Rae Bowen
Williamston
Summary
Self-motivated, dedicated to continuous improvement. Accomplished trainer skilled in collaborating with students and leadership to design effective training programs. Decisive and approachable, with a personable style. From a quality perspective, I am strategic in planning, implementing and improving processes and workflows.
Overview
37
37
years of professional experience
1
1
Certification
Work History
Quality Assurance Specialist and Trainer
AnMed
Anderson
06.2019 - Current
- Provide continuous training and support for over 70 private practices, customer service, coding, billing, and follow-up.
- Implement patient estimate tool with a dedicated team, providing ongoing training and support.
- Analyze data trends for revenue cycle reports, developing tailored training plans for enhanced productivity.
- Deliver and maintain comprehensive education resources to enhance proficiency in billing practices and office operations.
- Developed a VA workflow related to referrals and insurance claims. Implemented the process in each practice, establishing relationships and communicating parameters to between the VA and physician offices, all to provide better medical care to our veterans and improve reimbursement.
- Streamlined colonoscopy screenings to enhance medical care and patient experience through targeted education.
- Monitored key metrics such as payment percentages and days in AR to drive financial performance optimization for medical offices.
- Work with a dedicated Denials team to decrease denials and develop strategies to improve the overall Revenue Cycle.
- Initiated Physician mapping project to enhance surgical procedure mapping and efficiency with authorizations, estimates, and operating room preparedness.
Billing/Follow-up/Certified Professional Coder
AnMed
Anderson
12.2017 - 06.2019
- Oversaw behavioral health claims and denials, significantly reducing denials and enhancing cash flow.
- Led denial cleanup projects for behavioral health, emergency, workers comp, and VA, creating workflows that streamlined denial management across departments.
- Performed billing, follow-up and coding for Behavioral Health and Cosmetics as well as worked with all payer types.
- Researched and resolved billing discrepancies to enable accurate billing and effective denial prevention.
- Reviewed account information to confirm patient and insurance information is accurate and complete.
- Reconciled clinical notes, patient forms and health information for compliance with HIPAA rules.
- Maintained current knowledge of coding requirements through ongoing education and certification renewal.
Billing Specialist/Medical Office Specialist - Private Practice
AnMed Psychiatry
Anderson
10.1995 - 12.2017
- Lead front desk operations and supervised collections and claims processing which included: Insurance coverage verification, obtained authorization, prepared and submitted claims.
- Processed claims to insurance companies, investigating and resolving denials and rejections.
- Monitored accounts receivable activity to ensure timely payment.
- Answered patient inquiries regarding billings, payments, account status.
- Managed physician office schedule by coordinating with providers on availability and open appointments.
- Reconciled daily cash receipts with total deposits on bank statement.
- Maintained strict confidentiality by adhering to HIPAA guidelines and ensured patient information was protected.
- Greeted patients with respect, professionally, while on the phone and during office visits.
Branch Manager
Southeast Federal Credit Union
09.1989 - 10.1995
- Oversaw operations for 2 branch locations, ensuring compliance and operational efficiency.
- Created and managed yearly budgets to align branch financial goals with overall organizational objectives.
- Managed collections and repossession processes to recover debts, improving asset recovery rates.
- Open new accounts for Checking, Savings, IRAs and CDs and offered personal education.
- Management of staff.
- Personal, Auto/Recreational loans and 2nd Mortgages.
- Managed Monetary processes.
- Monthly newsletter and marketing for 5 branches.
Education
Associate of Arts - Business Administration and Management
Tri County Technical College
Pendleton, SC08-1989
Skills
- Denial management
- Billing compliance
- Adaptability
- Reliability
- Internal audits
- Project management
- Training development
- Effective communication
- Revenue optimization
- Teamwork
- Problem-solving
- Problem solving
- Adaptability and learning
- Networking
Certification
Certified Professional Coder
Personal Information
Title: Quality Assurance Specialist and Trainer
Timeline
Quality Assurance Specialist and Trainer
AnMed
06.2019 - Current
Billing/Follow-up/Certified Professional Coder
AnMed
12.2017 - 06.2019
Billing Specialist/Medical Office Specialist - Private Practice
AnMed Psychiatry
10.1995 - 12.2017
Branch Manager
Southeast Federal Credit Union
09.1989 - 10.1995
Associate of Arts - Business Administration and Management
Tri County Technical College