Tonya Wells

Freelance Financial Reporter & Content Writer

1435
Location:Southfield, Michigan, United States
Profile:https://www.freelanced.com/tonyawells
1
Kudos
3.5
2 Skills
Ask
Rate/Hr
MICHIGAN ORTHOPEDIC SERVICES, LIVONIA MI

Patient Accounting and Administration Manager, 6/2010-7/2011
Manages day to day operations of front office medical staff for 8 satellite locations, as well as the billing department staff. Reports cash forecasting and revenue numbers to CEO weekly, maintain and update practice management system; hire, train, discipline office staff for all locations; Maintain credentialing for insurances, participates in business development and marketing efforts

Key Results
• Increased cash flow by 15% to 20% percent within 3 months
• Implemented electronic billing process
• Created accurate cash forecast model based on revenue in claims submitted to insurance carriers
• Trained billing department in excel, outlook and word. Utilized these programs to track data and measure productivity
• Currently converting all manual practice management processes to electronic processes, including electronic health records
• Centralizing insurance verifications for all 8 locations
• Trained clinical staff in use of technology for charting purposes

IN HOUSE DIAGNOSTIC SOLUTIONS, SOUTHFIELD MI

Billing Manager, 9/07-5/1/2010
Responsible for all daily billing, collections and cash applications operations including design, performance management, policies/procedures and employee hiring and firing.
Created monthly revenue reports to show revenue and aging trends.
Monitored and reported AR, unbilled revenue, unapplied cash, contractual allowances and write off on a daily, weekly and monthly basis.

Key Results:
• Decreased charge entry from 45 to 2 days outstanding, resulting in $400K of immediate Medicare cash collections.
• Implemented electronic Commercial and Medicaid billing
• Implemented employee self appraisals during yearly reviews.
• Revamped denial management process for faster turnaround of higher paying accounts resulting in increased insurance collections
• Decreased department budget by cutting overtime while increasing productivity and cash collections.
• Successfully oversaw all AR operations including Ernst and Young audits in the absence of the AR Director
• Created cash and revenue tracking reports that are reviewed by both the President and the investors on a monthly basis.

IN HOUSE DIAGNOSTIC SOLUTIONS, SOUTHFIELD MI
Accounts Receivable Specialist 9/05-9/07
Submitted claims to Medicare, BCBS and other commercial insurance for payment
Utilized computer systems including C-SNAP and DENIS to verify patient eligibility
Posted cash to patient accounts
Resolved fee schedule discrepancies and worked insurance denials
Trained new employees
KEY RESULTS:
• Maintained low denial rate for Commercial claims
• Created professional relationships with insurance carriers resulting in timely payments and faster processing of denials
• Promoted to Billing Manager.

MACOMB OALAND REGIONAL CENTER-CLINTON TWP MICHIGAN
Billing Specialist 11/04-9/05
Electronically billed accounts to Medicaid and Medicare for mental health services
Maintained patient reports to ensure proper billing, trained new employees
Credentialed new doctors

CHILDREN'S HOSPITAL OF MICHIGAN- DETROIT MICHIGAN
Patient Account Specialist 5/03-5/04
Followed up on claims denied by all insurance companies (facility and professional billing)
Assisted patients with concerns regarding outstanding balances
Posted cash to insurance and patients receivables
Trained new employees

HENRY FORD HOSPITAL –TROY MICHIGAN
Billing Specialist 9/99-5/03
Followed up on Medicaid HMO outstanding balances (facility and professional)
Ensured that claims were submitted timely
Established relationship with insurance payors