Remote / In-House Collections ￨ Patient Account Management ￨ Cash Posting ￨ Claims Review

Client Needs Analysis ￨ Aged Accounts Collection ￨ Medicare / Medicaid ￨ Regulatory Compliance

Cash Department Management ￨ Team Building / Training ￨ Work Prioritization ￨ Conflict Resolution

Highly Accomplished Leader who makes sound decisions to continually reflect positively on multi-site healthcare operations in alignment xxxxxxth a facility s vision, value, and goals. Top Performer who offers solutions-centric critical thinking for insightful, change-oriented results. Ambitious Self-Starter who rises above diverse account challenges to improve the bottom line and achieve xxxxxxnning outcomes, including quickly adapting to evolving remote and / or on-site scenarios. Excellent Communicator who develops synergistic relationships xxxxxxth healthcare administrators, insurance companies, vendors, and patients / clients, and who leads peers by example and xxxxxxth ethics and integrity.

Career Highlights Include:

  Personally handling high-dollar collections up to $13 million.

  Performing as a lead for high-volume overseas collections activities.

  Completing projects xxxxxxthin the contiguous United States, as well as Hawaii.

  Successfully using 49 systems and applications across a 16-year employment history.

  Expertly managing workflow of Aged Trial Balance (ATB) to maximize revenue results.

  Actively upholding cutting-edge technical skills and up-to-date industry trends awareness.

  Achieving performance recognition xxxxxxth frequent contract extensions by high-profile facilities.

  Serving as a go-to liaison between hospital utilization software vendors (i.e. PBAR, CUBS) and IT.

  Continually intervening xxxxxxth insurance companies to review claims and determine non-payment reason.

  Developing an Excel spreadsheet for Slidell Memorial Hospital to effectively post cash, assign payments to hospital departments, apply general ledger payments, and reconcile xxxxxxth the accounting departments.

ACE ￨ Ad Hoc ￨ Affinity ￨ Application Extender ￨ AS400 ￨ BC Online ￨ Capital One Banking ￨ CashPro

Cerner ￨ CUBS ￨ DI ￨ DSG ￨ Emdeon ￨ EPF ￨ ePremis ￨ Ex Demand ￨ FileZilla ￨ GroupXxxxxxse ￨ HBOC ￨ HMS

Health Logics ￨ Health Qwest ￨ HPF ￨ IASIS ￨ IDX ￨ IMACs ￨ Imaging Software ￨ LastWord ￨ MedTech ￨ Meditech 3.29

Microsoft Office (Word, Excel, PowerPoint, Outlook) ￨ On Demand ￨ Passport ￨ PBAR ￨ Pecon ￨ Power Chart

On-Premise ￨ QMS ￨ RUMBA ￨ Showcase ￨ Smarts ￨ SMS ￨ Soarian ￨ SSI ￨ STAR ￨ TMR ￨ VI Web

Conifer Healthcare Systems

(2001 2017)

Insurance Specialist (Remote) (2015 2017)

Capitalized on the opportunity to coordinate the collection of insurance and analyze comprehensive contracts, along xxxxxxth reviexxxxxxng denials from insurance companies for Keck Hospital, Kenneth Norris, Jr. Cancer Hospital, and Verdugo Hills Hospital in Los Angeles, CA. Successfully led a team-focused project to meet critical goals. Promptly responded to and / or resolved diverse staff concerns while reviexxxxxxng contracts and promoting seamless insurance company communications.

Insurance Specialist (Remote) (2015)

Contributed sharp analytical abilities toward completing a collection project for Maui Memorial Medical Center, Maui, HI.

Cash Poster (Remote) (2015)

Utilized broad scope of industry knowledge in completing a 6-month project for St. Petersburg Hospital, Boca Raton, FL.

Cash Poster ￨ Insurance Specialist (2014)

Expertly handled a high-volume cash posting assignment at UMASS Hospital, Worcester, MA, and additionally handled large-scale insurance collections for auto claims and workers compensation upon completion of the aforesaid MA project.

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Conifer Healthcare Systems

(continued)

Insurance Specialist (Remote) (2012 2013)

Demonstrated solid multitasking proficiencies toward collecting insurance claims and handling cash posting responsibilities xxxxxxthin this rigorous 1-year collection project at St. Vincent Hospital, Norfolk, VA xxxxxxthin a remote capacity.

Dallas Medical Center, Dallas, TX

Cash Department Supervisor (2009 2012)

Strategically steered fast-paced Cash Department operations for Dallas Medical Center xxxxxxth highest collection totaling $9 million. Proactively liaised among hospital and software vendor, PBAR. Demonstrated skill in accurately recording daily receipts and payments from Medicare, Medicaid, Blue Cross, HMOs, workers compensation, and various miscellaneous insurance companies. Created and managed current and archived cash folders, and monitored refund process to payers and patients. Served as a recognized lead xxxxxxth Self-Pay Department at the corporate level and handled all self-pay accounts. Coordinated a newly installed Imaging Program to image correspondence and EOBs. Directed a Collections Unit, including maximizing use of resources to achieve goals by prioritizing workflow and assignments, researching and replying to concerns, and setting up weekly conference calls to discuss challenges.

Baptist Memorial ￨ Westbank Hospital ￨ Ochsner Hospital, Various Locations, LA

Cash Department Supervisor (2004 2009)

Coordinated and led initiatives across Cash Departments for 3 hospitals generating a highest monthly collection of $13 million. Expertly recorded daily receipts against hospitals and type of payments, including Medicare, Medicaid, Blue Cross, HMOs, and workers compensation, as well as continually developing and maintaining current and archived cash folders, monitoring refund processes, and reconciling unapplied / unidentified accounts. Directed recruitment, training / development, and management of a top-performing team of Cash Posters, including planning and prioritizing all workflow to exceed daily objectives. Actively liaised between hospital utilization software vendor (PBAR) and hospital IT to ensure systems were properly maintained. Interfaced among director and hospital officials regarding cash functions.

Onsite Collector (2004)

Spearheaded results-focused on-site claims collections for Keck Hospital and Kenneth Norris, Jr. Cancer Hospital, Los Angeles, CA. Successfully handled high-dollar claims up to $1 million. Expertly reviewed and reconciled claims through primary and secondary payors, Independent Practice Associations (IPAs), capitated hospitals, and managed care groups.

Collector (2003 2004)

Reviewed and led key collections coordination (i.e. unpaid and disputed payer claims) for Flagstaff Hospital, Flagstaff, AZ.

Cash Poster (2003)

Led targeted team building and training / development initiatives xxxxxxthin the Cash Department for Slidell Memorial Hospital, Slidell, LA. Coordinated staff recruitment, hiring, and termination activities. Optimized daily cash posting efforts, along xxxxxxth processing automatic payroll payments and maintaining and archiving cash files for Explanation of Benefits (EOB). Researched unapplied payments, oversaw refunds as required, and created month-end management reports.

Collector (2001 2003)

Played a vital role in reviexxxxxxng and resolving unpaid payer claims, along xxxxxxth ensuring accuracy of insurance ID, diagnosis code, contract requirements, and secondary insurance options. Completed diverse remote and / or in-person assignments to key facilities, including Spokane Hospital, Spokane, WA, St. Mary s Hospital, Reno, NV, Norton Sound Hospital, Nome, AK, Catholic Healthcare West, Phoenix, AZ, Santa Fe Hospital, Santa Fe, NM, Catholic Healthcare West, Phoenix, AZ, Marin General and Novato Hospitals, Marin, CA, and San Angelo Hospital, San Angelo, TX.

ARMA International

Vice President (Former) ￨ Regional X Director (Former)

Successfully Reported to Alaska, Washington, Oregon, and Idaho