Experience

• 

  Salt lake regional medical center

  May 2002 - Jan 2007

  Supervise and Coordinate Payment Variance Work Flow, Provider Relations, Appeals, placed in charge in my Directors absence, JOC Meetings, Training, and Insurance Short Pay Collections. • Follow-up on each claim, making sure each claim has been received, giving any information they request, until the claim is paid according to a patient’s benefits. Goal is to have all claims paid within 30 days from the date the insurance receives a claim.• Once the insurance company pays, I follow-up by phone with the patient, trying to collect their portion, or make payment arrangements.• Train new employee’s • Estimated the patient’s portion, contacted the patient prior to service and collect their estimated portions upfront. • Worked with physician or physicians billing office regarding patient financial obligations. • Counseled patients for: Self pay, payment plans, charity, and possible eligibility for Medicaid programs, and theft of service. • Registered each patient coming into the hospital for surgery, emergency room, x-ray, lab, labor and delivery, etc., by obtaining person, and medical information –in order for our facility to properly bill each patient account.• Handled surgery charts, worked closely with physicians, nurses, and other staff, answered phones, pre-admitted patients coming in for procedures, working with direct admits to the hospital. • Performed Quality review as instructed by my reporting supervisor

  • Business Office Coordinator

    Jan 2005 - Jan 2007

  • Collector

    Feb 2004 - Jul 2005

  • Financial Counselor

    Mar 2003 - Feb 2004

  • Admitting Clerk

    May 2002 - Mar 2003
• 

  Iasis healthcare

  Jan 2007 - Jan 2012

  Contractual Adjustment Integrity, AR Summary, Trends, Process Improvement, Training, Recoveries, High Dollar Collections, Liaison for Admitting Financial Counselors, CFO Audit and Account Resolution, Managed Care assigned Projects, Payment Variance Analysis, Payer Relations, Recovery Audits/Account Resolution, JOC Meetings, Contract Interpretation, Prepare or Create Revenue Analysis Reports, Government and Commercial Insurance Appeals (including OIG), Workers Compensation and Government Payer Guru. Show less • Coordinate the work flow for Four Facilities on the Contract Analyst Team• Supervise 10 Employees • Contract Interpretation• Commercial, Workers Compensation, and Government payer Guru • Contractual Audits• Insurance payment variance• Credit balance and refund preparation• Communicate all short paid claims with Insurance Companies, and collect amounts based on our contracted rates.• Written appeals • Maintained working relationship with Insurance Provider Relations• Negative Net Revenue Reports• Manual adjustment audits and account resolution• Create spreadsheets to communicate and track payer trends • Post Adjustments • Insurance and Patient refunds.• Audit all Collection adjustments • Account Resolution• Train All Contract Analysts Show less

  • Adjustment Auditor

    Jan 2011 - Jan 2012

  • Hospital AR Analyst

    Jan 2009 - Jan 2011

  • Supervisor/Lead Contract Analyst

    Feb 2009 - Nov 2009

  • Lead Contract Analyst

    Jan 2007 - Jan 2009
• 

  Resolution consulting

  Nov 2012 - Feb 2013

  Consultant analyst

  High Dollar Collection, Create AR Trending Reports for the VP, • Decreased AR for accounts > 25k > 90 days, AR clean up/Patient account resolutions, Contractual audits, Posting adjustments, Training as requested.

• 

  Vantage oncology now part of the us oncology network

  Jul 2013 - Jan 2017

  • Oversee collections for 9 Practice’s located in: California, Arizona, and Illinois. • Increased collections in 2014 for Illinois Physician Group • Train and mentor all collectors• Maintained consistent cash collections during Go-Live system conversion• Changed collections work flow to focus on an entire patient treatment• Reporting/trending spreadsheets as requested• Not afraid to tackle projects and help my team! • Supervise day to day operations of billing and collections department staff• Oversee and resolve all billing, collections and accounts receivable issues, and provide weekly updates.• Provide posting and reimbursement values• Train and mentor billing, collections, and accounts receivable staff on new and existing systems• Other duties as assigned

  • Collections Manager

    Sept 2014 - Jan 2017

  • Billing and Collections Supervisor

    Jul 2013 - Sept 2014
• 

  The us oncology network

  May 2017 - now

  • Director, Revenue Cycle Liaison

    Jun 2023 - now

  • Manager of Client Relationship

    Apr 2021 - Jun 2023

  • Revenue Cycle Liaison

    May 2017 - Apr 2021