Annierell Dixel
Senior Reimbursement Specialist
Decatur
Summary
Experienced revenue cycle leader skilled in implementing cutting-edge collection strategies to drive favorable project outcomes and achieve timely results. Possessing extensive knowledge of current industry trends, leveraging innovative collection concepts and best practice strategies to optimize revenue cycle performance. Focused on strategic planning and utilization of new technologies to consistently deliver exceptional results in revenue cycle management.
Overview
15
15
years of professional experience
Work History
Senior Reimbursement Specialist
Paragon Infusion Centers
08.2019 - Current
- Senior Specialty Drug Infusion Revenue Cycle Team Revenue Cycle Team Member working Clinical Sites delivering Specialty Drug Infusion therapy
- Enhanced revenue recovery rates for clients by identifying and resolving underpayments from insurance companies.
- Identify and communicate with High Volume Clinical Team of changes related to payor policies and guidelines to mitigate AR risk
- Responsible for completing payer projects related to profitability projections
- Effectively completed prior authorization forms and appeals documentation to achieve positive results
- Monitored and documented accounts receivable trends and account-specific profitability
- Facilitated communication between clients and payers to resolve disputes over coverage determinations and negotiate favorable payment terms.
- Trained new team members on internal systems and procedures, fostering a collaborative work environment focused on continuous improvement.
- Maintained up-to-date knowledge of coding changes, payer policies, and regulatory requirements to ensure compliance in all reimbursement activities.
- Conducted comprehensive reviews of medical documentation to ensure appropriate levels of support were provided for each claim submitted.
- Optimized billing workflows by analyzing trends in payer denials and implementing corrective actions accordingly.
Medical Collections Specialist
Alliance
06.2017 - 06.2019
- Effectively analyzed and submitted Commercial claims for EEG, EKG, and Sleep Studies.
- Obtained Letters of Agreement from out of network providers to sustain continuity of patient care
- Submitted appeals supporting medical necessity/ out of network service/not eligible/ missing prior authorizations.
- Reviewed medical records, to support correct CPT coding and modifier billing guidelines are met.
- Reconciled with Commercial and Government payers .
- Review EOBs to identify denial code issues Insurance policy guidelines.
- Reviewed aging reports regularly to prioritize collection efforts strategically based on account status and risk level.
- Monitored account receivables to identify trends and proactively address potential issues.
- Collaborated with insurance companies to expedite claims processing and secure timely reimbursements.
- Contributed to process improvements within the department, resulting in enhanced workflow efficiency and better overall performance metrics.
- Prevented potential legal issues by adhering to federal and state regulations governing medical collections activities.
Office Manager
Access Mental Health
08.2010 - 02.2015
- Created and maintain monthly calendars for on-call, crisis intervention and therapy counseling.
- Handled sensitive information with discretion, maintaining confidentiality of company documents and personnel records.
- Coordinated office events and meetings, ensuring timely execution and optimal scheduling for all participants.
- Provided exceptional customer service when addressing client inquiries or concerns via phone calls or email correspondence.
- Conducted regular inventory assessments of office supplies, ordering necessary items proactively to prevent stock shortages.
- Served as a liaison between upper management and staff members, facilitating open channels of communication to address concerns or issues promptly.
- Streamlined office operations by implementing efficient filing systems and organizational strategies.
- Oversaw facility maintenance requests, coordinating with building management to address repairs or improvements efficiently.
- Contributed to workplace safety by ensuring compliance with established emergency protocols and conducting regular equipment inspections.
Education
Master of Science - Business Administration
South University
Savannah, GA 05.2001 -
Skills
- Clinical record organization
- Effective leadership
- MS Excel
- Proficient in data summarization using pivot tables
- Proficient in Word
- EMR/EHR
Proficient in resolving denials
Accounts receivable oversight
Healthcare provider collaboration
Compliance with Medicare guidelines
Insurance claim verification process
HIPAA compliance
Claims processing expertise
Professional Highlights
- $6 million recovered revenue in 45 days (project collections recovery)
- Exceed collections goals for high volume sights.
Timeline
Senior Reimbursement Specialist
Paragon Infusion Centers
08.2019 - Current
Medical Collections Specialist
Alliance
06.2017 - 06.2019
Office Manager
Access Mental Health
08.2010 - 02.2015
Master of Science - Business Administration
South University
05.2001 -
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