Dawn Inscoe

Experience

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  Medical Management Services

  Feb 2001 - Aug 2006

  Business Office Supervisor

  • Supervised centralized billing office for a multi-state specialty practice whose functions included: data entry, payment posting, and patient account representatives.• Credentialed physicians with Medicare and other commercial insurance carriers nationally, as well as ensure licensure and DEA renewals are completed in a timely manner.• Formed partnerships with Provider Relations Representatives to assist in expediting the credentialing and contract negotiation process; gather fee information and provider manuals for office use.• Review, approve, and post all adjustments, refund requests and Collection Agency accounts.• Create, update and improve office policies and procedures for efficiency.• Abstract and assign diagnoses, procedures and modifiers from inpatient, outpatient and surgical medical records.• Completed pre and post audits of physician coding and documentation as well as coding staff to ensure accuracy and provided feedback of findings and recommendations.• Conduct weekly individual meetings and monthly departmental staff meetings to address employee concerns and monitor performance.• Recruit, hire, train, orient, discipline and terminate employees; payroll and perform employee evaluations.• Serve as the HIPAA compliance officer for the Billing Office. Show less

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  Raleigh Radiology

  Jan 2007 - Jan 2013

  Business Office Manager

  • Responsible for hiring process, discipline, termination, payroll and annual staff reviews.• Manage Business Office functions, including Switchboard, Scheduling and Registration departments for multiple sites with accuracy, efficiency and a focus on superior customer experience.• Develop and implement departmental budgets, policies, procedures and Quality Assurance audits.• Liaison between Billing Office to ensure compliance, prior authorizations, benefits verification and estimated patient responsibility are in place for accurate billing.• Work closely with Management team to recommend initiatives and respond proactively to promote positive employee and customer satisfaction.• Organize and plan departmental, company and marketing site meetings and events.• Review and respond to Press Ganey survey feedback to improve customer service and performance. Show less

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  Associated Urologists of NC

  Mar 2013 - Jun 2014

  Revenue Cycle Manager/Call Center Manager

  • Manage the operations and service delivery of non-clinical staff including Front Desk, Scheduling, Billing, Medical Records, and Authorizations for multiple sites by providing direction and coaching to ensure accurate, efficient and outstanding service levels.• Assist CEO in developing and implementing strategic plans in support of the vision and mission of the organization.• Collaborate with Clinical Director and Human Resources Director on development and implementation of procedures, policies, work standards and staffing.• Maintain professional relationships and negotiate with payers, vendors and suppliers. • Initiate, update and maintain credentialing for 16 providers with insurance carriers and hospitals.• Develop and oversee business systems, company website, practice management system and telecommunications equipment/service.• Partner with Director of Human Resources on recruiting efforts, training, performance evaluations and staff discipline.• Effectively manage revenue cycle functions beginning with accurate registration, coding, charge entry, claims scrubbing, eligibility, pre-authorizations, correcting exceptions/held claims, denials and collections to ensure maximum reimbursement.• Establish financial goals and generate reports to evaluate payments, trends and performance.• Coordinate data collection and submission for PQRS and Meaningful Use through EMR.• Monitor thresholds and supervise staff of Centralized Call Center. Show less

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  Bizmatics: A Harris Computer Company

  Jun 2014 - May 2022

  Assumed additional responsibilities below to the Client Manager role. •Recruit, hire and train new staff members.•Provide direct supervision and leadership to Client Managers, Credentialing Specialists, Internal AR Auditor and Patient Financial Counselors including maintaining work schedules, new client set up, assignments and coverage for both offshore and US Based team members.•Manage Call Center of Patient Financial Counselors answering inquiries regarding patient balances, as well as outbound calls to make soft collection efforts. •Accomplish target driven results by providing transparent communication, as well as documentation of feedback, productivity and monitoring of workflow patterns. •Develop and implement reporting procedures and systems.Client Manager•Responsible for the Revenue Cycle process for multiple clients in a variety of specialties by identifying client needs, issues, opportunities for improvement, and increased efficiencies.•Serve as liaison between internal teams and physician offices to coordinate and monitor compliant billing.•Conduct regular meetings with clients to develop and maintain supportive and positive relationships.•Proactively analyze the client’s financial health to recognize reimbursement trends, patterns of denials and factors contributing to their performance.•Provide routine reporting and other reports as needed per client’s requests.•Create and educate clients on best practice workflows to increase profits.•Collaborate closely with Implementation team to coordinate new client database and train staff.•Research, document and advise clients regarding proper billing, contracting and credentialing pertaining to client locality and specialty. Show less

  • Director, RCM Services

    Dec 2020 - May 2022

  • Senior Client Manager

    Jun 2014 - Dec 2020
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  Brault

  May 2022 - Dec 2023

  Client Services Manager
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  Zotec Partners

  Jan 2024 - now

  Manager, Client Relationships