Talented Team Leader offering nine-year background with progressive advancement in Healthcare Management. Focused on driving employee performance, achieving team goals, and delivering consistent, on-time project completion. Strong builder of team vision to meet benchmarks in quality and production.
Overview
11
11
years of professional experience
1
1
Certification
Work History
Lead, Patient Financial Representative
Governor Juan F. Luis Hospital
St. Croix, VI
09.2020 - Current
Oversees the operation of the billing department, encompassing medical coding, charge entry, claim submission, payment posting, account receivable follow-up, and reimbursement management
Serves as the expert go-to person for all billing and coding issues and processes
Analyze trends impacting charges, coding, collections, and accounts receivable, and take appropriate action to realign staff and revise policies and procedures
Certified CDM Analyst
Maintain the Charge Description Master (CDM) for all various order-entry systems
Build and tie new charge items to their respective departments for inventory and charge capture
Work with clinical and IT departments to develop and maintain cos standards and timelines for additions, modifications, and deletions to the CDM files.
Coached team members in techniques necessary to complete job tasks.
Developed monthly and daily production output plans to deliver on customer service and financial metrics.
Took on additional job duties during unexpected backlog, resulting in meeting project target date.
Mentored newly hired employees on operating equipment and safety and developed training manual to use for reference.
Patient Financial Representative
Juan F. Luis Hospital & Medical Center
St. Croix, VI
04.2013 - Current
Identify problem accounts with payers, correct errors for missing account information, and resolve
Contacted guarantors to collect payments for past due accounts.
Interviewed patients about payment plans, and provided applications for payment assistance.
Established financial arrangements for self-pay patients.
Explained payment requirements, accepted payment methods, and billing procedures.
Resolved complex insurance and customer payment issues by providing options or escalating problems to supervisors.
Described general insurance regulations and practice insurance contracts to clients.
Verified payment history to evaluate conformity with insurance contracts.
Accurately reviewed and updated patient and financial information.
Entered client details and notes into the system for interdepartmental access and review.
Education
Bachelor of Science - Health Management And Clinical Assistance
Ashworth College
Norcross, Georgia
12.2022
High School Diploma -
SiaTech Charter High School
Jacksonville, FL
08.2006
Skills
Claim Verifications
Denial Appeals Process
Medical Billing and Collections
Healthcare Terminology
Organizational Skills
Software Applications
EMR Systems
Billing Procedures
Credit and Collections
Electronic Health Records Systems
Accounts Payable and Accounts Receivable
Certification
Certified, Revenue Integrity Professional (C.R.I.P.) -AAHAM
Timeline
Lead, Patient Financial Representative
Governor Juan F. Luis Hospital
09.2020 - Current
Patient Financial Representative
Juan F. Luis Hospital & Medical Center
04.2013 - Current
Bachelor of Science - Health Management And Clinical Assistance
Ashworth College
High School Diploma -
SiaTech Charter High School
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