STEPHANIE SCHOMMER-REUTER
Chula Vista,CA
Overview
15
15
years of professional experience
Work History
Denials Team Leader II
KNOWTION HEALTH
06.2022 - Current
- Monitor team performance and provided constructive feedback to increase productivity and maintain quality standards.
- Supervise team members to confirm compliance with set procedures and quality requirements.
- Work with team to identify areas of improvement and devised solutions based on findings.
- Built strong relationships with team members through positive attitude and attentive response.
- Provides daily direction on inventory to team members
- Monitor inventory backlog, reviews reports to ensure compliance with client protocols
- Maintain updated access to client systems, demonstrates proficiency with web portals and databases necessary to help direct team members in resolving accounts.
- Monitor time and attendance, enforcing compliance with company procedures relating to absenteeism.
- Evaluate staff performance and provide coaching to address inefficiencies.
- Educate staff on organizational mission and goals to help employees achieve success.
- Develop effective improvement plans in alignment with goals and specifications.
Denials Team Leader I
KNOWTION HEALTH (FORMERLY RSOURCE HEALTHCARE)
08.2020 - 06.2022
- Provides leadership coverage in absence of Team Leader II
- Monitors Timely Filing, and Aging reports to ensure compliance with client protocols.
- Maintains updated access to client systems related to account work.
- Assists in maintaining client specific protocols and procedures among team members.
- Demonstrates proficiency with web portals, client systems and databases as necessary to document and resolve accounts.
- Proactively communicates questions and concerns to leadership for resolution.
- Mentors and guides employees to foster proper completion of assigned duties.
- Established open and professional relationships with team members to achieve quick resolutions for various issues.
Revenue Recovery Specialist
KNOWTION HEALTH (FORMERLY RSOURCE HEALTHCARE)
08.2019 - 08.2020
- Assisted in the development of internal policies and procedures related to credit management and collections, promoting a consistent approach across the organization.
- Streamlined collection processes for maximized efficiency, resulting in faster debt resolution and improved customer satisfaction.
- Implemented process improvements that streamlined workflows within the Revenue Recovery department, leading to increased efficiency and productivity.
- Maintained detailed records of all collection activities, ensuring accurate reporting and compliance with industry regulations.
- Improved revenue recovery rates by identifying and resolving billing discrepancies in a timely manner.
- Demonstrated proficiency with web portals, client systems and databases as necessary to document and resolve accounts.
PAS Representative
Banner Churchill Community Hospital
01.2018 - 08.2019
- Completed registration process with the patient, which includes verifying insurance benefits, collecting patient responsibility amounts, and verifying authorization status for services being provided.
- Provided excellent customer service and resolve customer issues when applicable.
- Greeted customers warmly to set tone of customer experience and provide welcoming and friendly atmosphere
- Gathered, organized and input information into digital database
- Greeted patients warmly to increase comfort and create rapport
- Safeguarded patient data in compliance with HIPAA and hospital policies
- Accurately inputted patient and insurance information into company's computer system.
- Collected information, forms and signatures from patients or family members to create efficient admissions experience
- Verified insurance information, collected payment or co-payment for services and created record of visit for future billing
- Completed preliminary paperwork for incoming and outgoing patients.
Patient Financial Services Representative
WHIDBEY HEALTH MEDICAL CENTER
08.2012 - 05.2017
- Performed medical billing and revenue recovery
- Responsible for submitting accurate health claims, primarily to Medicare and Medicare Advantage insurance companies.
- Worked closely with insurance companies to ensure proper compensation
- Worked with teammates for common goal of proper reimbursement and to ensure claims paid in timely manner.
- Researched billing errors and discrepancies to initiate corrective action.
- Achieved performance goals on consistent basis.
- Reviewed and solved account and billing discrepancies
- Handled all claims submissions, reconciled EOBs or denied claims and conducted accounts receivable follow-up
- Specifically conducted accounts receivable for Medicare claims, utilized Medicare's DDE system which included correcting claims directly in Medicare's DDE/RTP system.
- Researched portals issues related to non-payment within e-billing vendor portals
BUSINESS OFFICE MANAGER
HIGHLAND VILLAGE OF FALLON
10.2009 - 05.2012
- Handled the bookkeeping for the facility.
- Duties included preparing deposits, as well as handling month end close duties monthly.
- Worked closely with management staff to assist with new resident admissions and communicated with family members to assist with admission process.
- Verified insurance benefits, and also handled all the billing to insurance companies for proper reimbursement. This included primary and secondary insurance billing.
- This included working in Medicare's DDE billing system, correcting Medicare claims in RTP, as well as billing self-pay balances.
- Resolved financial discrepancies and customer billing issues with timely attention.
- Processed eligibility and benefits verification and authorization requests
- Maintained confidentiality of patient finances, records, and health statuses
- Resolved discrepancies in insurance payments by collaborating with carriers
- Followed up on denials, late payments, extensions and other special circumstances.
Education
HIGH SCHOOL DIPLOMA -
CHURCHILL COUNTY HIGH SCHOOL
Timeline
Denials Team Leader II
KNOWTION HEALTH
06.2022 - Current
Denials Team Leader I
KNOWTION HEALTH (FORMERLY RSOURCE HEALTHCARE)
08.2020 - 06.2022
Revenue Recovery Specialist
KNOWTION HEALTH (FORMERLY RSOURCE HEALTHCARE)
08.2019 - 08.2020
PAS Representative
Banner Churchill Community Hospital
01.2018 - 08.2019
Patient Financial Services Representative
WHIDBEY HEALTH MEDICAL CENTER
08.2012 - 05.2017
BUSINESS OFFICE MANAGER
HIGHLAND VILLAGE OF FALLON
10.2009 - 05.2012
HIGH SCHOOL DIPLOMA -
CHURCHILL COUNTY HIGH SCHOOL