Summary
Overview
Work History
Education
Skills
Timeline
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Denise Ladyman

Summary

Over 15 years experience in the RCM Industry. Professional supervisor with extensive experience in overseeing team operations and ensuring productivity. Known for fostering collaborative environment and driving results. Reliable and adaptable, capable of meeting changing needs while maintaining focus on key objectives.

Overview

16
16
years of professional experience

Work History

RCM Verification Team Supervisor

Medline Industries, LP
04.2017 - 11.2024
  • Instrumental in helping Medline's Triage program grow from 4 to approx 400 agents.
  • Watching progression of orders - make sure all orders are being processed in a timely manner.
  • Monitoring daily stats/monthly productivity, address any concerns with agents as needed.
  • Processing escalated orders and help find resolutions to prevent issues from happening in the future.
  • Preparing and submitting monthly productivity bonuses.
  • Approve / Deny PTO request.
  • Timecard Management.
  • Conduct monthly 1:1 with each team member.
  • Conduct team meetings with all agents as needed.
  • Tracking of agent attendance (address when necessary)
  • Involved with creating and implementing processes for various insurance plans, as well as keeping those processes current as insurance plans make changes.
  • Worked with our IT dept. to test a system that would automatically verify orders as they were placed
  • Worked closely with our Payer Management Data team to make sure our insurance rules / documentation rules stay current and accurate in our order processing system
  • Complied with HIPAA guidelines and regulations for confidential patient data

RCM Customer Service Call Center Supervisor

Medline Industries, LP
04.2017 - 08.2017
  • Watched over and mentored our Customer Service Team
  • Monitored quantity of daily calls and adjusted the 'throttle' for incoming calls
  • Assisted with escalated calls / patients
  • Preparing and submitting monthly productivity bonuses
  • Approve / Deny PTO request
  • Approve timecards weekly
  • (Kronos)
  • Conduct monthly 1:1 with each team member
  • Conduct team meetings with all agents as needed
  • Tracking of agent attendance (address when necessary)

RCM Verification Specialist Senior

Medline Industries, LP
01.2009 - 04.2017
  • Started Medline's Triage program with 4 people and was a part of its growth into the Managed Care Division
  • Answered telephone calls to place orders and provide order updates
  • Verified client eligibility via numerous payer portals and/or automated systems
  • Assisted patients with understanding personalized insurance coverage and benefits
  • Contacted insurance carriers to discuss policies and individual patient benefits
  • Complied with HIPAA guidelines and regulations for confidential patient data
  • Trained new staff on current, correct insurance verification procedures
  • Managed high-volume insurance verifications within pressured timeframes for productive operations
  • Assisted Billing - Reviewed insurance authorizations and documentation received on account claims, input data adding HCPCS/CPT codes, and reconciling client information against insurance policy for Billing Department

Education

Master - Management

Medline Management

No Degree -

Crowley's Ridge College
Paragould, AR

Skills

  • Daily Workflow Improvement
  • Employee Performance Reviews
  • Workflow Processes
  • Staff training
  • Complex Problem-Solving
  • Motivational skills
  • Teamwork and Collaboration
  • Strategic Decision-Making
  • Team scheduling
  • Complaint handling
  • Coaching and mentoring
  • Overseeing daily activities

Timeline

RCM Verification Team Supervisor

Medline Industries, LP
04.2017 - 11.2024

RCM Customer Service Call Center Supervisor

Medline Industries, LP
04.2017 - 08.2017

RCM Verification Specialist Senior

Medline Industries, LP
01.2009 - 04.2017

Master - Management

Medline Management

No Degree -

Crowley's Ridge College

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Denise Ladyman