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Diane Washington10210 Cambrie Court
Louisville, KY 40241502-457-2810
PROFESSIONAL PROFILE:
Over 20 years of experience in healthcare in the area of accounts receivables and finance; Includes Billing and Collections for Medicare, Medicaid, Commercial, Government and Private Pay. Strong work ethic teamed with superior leadership skills contributing to career growth and increasing responsibility. Demonstrate ability to establish rapport and credibility with diverse groups ranging from office support to top-level executives. Excellent problem solving and decision making ability to deliver exceptional customer service. Proficient in Microsoft Office 2010, strong ability for time management, problem solving, project planning, critical thinking, and the ability to learn new software. _____________________________________________________________________________________PROFESSIONAL EXPERIENCE:
Rescare Home CareLouisville, KYAR Manager – Central Billing Office (October 2015 to Current)
Coordinate the Accounts Receivable activities of 5 associates for Medicare, Medicare Replacement, Government, Commercial and Private pay billers and collectors for 42 Home Health Agencies in 5 states.
Coordinate the Cash Posting activities of 4 associates for All Home Health and Personal Care Agencies in the five states. Generating 4 Million monthly.
Generated Weekly and Monthly reports for Cash Report and preparing journal entries when needed.
Implemented policy and procedures for effective billing and collections processes. Approve revenue and bad-debt adjustments, or rebilling of services rendered. Verify third-party payer remittances to ensure correct billing and proper reimbursement is
received.
Caretenders Home Health Louisville, KYMedicare Reimbursement Supervisor (March 2015 to September 2015)
Coordinate the Accounts Receivable activities of 8 associates for Medicare and Medicare Replacement billers, collectors, and cash posters, for 89 Home Health Agencies. Generating and analyzing revenues of $30 Plus million (Medicare Only) on a monthly basis.
Implemented policy and procedures for effective billing and collections processes. Approve revenue and bad-debt adjustments, or rebilling of services rendered. Verify third-party payer remittances to ensure correct billing and proper reimbursement is
received. Work closely with Information Technology with software implementation, development, testing
and maintenance. Responsible for preparing and submitting Quarterly Credit Balance Report to Medicare.
Caretenders Home Health Louisville, KYAccounts Receivable Manager (March 2002 to March 2015 )
Managed the activities of a staff of 15-20 associates for Medicare, Medicaid, Private Insurance and Private Pay billings and collections.
Processed billing for 42 Home Health Agencies, generating revenue of $20 Plus Million on a monthly basis.
Worked closely with divisional and departmental management to meet reporting and accountingrequirements.
Provided input for revenue reports, analyzed variances, and assisted in budgeting. Assisted Financial Analyst with the customization of various financial reports for month end
close. Verified and submitted revenue reports to Corporate Accounting to assure accurate and timely
month-end close. Perform annual employee evaluations. Worked with third-party payers in re-processing billings and resolving collection issues on
problem accounts. Performed business office support as needed.
Caretenders Home HealthLouisville, KYAR Coordination (December 2001to March 2002)Accounts Receivable Supervisor (February 1997 to November 2001)Accounts Receivable Specialist (August 1995 to February 1997)
Responsible for preparing and submitting claims electronically to Medicare- accountable for the status (paid, pending, rejected) of claims submitted.
Verified patients’ insurance on a monthly basis. Posted payments/adjustments to patient accounts. Performed reconciliation and auditing of the
Accounts Receivable Ledger. Data entry and filing duties. Maintained patient billing folders researched and resolved aged accounts. Prepared and processed adjustments to patient accounts. Performed special projects for AR Director. Participated in orientation, in-services, organizational meetings, and educational opportunities. Trained new hires.
Anthem Blue Cross Blue Shield Louisville, KYAnalyst (February 1992 to August 1995)
Performed staffing, method, and procedure analysis. Set productivity standards and wrote desk policies and procedures. Created ad-hoc management reports corresponded with graphs.
Anthem Blue Cross Blue Shield Louisville, KYNegative Bill Reconciliation Clerk (January 1991 to February 1995)
Responsible for negative bill reconciliation, processing applications, change forms and termination forms.
Corresponded with group administrators. Maintained and provided monthly operations reports for HMOKY and AHDS. Developed Easytrieve reports. Resolved PC hardware and software problems. A BSC Council Representative.
Anthem Blue Cross Blue Shield Louisville, KYUnit Coordinator-Corporate Record Management (January 1987to January 1991)
Duties included backend data entry, preparing claims for filming, checking retrieval systems and inquiry summary.
Developed desk procedures, set quality control guidelines and created system reports.
Prepared daily and monthly inventory, process, and operations reports for claims. Trained staff. Completed Employee evaluations.
Anthem Blue Cross Blue Shield Louisville, KYUnit Coordinator-Distribution (March 1986 to December 1986)
Responsible for matching and distributing claims to the appropriate area. Oversee quality control, daily/monthly counts, and training staff. Maintained operations reports for claims, wrote desk procedures, tracked WMA and analysis of
WMA reports. Resolved PC hardware and software problems.
EDUCATION AND TRAINING
Sullivan UniversityLouisville, KentuckyAssociate Degree--Accounting and Business ManagementDean’s List - 3.5 GPA
TrainingHealth Care Software-Interactan , Home Care Home Base, ContinuLink, Zirmed, eSolutions, Cash Pro, Verlocity, Point of Care, PCP Print, Office Wyse, Allscripts, Navi-Net, Availity, Excel, Word, PowerPoint, Time Management, Quality Leadership Training, Decision Making, Team Excellence and Close the Loop
Professional references available upon request.
REFERENCES
James Teresky10410 Linn Station Road
Lousiville, KY 40223502-544-8519
Melissa Bell502-381-9917
Virginia Esquivel305-227-6293Employed by Caretenders
Cathy Pedigo9510 Ormsby Station Road, Ste 300Louisville, KY [email protected]
Quanika Penny502-419-2220Employed by Baptist
Lisa Pillow10410 Linn Station RoadLouisville, KY 40223502-424-3188
