Summary
Overview
Work History
Education
Skills
Accomplishments
References
Timeline
Generic

Kelly Bolts

Phoenix,AZ

Summary

To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills. I am a driven finance Manager with 20+ years of experience and a proven knowledge of all aspects of the revenue cycle management. Aiming to leverage my skills to successfully fill the revenue cycle role at your company.

Overview

11
11
years of professional experience

Work History

Senior Analysis - CMS Financial Auditor - Caremark (PBM)

CVS Health
01.2022 - Current
  • Prepare and facilitate auditor's onsite/virtual visits to review legal and confidential contracts and documents to verify accurate claim processing.
  • Assessed risks and internal controls by identifying areas of non-compliance and evaluating manual and automated financial processes.
  • Partnered with auditors to track errors and add contributions to maintain accuracy.
  • Identified areas of risks and worked closely with operations to identify and implement solutions.
  • Highly adept in account analysis, reconciliation methods, and documentation.
  • Managed multiple concurrent audit projects effectively, meeting deadlines while maintaining high-quality work output consistently.
  • Communicated audit progress and findings by providing information in status meetings and highlighting unresolved issues.
  • Effectively identified, communicated and resolved issues found at audit with appropriate stakeholders through written reports and virtual meetings.
  • Provided financial control information by collecting, analyzing and summarizing data and trends.

FINANCE SUPERVISOR - LONG TERM CARE DIVISION

CVS Health
01.2017 - 01.2022
  • Deep knowledge of pharmaceutical private and facility financing on multimillion dollar clients
  • Managed financial invoices on thousands of facilities in United States
  • Acting business partner to all levels of management for external and internal clients which executes professional objectives, practice, and policies to meet business needs
  • Assisted in launching, hiring, and developing workflows for central billing office in Phoenix that consisted in 650 employees
  • Developed and trained employees for multiple departments across nation
  • Set team expectations and goals daily, weekly, and monthly
  • Proven communication skills, written and verbal, to include presentations before small and large groups
  • Led process improvement projects within the finance function, resulting in streamlined workflows and enhanced collaboration among team members.
  • Streamlined month-end closing procedures, reducing time spent on reconciliations and ensuring timely financial statement preparation.
  • Established key performance indicators that allowed for ongoing measurement of finance department productivity and effectiveness levels.
  • Managed a high-performing finance team, fostering a culture of continuous improvement and professional development opportunities for staff members.
  • Provided timely and accurate financial information to stakeholders by establishing efficient communication channels between departments.
  • Collaborated with cross-functional teams on strategic planning initiatives, ensuring alignment with overall corporate objectives from a financial perspective.
  • Established internal audit procedures to validate and improve accuracy of financial reporting.

MEDICAL BILLING SPECIALIST

MDS Medical
01.2016 - 01.2017
  • Managed billing and coding for doctor offices nationally
  • Developed and submitted 1000s multi-state medical charges electronically and through paper
  • Collected resident and insurance payments and appealed insurance denials for Medicare, Medicaid, commercial, and work comp claims.

LEAD/PROJECT LIAISON

Phoenix Heart
01.2013 - 01.2016
  • Managed billing team of 15 medical coders, billers, collectors, authorization, and referral departments
  • Implemented coding and document audits to ensure accuracy in billing guidelines
  • Provided appropriate educational and coaching to improve areas of opportunity for staff and Medical providers
  • Analyzed system data and presented financials to Board of Directors
  • Provided cost analysis on equipment and supplies
  • Provided forecasting on revenue and accounts receivable balances
  • Completed provider credentialing with insurance, hospitals, and State licenser
  • Assisted in building, developing, and credentialing outpatient surgical center
  • Assisted in restructuring multiple departments that resulted in expenditure reductions
  • Ensured that office stayed within compliance with Federal and State laws and regulations.

Education

M.B.A - Masters Business Administration -

GRAND CANYON UNIVERSITY
Phoenix, AZ
01.2017

B.S. Science in Accounting -

GRAND CANYON UNIVERSITY
Phoenix, AZ
01.2014

Skills

  • DATA/COST ANALYSIS
  • FORECASTING
  • ACCOUNTING
  • CLAIM PAYMENT, PROCESSING, COLLECTIONS, AND APPEALS
  • EMPLOYEE RELATIONS
  • TRAINING/DEVELOPMENT
  • CLAIM PROCESSING AND MONTHLY INVOICING
  • CMS FINANCIAL AND CLAIM PROCESSING AUDITOR

Accomplishments

  • 2017 PRESIDENT - AMERICAN ACADEMY OF PROFESSIONAL CODERS - GLENDALE CHAPTER - 565 MEMBERS
  • DEVELOPED ALL DAY CODING SEMINARS - 200+ ATTENDEES

References

  • Earlyn Brubaker, Personal Reference, CVS Health, Phoenix, AZ, (623)268-8514, earlyn.brubaker@gmail.com, Senior Director
  • James Brooks, CVS Health, Phoenix, AZ, (480) 765-6294, james.brooks@CVSHealth.com, Director
  • Deb Travers, Manager, CVS Health, Phoenix, AZ, (480) 580-8412, Deborah.Travers@Omnicare.com, Manager

Timeline

Senior Analysis - CMS Financial Auditor - Caremark (PBM)

CVS Health
01.2022 - Current

FINANCE SUPERVISOR - LONG TERM CARE DIVISION

CVS Health
01.2017 - 01.2022

MEDICAL BILLING SPECIALIST

MDS Medical
01.2016 - 01.2017

LEAD/PROJECT LIAISON

Phoenix Heart
01.2013 - 01.2016

M.B.A - Masters Business Administration -

GRAND CANYON UNIVERSITY

B.S. Science in Accounting -

GRAND CANYON UNIVERSITY

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