Accounts Payable Compliance Manager

ROBIN M. HARRIS

************@******.*** 410-***-****

Citizenship: U.S.A. ● SSN: xxx-xx-3544 ● Veteran’s preference: N/A

Professional Summary:

Highly dedicated and results-driven professional with 30 years of expertise in the medical and healthcare sector. Proven track record of successfully building and leading cross-functional teams to achieve organizational goals. Spearheaded key initiatives, including streamlining accounts payable processes to ensure up-to-date compliance and overseeing the development of an efficient rebilling process to reduce accounts receivables. Adept at revamping collection strategies to improve financial performance and operational efficiency. Strong focus on maintaining and managing the professional certifications and licensures of staff, ensuring compliance with industry standards. Demonstrates exceptional leadership, strategic planning, and problem-solving skills, making significant contributions to organizational growth and success.

Academic Education & Honors:

AA (1996), Community College of Baltimore County, Catonsville, MD

Major: Psychology

Employment History:

January 2024 – March 2025 Compliance Manager – Auditing

Chimes International, Baltimore, MD

Salary: $82,000 annually; 40 hours/ week

Supervisor: Toya Carter

Duties:

Conducted scheduled audits and unplanned investigations as outlined in the work plan, ensuring thorough analysis and reporting.

Assigned, completed, and monitored audits across all divisions, including financial, billing, and IEEs, to ensure compliance and accuracy.

Reviewed and identified potential HIPAA and privacy violations, taking appropriate action as needed.

Maintained a strong understanding of the credentialing process and provided backup support as needed.

Provided compliance guidance to personnel, ensuring adherence to regulatory standards and internal policies.

Assisted in drafting, reviewing, and updating policies and procedures to maintain compliance and operational efficiency.

Addressed billing inquiries, offering solutions and guidance to ensure proper billing practices.

Collaborated with the team to determine and implement corrective actions when compliance issues arose.

Monitored and responded to regulatory requests in a timely and efficient manner.

Represented the Compliance Department on various committees, contributing compliance expertise as needed.

Generated both narrative and quantitative reports detailing activities, findings, and compliance status.

Prepared materials for designated meetings and actively participated in in-service training, staff meetings, and professional development activities.

Fostered a cooperative working relationship with staff, supervisors, administrators, co-workers, individuals served, community professionals, customers, vendors, and the public.

Assisted with the development and execution of plans of correction for all divisions, ensuring timely completion of corrective actions.

Delivered scheduled staff training to enhance compliance knowledge and promote best practices.

March 2016 – January 2024 Billing Management Consultant

Capital Healthcare Consultants, Washington, DC

Salary: $60,000 annually; 40 hours/ week

Supervisor: Deana Jefferson

Duties:

Reviewed and conducted monthly analysis of reimbursements received for services billed to Medicare, Medicaid, and Commercial insurance to ensure correct payment according to Federal regulations

Conducted analytical studies of payment structures and policies to evaluate their effectiveness and adhere to the Medicaid program

Designed and implemented systems to collect, maintain, and analyze data; generated interim progress reports; final reports and other information related to the collection operating processes

Directed, managed, and overseen the daily components of the medical coding and charge capture process

Served as a liaison regarding referrals, authorizations, co-pay collections, and other front-end processes

Met regularly with the Practice Administrator regarding the Revenue Cycle which includes, operating performance, future expectations, and strategies for meeting departmental goals

Reviewed and evaluated updates to legislation, policies, and program issues to assess the feasibility and consistency of policies to determine the extent and effectiveness of program operations

Hosted regular meetings with the Practice Administrator regarding the Revenue Cycle which included the operating performance, future expectations, and strategies for meeting departmental goals

September 2014 – February 2016 Practice Administrator

OB/GYN Group, Silver Spring, Maryland

Salary: $86,000 annually; 40 hours/ week

Supervisor: Ed Walker

Duties:

Conducted interviews and led the hiring process of new employees

Facilitated new hire orientation and lead training

Conducted performance reviews and maintained employee personnel files

Established and coordinated staff schedules

Overseen the hospital credentialing process and assist physicians with applying for special privileges

Processed payroll and coordinate time and leave of employees

Conducted staff meetings that highlight changes within the practice, providers’ concerns, and implementation of new policies

Prepared, dispersed, and tracked patient refunds

Monitored billing functions, including patient-aged accounts receivables

Managed the daily operational process and identify areas of improvement

Ensured the safety and confidentiality of all electronic health records while coordinating the work schedules and training of various providers

Collaborated with IT support for all computer and telephone issues, as well as, resolve technical discrepancies

Coordinated the office’s service needs with the Building Management Team

Negotiated vendor contracts to ensure the best pricing and what is most advantageous for the practice

March 2013 – September 2014 P/T Billing and Coding Consultant

Radiology Group, Baltimore, Maryland

Salary: $45,000 annually; 30 hours/ week

Supervisor: Deana Jefferson

Duties:

Consulted with the Director of Revenue Cycle to review account receivable (A/R) reports and identify staff needs

Developed new procedures on how to effectively code and bill claims prior to sending them to insurance companies which resulted in limiting denials and rejections

Coached the billing staff on the new procedure and monitored its success metrics

Worked collaboratively with the billing staff to significantly reduce the account receivables and work backlog by revamping their workloads

May 2008 – March 2013 Practice Administrator

Capital Healthcare Consultants, Washington, DC

Salary: $85,000 annually; 40 hours/ week

Supervisor: Dr. Joseph Quash Sr.

Duties:

Solely managed four locations with 17 employees and oversaw the practice operations to include, but not limited to:

oProvided financial reporting and the latest updates at the Board of Directors’ meetings (Average A/R $7 million, Receipts $4.5 million)

oPresented interim plans for approval and delivered progress reports on all strategic planning

oEnsured compliance with all regulatory agencies governing health care delivery and the rules of accrediting bodies

oOversaw the enforcement of OSHA regulations, as well as, state guidelines for laboratory services

oEnsured compliance with HIPAA regulations

oFulfilled FOIA requests

oInterpreted and enforced all Medicare rules, guidelines, and regulations

oMaintained Medicare fraud and abuse compliance plan

oConsulted and strategized with Board of Directors to recruit and retain exempt and non-exempt talent in the medical practice

oDocumented the recruitment process for training and continuous reference

Job-Related Certifications:

American Academy of Professional Coders (AAPC)

Certified Professional Coder, December 2012

Practice Management Institute (PMI)

Certified Medical Coder, August 2012

Job-Related Skills:

Medical Software: GE Centricity, Collaborate MD, eCW, CBSI, Medics Elite, Doc Assist, Medical Mastermind, IDX

Microsoft Office: Microsoft Word, Excel, Outlook, PowerPoint, SharePoint, Project

References: Available upon request

Contact this candidate