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Work Background
Business Owner
Visionary Impact PioneersBusiness Owner
Jun. 2024Sarasota, Florida, United StatesDriving impact through strategic partnerships. Connecting like-minded individuals and organizations with opportunities to create lasting change.
Co President
GREATER SARASOTA SERTOMA FOUNDATION INCCo President
Jul. 2023 - Aug. 2024Sarasota, Florida, United StatesIf you are looking for a way to give back to your community and have some fun while doing it, Sertoma of Greater Sarasota is your answer. We are a non-profit organization with a first-class group of members who make it their mission to volunteer their time and efforts to raise money and awareness for Sertoma Kids, Inc. Sertoma Kids, Inc. allows kids facing communication challenges to overcome those challenges, and to lead fulfilling lives. Communication skills will become increasingly important in our constantly digitized world. We know there is a great need for this service. We have already helped hundreds of kids and their families. We are anxious to expand our scope so that we can better address this need. We have a very engaged board of directors, great volunteers, and excellent speech language pathologists. We all work together to reach our vision - a community where children facing communication challenges don't have to go without help or support. Monthly lunches and happy hours are available for the members to get to know each other, and our fundraising events have included clay shoot, My Hometown Fest, speakeasy, Halloween parties, pickleball and golf tournaments just to name a few. Please consider becoming a member of this valuable team. Thank you!
Owner
JenJams Online RetailerOwner
Jun. 2019 - Aug. 2024Woman Owned and Operated. We sell assorted merchandise from leading brands.
Billing Manager
Sarasota Shared Services Center for Community Health SystemsBilling Manager
Jun. 2015 - Oct. 2021SarasotaMaintain highest validation rate among all SSC’s for all of 2017 Work with the managers and other departments at each facility including CFO’s to analyze and recommend change regarding issues related to non-payment of claims or payer rejects trends/edits identified Implemented paper claims process to catch all electronic payer and added tracking to show when claim was mailed Set and monitor KPI's within department Successfully navigated 7 divestitures and 4 conversions Implements and monitors all revenue cycle policy and procedures Implemented the following processes MSP’s, RTP’s, and MCR late charges to improve workflow Establishes and maintains insurance payer, employer, vendor and provider representative relationships including the coordination of meetings to improve dialog and processes Maintains a working knowledge of insurance carriers, payers and processes utilized within the revenue cycle Actively monitors all accounts receivable benchmarks and the progression of the AR to ensure maximum success of cash collections Ensures that all internal and external audit indicators are met monthly regarding follow up and resolution activities Provides daily, weekly, monthly, quarterly and yearly statistical information regarding insurance follow-up, billing, denials and employee performance Timely and consistently reports project status to upper management/leadership Assist upper management/leadership in the development of staff, plans and goals
Customer Service Manager
Shared Services Center Sarasota for Community Health SystemsCustomer Service Manager
Oct. 2013 - Jun. 2015Shared Services Center - SarasotaAssist associates as needed performing the essential job functions listed below Communicates with all parties in a professional manner and provides explanations regarding the account(s) Analyze patient accounts for complete insurance information to ensure the filing of insurance is correct Contact patients regarding payment arrangements on balance due accounts Perform collections calls and send collection notices on a systematic basis as accounts are resolved by review date(s) Answer incoming calls within company established guidelines to provide prompt and courteous service to callers Assist callers and or walk ins with questions on accounts either from the patient, payor or attorney Review accounts involved in third party liability to ensure liens and probates are filed and updated Serve as a resource to assist patients with financial assistance options Research account specifics to complete necessary follow up actions Documents timely, complete and accurate actions Provide customer service in-service to associates on phone etiquette and other customer service communication skills Attend in-services, education sessions and department meetings as scheduled Timely and consistently reports project status to upper management/leadership Monitor benchmarks established for customer service hold times, number of calls answered, abandonment rate etc. Assist upper management/leadership in the development of staff, plans and goals
Billing Director for HealthCare America/Pinnacle Medical Group
HCABilling Director for HealthCare America/Pinnacle Medical Group
Dec. 2011 - Nov. 2012Bradenton, FLOversee operations of billing functions, ensuring timeliness, accuracy, compliance and standards fulfillment. Provide relevant guidance for billing staff and other staff members to resolve internal and external issues. Establish and monitor controls to ensure appropriate and timely follow up of accounts receivable follow up. Monitor billing performance according to quality and productivity standards developed internally and documented as requested by division leaders. Complete monthly trending analysis of billing performance. Coordinate and promote implementation and monitoring of standards, processes, reporting and education programs. Oversee management of personnel, providing recommendations for hiring, promotion, salary adjustment and personnel action where appropriate. Assume lead role for innovation, knowledge sharing and leading practices identification within the division and among peer group. Develop specific objectives, budgets, and performance standards for each area of responsibility
Prior Authorization/Collections Manager
DynaVox TechnologiesPrior Authorization/Collections Manager
Sep. 2007 - Sep. 2011Greater Pittsburgh AreaOversees all facets of the daily operations of the collections and prior auth department, ensuring compliance with all corporate, state, and federal laws, policies, and regulations. Personnel management to include; interviewing, hiring, training, payroll/timesheet tracking, employee performance reviews, performance improvement plans, and disciplinary action. Develops and implements appropriate mechanisms, controls to ensure appropriate billing and payment cycles are met and that accurate and timely billing is in accordance with established internal, and third party payer requirements. Establishes and implements appropriate billing procedures, procedures for account follow up and denial resolution. Maintains appropriate internal controls over accounts receivables and monitors charge posting, billing, and collection operations for compliance with established policies, regulations, procedures, and standards. Actively engage in Process Improvement initiatives (new and ongoing) and ensure that established policies and procedures are implemented and sustained. Compile, prepare, analyze, and publish reports that accurately depict the results of billing, cash, and accounts receivable activities. Respond to escalated issues involving customer inquires, sales staff concerns, and third party payers. Assist the VP of Commercial Operations in the development of new initiatives to drive bottom line growth, DSO reduction, A/R aging improvement, and inter-departmental interactions. Ensure that Billing metrics relating to performance and process improvement are delivered to the team weekly, and are correct, current, and within established targets. Provide educational support on the billing/collection process and represent the collection team during interdepartmental meetings, training sessions, and external marketing events.
Business Office Manager
Valley Surgery CenterBusiness Office Manager
Nov. 2005 - Aug. 2007Steubenville, Ohio AreaMaintain a fully functional Revenue Cycle Process including but not limited to constant auditing of medical and billing records. Work with and assist Medical Director, OR/Pre-Op/PACU Supervisors and clinical staff. Responsible for direct supervision of non-medical personnel, including hiring, orientation, evaluation and scheduling.
Coding & Reimbursement Analyst
West Penn Allegheny Health SystemCoding & Reimbursement Analyst
Feb. 2002 - Nov. 2005Greater Pittsburgh AreaBURN CARE ASSOCIATES, LTD CODING & REIMBURSEMENT ANALYST Analyzed accounts on old database with an A/R of 2 million dollars for errors in procedural & diagnosis coding, failure to follow up with insurance company on non-payment, & failure to work denials. Worked each account until resolved, which resulted in a finding and payment of $255,000.00. Maintained a fully functional Revenue Cycle Process WEST PENN HEALTH PRACTITONERS Member of Special Projects Team for West Penn Allegheny Health System in the development of this group which consists of 20 Physician Assistants Responsible for all levels of charge capture and entry for entire group PEDIATRIC AND NEONATAL ASSOCIATES Responsible for submission of electronic claims Analyze denial reports, make necessary corrections and resubmit PITTSBURGH CARDIOTHORACIC ASSOCIATES Responsible for all levels of charge capture and entry for the Physician Assistants Closing responsibilities include daily account reconciliation
Billing Specialist
Cardio Thoracic Surgical AssociatesBilling Specialist
Dec. 1995 - Feb. 2003Greater Pittsburgh AreaReviewed operative and consultation reports and applied all necessary CPT and ICD-9 codes. Entered all information into system and submitted claims to insurance companies. Worked denials.
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