Ø       Establish and implement HR efforts that effectively communicate and support the agency’s objectives and strategic vision.

Ø       Provide overall leadership and guidance to HR function by overseeing talent acquisition, career development, succession planning, retention, training and leadership development compensation and benefits.

Ø       Develop comprehensive strategic recruiting and retention plans to meet the human capital needs of strategic goals

Ø       Guides the development, design and review of Human Resource policies and procedures while ensuring compliance with applicable federal and state laws and regulations. Builds agency knowledge in the understanding and interpretation of Human Resource policies.

Ø       Strategic oversight for maintaining and promoting employee satisfaction with all aspects of the working environment; integrate Total Quality Management/Improvement processes involving appropriate personnel in opportunities for improvement; take corrective actions and/or resolve employee relations issues.

Ø       Responsible for the oversight of personnel records and employee health files; evaluates personnel programs, the handbook and other employee related policies at least annually.

Ø       Creates and oversees the operations of the billing department, medical coding, charge entry, claims submissions, payment posting, accounts receivable follow-up and reimbursement management.

Ø       Serves as the agency expert and go to person for all coding and billing processes

Ø       Maintains contacts with other departments to obtain and analyze additional patient information to document and process billings

Ø       Maintains a working knowledge of all health information management issues such as HIPAA and all health regulations.

Ø       Keep up to date with carrier rule changes and distribute the information within the practice.

Ø       Understands and remains updated with current coding and billing regulations and compliance requirements.

Ø       Administratively reviewing and monitoring care plan, frequency, orders, admits, recerts, discharges including chart audits for accuracy and compliance.

Ø       Responsible as the point person for the provider’s patients, facilities, and other healthcare professionals.

BRISTOL HOME CARE, UTAH – SALT LAKE CITY, UT                FEBRUARY 2013 – JANUARY 2014

BUSINESS OFFICE MANAGER/ MEDICAL BILLING SUPERVISOR

Ø       Participated as key, trusted advisor as a member of the Senior Team and to the CEO of the Agency, providing strategic guidance and recommendation in the areas of agency recruitment, hiring, retention, benefit and salary administration, employee relations, and safety.

Ø       Represent the agency on various committees and associations within the agency and the community

Ø       Managed the flow of the office to insure compliance, efficiency and patient satisfaction

Ø       Problem solving and addressing issues raised by physicians, employees, and patients

Ø       provide leadership, management, coaching and guidance to all employees assigned to the department

Ø       Consistently motivate staff in a highly positive, proactive, and transparent manner by fostering teamwork and executing on sound policies and procedures.

Ø       Responsible for measuring, monitoring and executing on key quality indicators and departmental goals in accordance with the agency’s established policies and procedures and industry best practices.

Ø       Supervised all medical office staff and is responsible for all human resources functions (including payroll, benefits administration, and time off requests).

Ø       Oversee and Organize in-services for nurses and caregivers for health related illness in the elderly population

Ø       Guide staff in handling difficult or complex problems and in resolving escalated complaints or disputes from patients, providers and other internal departments.

Ø       Assist the Director of Clinical Services in the recruiting, hiring, orientation and training of new associates. Complete administrative reports as necessary and submit to the Director.

Utah cancer specialists –NOVEMBER SALT LAKE CITY, UT        NOVEMBER 2008-OCTOBER 2013                                                                     

ACCOUNTING MANAGER/ LEAD BILLER

Ø       Plans and directs patient insurance documentation, workload coding, billing and collections, and data processing to ensure accurate billing and efficient account collection.

Ø       Analyze billing and claims for accuracy and completeness; submit claims to proper insurance entities and follow upon any issues.

Ø       Ensures that the activities of the billing operations are conducted in manner that is consistent with     overall department protocol, and are in compliance with Federal, State, and payer regulations, guidelines, and requirements.

Ø       Analyze trends impacting charges, coding, collections, and accounts receivable taking appropriate action to realign staff and revise policies and procedures.

Ø       Prepares and analyzes accounts receivable reports, weekly and monthly financial reports.

Ø       Audits current procedures to monitor and improve efficiency of billing and collections operations

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community nursing services – SALT LAKE CITY, UTJUNE 2005 – NOVEMBER 2008

MEDICAL BILLING MEDICARE SUPERVISOR

REVENUE CYCLE MANAGER

Ø      Provide leadership and direction to the Regional Patient Accounting Manager, Billing Operations Managers, other Supervisors and/or Team Leads in Payment Posting, Coding, Revenue Cycle Management and Provider Enrollment, and other agency staff in both the Regional office and any future satellite locations.

Ø       Aggressively and tenaciously pursue complete, accurate and timely payment on accounts receivable.

Ø       Conduct revenue cycle analyses, prepare and review month-end reports and make continual assessments of agency performance and progress.

Ø       Conduct and lead regularly scheduled multi-disciplinary Business Services Team meetings to review practice specific performance, trends and other information.

Ø      Provide feedback to Community Nursing Services senior management with regard to goal setting, benchmarking, process development and performance

Ø      Work closely and communicate with other company management in the areas of Finance, Human Resources, Managed Care, Legal, Compliance, Information Systems and Patient Accounting.
12. Assures adherence to all applicable company policies and procedures as appropriate

Ø       Keep up to date with carrier rule changes and distribute the information within the agency.

Ø       Month-end closing of the billing group information.

Direct the development and implementation of policy and processes as they relate to revenue cycle functions

FIRST HEALTH GROUP, CORP – SCOTTSDALE, AZMAY 2002 – JUNE 2005

REVENUE CYCLE MANAGER/ QA AUDITOR

Ø       Responsible to ensure accurate and timely completion of the entire revenue cycle process through setting and enforcing policies and procedures.

Ø       Understands and manages the denial processes; monitors, tracks, and evaluates staff productivity and performance; Provides summary reports for executive management on a monthly basis.

Ø       Responsible for driving revenue cycle metrics along with being an innovator within the revenue cycle team.

Ø       Liaison between patients, nurses and physicians to address problems requiring immediate/long term resolve.

Ø       The position is responsible for providing strategic leadership to the Department in all areas relating to receivable management, including advising leadership, defining strategic objectives and implementing process redesign, and developing policies and measurement tools to ensure success.

Ø       Represents the organization at various community and/or business meetings; promotes existing and new programs and/or policies.

Ø       Continues to seek self-improvement with ongoing continuing education and makes recommendations for the same for those individuals directly supervised.

Ø       conduct internal audits of client medical records that are related to the requirements set by Medicare and Medicaid and other contract funded programs

Ø       prepare internal reports detailing the audit findings

 Provide targeted trainings for program staff

Ø       Telephone Triage

Education

Associates of Applied Science in Nursing – SLCC, Salt Lake City, Utah 2015

Enrolled in Certificate of proficiency Medical Coding & Billing – SLCC, Salt Lake City 2012

Bachelors and Masters of Forensic Anthropology, University of Utah, 2016- In Process

Professional References

Erin Gallagher- Lacey        PT- Bristol Home Care Utah 206-992-9703

Janice Underwood             Marketing- Deseret Medical Supply 801-381-1117

Jennifer Messer           Office Specialist- Bristol Hospice 319-230-6488

Beckie Beck           Office Manager- South Mountain Rehab 801-867-3547