Wahedah Akilah Bahaiddin-Adawy

Provided strategic leadership over revenue performance ensuring alignment with the organizational financial targets.
•Managed and supervised a staff of 20 collections team staff. 30 Claims processing staff. Identified all quality issues and provided corrected solutions.
•Supervisee staff responsible for inputting new claims, processing payments, conducting billing research and responding to telephone inquiries.
•Oversaw collections efforts and incoming payments. Managed financial reporting and handled day to day operations of the Collections Department.
•Served as the subject matter expert providing consultation on revenue management and cycle. Mentored and led cross-functional business office teams.
•Evaluated performance against established goals and administered the clinical documentation improvement team activities and hospital coding and medical records functions.
•Managed and supervised the collections team staff activities that promoted best practices for collections. Managed and supervised all receivable revenue and miscellaneous revenue.
•Ensured the accurate and timely disposition of accounts and resolved matters according to processed amounts and company procedures.
•Provides guidance to junior staff on more complex or high-value claims. Provides technical support to staff that process claims.
• Supervised a small group of para-professional staff in an organization characterized by highly transactional or repetitive processes.
•Contributed to the development of processes and procedures. Thorough knowledge of functional area under supervision.
•Handled all discipling, counseling, coaching, advising, training, termination and resolution of personnel issues.
•Conducted all performance evaluations for staff and monitored and measured all collection performance against cash performance targets by collectors, payer categories.
•Previous experience in Customer Service, Patience Services/Satisfaction, Physician inquiries, and/or Insurance Case management

Supervised the day-to-day performance of 32 direct and 38 indirect staff overseeing the revenue lifecycle. Developed and executed key strategies and continuous improvement initiatives focused on financial health and efficient management.
•Slashed A/R average days by 19 over a three-month period leading to a 15% enhanced collection.
•Decreased administration costs by 20% through strategic price negotiations with vendors.
•Stimulated a 39% decrease in clearinghouse denials as well as a 15% reduction in bomb rates over six months.
•Effectively negotiated reimbursements from LOA's, Pre-registration, Insurance Verification, Billing, Account Follow Up, Registration, Coding, Point of Service Cash Collections, Cash Posting, Bad Debt, Credentialing, Medical Records, Financial Counseling, and Customer Service Collections.
•Instrumental in the practice-wide installation of a new software system utilized in preparation for ICD-10.
•Managed and Supervised the Billing, Collections and Claims processing team consisting of 45.
•Provided overall supervision and management of the all collected revenue and miscellaneous revenue.
•Maintained a competent and motivated qualified staff
•Handled all discipling, counseling, coaching, advising, training, termination and resolution of personnel issues.
•Previous experience in Customer Service, Patience Services/Satisfaction, Physician inquiries, and/or Insurance Case management

Delivered strategic direction and leadership to a team of six direct and seven indirect financial professionals. Led EDI functions consisting of electronic claims submission, denial management, and related systems. Evaluated program processes and policies to develop and implement continuous improvement initiatives focused on the enhancement of data collection and reporting processes.
•Streamlined business and financial processes to improve efficiency.
•Recipient of recognition for demonstrating distinguished project implantation of a new system.
•Reduced new software training time through the development of a comprehensive instructional training materials.
•Generated a 25% decrease in backlog while increasing productivity over three months.
•Automated processes to decrease billing cycle turnaround by 40%.
•Spearheaded a 20% reduction in denials over six months through the strategic development of a Denials Management process.
•Ensured consistent application of divisional wide operational practices, policies and procedures.
•Developed, recommended, implemented and monitored goals, objectives and performance standards.
•Tracked and analyzed financial recoveries of outside venders, ensuring effective performance.
•Planned, developed and implemented administrative strategies consistent with business plans, organizational goals, agreements and regulatory bodies.
•Earlier experience providing strategic management of Insurance & Billing Department supporting four behavioral health hospitals and clinics.
•Previous experience in Customer Service, Patience Services/Satisfaction, Physician inquiries, and/or Insurance Case management

Manage day-to-day activities of the Revenue Recovery Operation which audits daily
•Submissions and re-submissions of claims, invoicing, denials and other billing criteria
•Worked closely with CFO, Patient Financial Services Director, other business office
•Supervisors and Finance department to achieve financial strength, good public relations, accounts receivable control and information flow.
•Reviewed and analyzed accounts receivable accounts and variance reports. Periodically reviewed and reported the status of accounts receivable to the Director of Patient Financial Service and CFO.
•Developed and implemented policies and procedures for financial the recovery and monitor of financial Transactions resulting in standardized reports.
•Ensured data accuracy accountability for divisional financial performance, charging methodologies and capture, and revenue enhancement.
•Managed and monitored and managed front-end department billing production workflow along with the denial management and recovery section, Insurance Verification and Authorization.
•Coordinated efforts across all departments to decrease billing errors and increase revenue, I worked closely with the Billing and Collections Manager to determine opportunities for growth.
•Provided support to the Billing and Collections Manger in managing the quality of developed policies and standards and provided my input on regulatory policy.
•Reviewed policies and standards that where developed by staff for accuracy and creditability regarding the subject matter.
•Focused on process improvements in accordance with policy standards.
•Previous experience in Customer Service, Patience Services/Satisfaction, Physician inquiries, and/or Insurance Case management

Responsible for collections, aging, establishing write-off standards and claims denial.
•Process management of claims to collect payments, answering billing inquiries from patients, verifying insurance coverage and reviewing denied claims.
•Coordinated the resolution of complaints with appropriate division and facilities personnel.
•Responded to complex issues relating to members, patients, insurance companies, attorneys, KP employees, and, if appropriate, follow-up with written response.
•Provided instruction, leadership and supervision for a team of 20 employees.
•Handled financial analysis and reporting of billing revenue cycle and practice operations.Monitored revenue against benchmark front-end metrics and accounts receivable targets.Resolved budget variances.
•Wrote policies and procedures for billing, collections and posting.Trained physicians and administration staff to ensure compliance on correct coding and Documentation
•Resolved coding issues for clinical and financial staff.
•Maintained quality levels by conducting random charge/coding audits and work with Staff to resolve issues.
•Worked with payers to ensure all claims were processed and received by the insuranceCompanies in a timely manner. Reduced denials from 39% to 15% in a 6-month period.Analyzed the top denials for each insurance company and identified solutions to increase
•Cash and A/R days.
•Previous experience in Customer Service, Patience Services/Satisfaction, Physician inquiries, and/or Insurance Case management