Amy Carpenter, BHAM

Experience

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  Peck and Associates, PC

  Mar 2006 - Mar 2011

  Medical Billing Specialist

  • Verified and assigned appropriate CPT and ICD-9 codes based on records and provider documentation.• Submitted claims to commercial, federal, and private payers for reimbursement.• Recorded and reconciled payments from insurers and patients; posted ANSI codes for rejections/denials.• Reviewed the status of submitted claims, followed up on rejections/denials, and submitted corrected claims or appeals, as needed.• Monitored and managed accounts receivable, including identifying trends and resolving outstanding balances.• Stayed informed about changes in healthcare billing regulations, coding updates, and insurance policies to maintain accuracy and efficiency in billing practices. Show less

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  BOARD OF REGENTS OF THE UNIVERSITY OF OKLAHOMA-OU PHYSICIANS

  Mar 2011 - Sept 2019

  Revenue Cycle Manager

  • Collaborated with other leaders across multiple specialties to centralize multi-payer, multi-site proficiency within software systems.• Helped integrate a centralized insurance and registration department, ensuring efficient operations and regulatory compliance. • Directly responsible for patient resolution and satisfaction of billing for all 77 specialties.• Implemented and monitored key performance indicators (KPIs) to track revenue cycle performance and identify areas for improvement. • Led a team of revenue cycle specialists, providing training, guidance, and performance evaluations. • Established criteria and amended policies for charitable funds.• Collaborated with IT teams to implement a task management module for all billing and revenue cycle departments. • Increased patient payments by implementing a new statement vendor that allowed online payment access. • Developed and maintained strong relationships with payers resolving billing disputes. • Awarded over 15 employee recognition awards for outstanding service and teamwork. Invited to multiple Executive Luncheon functions for ideas brought to fruition while working at OU Physicians. Show less

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  Dean Mcgee Eye Institute

  Sept 2019 - Jul 2021

  Business Office Operations Manager

  • Oversaw revenue cycle leadership for optimal revenue generation.• Compiled and analyzed reports to identify areas for improvement and cost-reduction opportunities.• Managed month-end/year-end closings and prepared financial analytics for executive leadership and stakeholders.• Increased revenue within 6 months by reducing manual entry and utilizing electronic software options.

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  University of Oklahoma College of Dentistry

  Jul 2021 - Apr 2024

  Revenue Cycle Project Manager

  Executive-Level Project Manager• Led initiatives to optimize revenue cycle processes and maximize organizational opportunities.• Conducted research to identify and address inefficiencies within the revenue cycle.• Negotiated payer contracts and terms tailored to meet departmental needs, optimizing revenue streams.• Monitored revenue performance against targets and proactively resolved actual-to-budget variances.Departmental Restructuring and Process Improvement• Established an insurance department aligned with federal/state CMS guidelines, ensuring regulatory compliance.• Facilitated collaboration between clinical, revenue cycle, and executive leadership to foster a cohesive environment.• Implemented a new department focusing on patient communication, registration, and insurance verification/prior authorizations.Vendor Management and System Integration• Conducted vendor assessments (RFQ/RFP) and successfully onboarded a new billing company for medical services.• Integrated medical services into the Electronic Health Record (EHR) system, enhancing HIPAA compliance and improving clean claim and denial rates.• Introduced a new credentialing software vendor to streamline the credentialing process for providers and reduce manual entry for applications, renewals, and licenses.Staff Engagement and Culture Enhancement• Created and led quarterly Staff Assembly meetings, fostering a positive organizational culture, and improving staff engagement.• Represented the OU College of Dentistry as a Senator on the OUHSC Staff Senate Committee, advocating for staff interests and initiatives. Show less

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  Harmony Healthcare IT

  May 2024 - now

  Revenue Cycle Project Manager