Role: Account Services Admin
Brief summary of experience: Following graduation from Baylor University with a degree in Public Relations and a minor in Business Administration I joined the OMS team in 2005 where I have been ever since.
Summary of how you help practices each and every day: I manage the daily review of payments and denials, identifying issues and communicating with practices via the OMS Message Board to ensure timely claim processing. This includes gathering missing information, updating claims, and submitting them for review. I also oversee accounts receivable for partners, coordinating with staff on outstanding claims and following up on unpaid accounts. Additionally, I lead Clearinghouse setup for new clients, handle payer and remit agreements, and verify credentials to maintain accuracy.
What do you love most about your job: My favorite task is reviewing AR for our partners. I love to compare month to month data and highlight improvements our team’s work has done for their AR. As a team we work diligently to chase down every dollar for our partners.
What are some of the biggest challenges you’ve seen practices face in the last year and how do you help solve them: A big challenge many offices face is keeping up with the yearly insurance changes of CPT protocols and the multiple procedure rule. Some payers pay a reduced amount for the second and subsequent procedures performed on the same day and these changes vary payer to payer. Updating and implementing yearly changes is a collaborative effort between OMS and the office, with the office staff and doctor playing a key role in staying informed and addressing these updates.
What’s a memorable team moment or success you’ve been part of: Originally, when I joined the company it was called OM Claims and as the company grew the team was able to provide more services and solutions. Eventually the company was renamed Optometric Medical Solutions (OMS). Being a part of the growth from the beginning has been very exciting. I take pride in being with the team from its infancy to now.
What’s something unique about the way you approach your work: I approach working the clients accounts as if I worked directly in their office. I believe every other OMS team member does the same and that makes our company unique and successful. Our team genuinely cares about the provider’s success.
Is there any piece of advice you consistently give practices: I have 3 crucial pieces of advice that are most common among our practices and helping ensure their patient cycle and cash flow stay on track:
- Enable a process to cross check the claims filed report daily to ensure that no claim was missed or lost in the filing process.
- Cross training is a crucial strategy for a practice to consistently achieve productive results.
- Every single person from the front desk to the doctor provides a crucial role in reaching the full potential of the practice. The doctor needs the front desk to obtain all the required patient/medical information for them to accurately treat the patient and submit quality claims for reimbursement.
In your opinion, what sets OMS apart from others in the industry: Our team touches and reviews every payment and denial that an office receives and this allows for consistent assessment of cash flow. This also enables us to catch any filing patterns that need to be stopped immediately.
What’s one thing on your bucket list you’re excited to check off: Honestly I have never made a bucket list as I am currently living the busy daily life with young kids in school and youth sports. So creating a bucket list is on my bucket list!