Experience
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MedAccess Urgent Care, PLLC
April 2011 – Current COO/Director of Billing Roxboro, NC
• Managed all aspects of two, 10-room urgent cares including but not limited to:
o OSHA, CLIA, HIPAA, DATIA, UCAOA compliance and accreditation management.
o EMR/PMS training, integration and maintenance. Manage end-user security
o Fee schedule management. Set pricing across several fee schedules. Allows to run reports against contracted reimbursement rates to ensure accurate reimbursement.
o Director of billing company. Started the company. High collection rate and low days in AR. Completed charts are sent to payers within 24 to 48 hours of being completed. Created all billing processes and procedures. Coding compliance and review.
o Personnel Management. Institute new policies and procedures. Interviewing, hiring and firing. Employee relations management. Development strong relationships between management and employees. Address complaints, delegate handling of complaints and problem resolution.
o Contracting and credentialing service for the billing company. Responsible for all new providers and re-credentialing current providers. Maintain all provider credentials. Negotiated and maintained provider liability insurance plans.
o Direct, plans and manages all activities of the practice across multiple locations. Monitor schedules from each department and patient flow to ensure appropriate utilization of providers, clinic staff and registration staff.
o Manage IT services including: Creation of new web page, printer management, maintained and supervised company email, purchased all hardware and software needed for practice, set user security,
o Building/facility management: purchased and maintained security and surveillance system, handled all building issues, negotiated building contracts including janitorial and landscaping services.
o Work directly with marketing in deciding what, when and where to advertise. Created marketing slogans and ads. Negotiated marketing contracts.
o Responsible for overall direction, coordination and evaluation of all processes required to conduct business. Manage all supervisors in registration, clinical staff and HR department. Also directly manage non-supervisory employees.
Kentucky Heart Institute/King’s Daughters Medical Center
June 2009 – April 2011 Billing Supervisor Ashland, KY
• Supervise a team of 11 billers and cashiers for three heart and vascular groups totaling 40 providers. Manage day-to-day operations in the billing office. Coordinate all activities related to electronic filing of claims, electronic posting of payments and manual billing.
• Epic software training in Resolute Hospital and Professional Billing: Electronic Remittance Administrator, Resolute Professional Billing: Claims Administration and Resolute Professional Billing: Fundamentals Training.
• Conduct training for new employees on Epic and all processes included in billing.
• Monitor patient calls and the swift handling and resolution of any billing problems.
• Handle any escalated patient concerns in a delicate and timely manner.
InfoCision Management Corporation
April 2007 – May 2009 Program Supervisor Huntington, WV
• Supervise, motivate and coach a team of 20-25 call center employees.
• Monitor Calls and provide feedback to call center staff.
• Motivate team members to work together to achieve goals.
• Organize team meetings and design and execute contests.
• Monitor and develop methods to improve call center performance.
• Create, analyze and recommend script revisions.
• Contracted with Verizon Wireless to retain and renew customers.
Applied Medical Services
July 2005 – August 2006 Quality Assurance Coordinator Durham, NC
As a Quality Assurance Coordinator I assure that all processes of billing meet the company’s strict standards including, but not limited to reimbursement, monthly utilization reports and quality assurance procedures: Job includes:
• Bill for approximately 70 physicians.
• Provider enrollment, credentialing and contracting.
• Audit employee performance. Update customer service reps on current problems.
• Audit new electronic claims sent to payers.
• Create and maintain billing policies and procedures.
• Stay updated on current coding/billing issues.
• Review numerous reports of financial c...
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