Gray Bolivar

Conducted fiscal and quality assurance monitoring of providers via on-site and internal auditing processes. Negotiated, developed, and designed cost-effective contracts, including language and pricing methodologies. Analyzed price proposals, service delivery proposals, financial data, and other information to determine reasonableness and cost-effectiveness of assigned provider service categories.

Monitored billing/collection staff productivity and efficiency, and scheduled staff workflow to meet department and overall company objectives. Reviewed new contracts, incorporated them into the system, and educated staff. Monitored accounts receivable and intervened as appropriate to ensure timely collection.

Oversaw the operations of the billing department, encompassing medical coding, charge entry, claims submissions, payment posting, accounts receivable follow-up, and reimbursement management. Planned and directed patient insurance documentation, workload coding, billing and collections, and data processing to ensure accurate billing and efficient account collection. Analyzed billing and claims for

Completed a Master of Science in Healthcare Administration. Focused on the complexities of healthcare systems and management.

Obtained a Bachelor of Arts with a dual major in Political Science and Sociology. Gained a comprehensive understanding of political systems, social structures, and human behavior.