Molly Maness

Experience

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  Texas Health Huguley Hospital Fort Worth South

  Nov 2006 - Nov 2011

  Southwest Regional Account Representative

  Maintain patient accounting files requiring detailed notes, manual logs, and on-line functions for submission to third party payers. Initiate appeals on denied hospital claims requiring detailed research for claim resolution. Develop and maintain interpersonal relationships with numerous departments inside and outside of the company. Facilitate release of information and medical records requests to four hospitals for fulfillment. Manage claim denials by contacting clinical department, patient, payor, or fiscal intermediary by phone, email, or appropriate website. Effective utilization of knowledge to assist and work as cross-functional account representative for multi-disciplinary positions and projects as needed. Show less

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  Sport Supply Group

  Nov 2011 - Feb 2013

  Open and maintain customer accounts by recording account information. Resolve product or services problems by clarifying the customer’s complaint; determine the cause of the problem; selecting and explaining the best solution to solve the problem; expediting correction or adjustment; following up to ensure resolution. Participate in special team to lead, design, develop and implement a new and innovative system.Effective multi-tasking and strong knowledge of SAP. Inbound and outbound calls. Order entry and order follow up. Show less Open and maintain customer accounts by recording account information. Resolve product or service problems by clarifying the customer's complaint; determining the cause of the problem; selecting and explaining the best solution to solve the problem; expediting correction or adjustment; following up to ensure resolution. Complaint resolution, provide appropriate solutions and alternatives within the time limits and follow up to ensure. Contribute to team effort by accomplishing related results. Manage large volume of incoming calls. Maintain customer interaction records, process customer accounts, and file documents. Follow communication procedures, guidelines, and policies. Maintain financial accounts by processing customer adjustments Show less

  • SSR

    Mar 2012 - Feb 2013

  • Customer Service Representative

    Nov 2011 - Feb 2012
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  Texas Health Huguley Hospital Fort Worth South

  Mar 2013 - Oct 2022

  Has a direct line responsibility for the billing/follow-up functions for central business office and for the accounts receivableDemonstrate in-depth understanding of the A/R management and able to successfully apply this knowledge within established compliance guidelines while meeting goals of the department.Provide consultation and advise to management, employees and hospitals on topics related to billing guidelines and technical billing systems. Stays current on changing requirements and new technical advancements.Develop and revise training material and procedures for supervised areas.Demonstrate the ability to act in absence of the Director. Show less Establish and direct the installation of improved work methods and procedures to achieve thecorporate objectives. Monitor and analyze the top denials to identify solutions to increase net collections and reduce average days in A/R. Identify trends affecting revenue cycle, develop and strategize plan to address trend. Quarterly state reporting. Regularly evaluate employees using a performance management and development process which includes goal setting, feedback, and performance development planning to encourage employee contribution. Actively maintain up-to-date knowledge of applicable state and Federal laws and regulations. Show less Responsible for collecting Medicare A/R for 4 facilities. Follow up and resolve on rejected and denied Medicare claims. Maintain and develop communication with multiple facilities and facilitators. Submitted claims for write off and credit balances. Perform appeals when necessary. Identify authorization, cash posting, and registration errors on patient accounts and route to the appropriate department for correction. Work closely with manager to create collector processes. Act as mentor and resource for other employees within the department. Assist in special projects for reducing outstanding accounts receivable. Ensure compliance to HIPPA laws and federal regulations. Personally reduced aged accounts receivable under 120 days in 3 months. Show less

  • Regional Manager

    Jan 2022 - Oct 2022

  • Manager

    Jun 2013 - Jan 2022

  • Patient Account Representative

    Mar 2013 - Jun 2013
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  North American Credit Services, Inc.

  Apr 2013 - Oct 2022

  Legal Department Liaison

  Produce information by transcribing, formatting, inputting, editing, retrieving, copying, and transmitting text, data, and graphics. Provide required information and documents to attorneys, insurance carriers, and record retrieval companies. Develop liaison with client service and collection department to provide required information and acquire necessary documents. Answer calls regarding existing accounts. Utilize exceptional multi-tasking skills daily.

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  AdventHealth

  Oct 2022 - now

  Provide overall leadership and support to Centralized Payment Posting supervisors and staff responsible for reconciling and researching payment posting exceptions, including proactive guidance, troubleshooting support, issue escalation, and project prioritizationIdentify and resolve problems in the payment posting processes impacting downstream reconciliation activities and when appropriate, identifies and initiates change to prevent future problems or improve existing processesOversee the handling of escalated complaints or inquiries regarding Centralized Payment Posting functions to help ensure correct and satisfactory resolutionDevelop, implement, and monitor key performance indicators and productivity goals; identify root cause for variances and applicable process improvements; and report key findings to appropriate leadershipResponsible for the establishment and effectiveness of internal controlsReview and approve write-offs and adjustments on accounts, as defined in AdventHealth policiesWork collaboratively with other department leadership, including revenue cycle, finance, IT, and physician practice personnel Show less

  • Senior Manager

    May 2023 - now

  • Finance Manager

    Oct 2022 - May 2023