Waheedah Akilah Fateemah Bahaiddin

Director, Revenue Cycle Management and FinanceFull Time

• Job Details:Responsible for managing the day-to-day activities of the Health Center as they relate to revenue cycle functions which include but are not limited to front office services, billing, collections, accounts receivables and financial planning for patients.

Deputy Mananger, Revenue Cycle ManagementFull Time

• Job Details:• Responsible for maximizing the collection of medical services payments and reimbursements from patients, insurance carriers, financial aid, and guarantors. • Responsible for insurance eligibility processes, charge processing, claim submission and processing, payment processing, collections and accounts receivable management, denial management, reporting of results and analysis, concurrent and retrospective auditing, proper coding, credentialing, insurance contract review and oversight, customer services relative to revenue cycle, training and development relative to revenue cycle, analytics, and all other revenue cycle management activities. • Management oversight of all business related functions of the patient visit from point of entry to accurate adjudication of the patients’ accounts. • Specific areas of responsibility include Revenue Cycle Training, Credentialing Registration, Claims Management, Billing, Collections, Patient Insurance, Data Processing, Integrity of Patient Accounts, Accounts Receivable Management, practice management system file maintenance, and third party revenue cycle vendors. • Responsible for provider reimbursement programs, policies, and strategies to ensure unit cost controls meet or exceed corporate objectives for medical cost containment. • Analyzed claims, utilization, and medical cost data. • Developed strategic, cost effective programs, and makes system or network changes to enhance competitive position. • Monitored aged accounts and verifies appropriate collections procedures are being followed. • Managed revenue cycle projects at the Practice level, such as audits and budgets. • Regularly provides upper management with revenue cycle status including reports, metrics, and Presentations. • Developed, monitored and assessed business metrics in order to refine processes and improve efficiencies. • Establishes internal goals and identifies external benchmarks. • Managed and directed a full staff of 57 which included a Cashier Team, Admission Team, Insurance Team, Billing and Invoicing Team, and Social Affairs team.

Billing ManagerFull Time

• Job Details:• Managed the daily start-up operations which included process development of billing functions, charge capture, development of the Charge Description Master, Policy and procedure development and system (EPIC) charging and data scheme. • Responsible for collection, aging, establishing write-off standards and claim denial management. • Conducted assessment with the project management department on patient billing and revenue collection system (EPIC) and (Lawson), to design and implement revenue cycle improvements. • Developed and introduced plans, process, policies and procedures that would reduce bad debt and collection costs. • Served as the project lead for implementation of financial statement information by education sessions to other administrative and clinical departments. • Managed and reviewed all agreed operational procedures and established the objectives with my department. • Wrote and produced the departmental manual. • Managed and developed all aspects along with the project management office, the department design, improvements, enhancements and regulatory requirements for all billing system requirements for EPIC build. • Established with the project management office, the guidelines and project schedules. • Managed, trained and developed a staff of 23 direct reports including hiring, professional development and annual evaluations.