Kassie Nicholson
Lyles
Summary
At Summit 9 of the acute psychiatric hospitals hit goal a month after i was overseeing their revenue. Aging numbers also declined.
At American Addiction Centers when the revenue cycle was in house they made more money than when they went to an outside billing company.
Overview
17
17
years of professional experience
Work History
Senior CBO Manager
Summit Behavioral Health, Franklin
01.2025 - 07.2025
- Oversee the billing process for all 28 SUD facilities and 10 Acute facilities
- Oversee all aging for every facility
- Work closely with UR, CEO and CFO for each facility
- Work with different state funded departments so claims will be paid in a timely manner
- Run monthly AR meetings with each facility
- Currently overseeing a staff of 50 people.
- Approve all refunds under $10,000
- Approve all adjustments under $10,000
- Approve all SCAs (Single case agreements)
- Work with insurance provider representatives on claim issues
- Make sure the close process for month end runs smoothly
- Move patients over for collections
- Work with outside vendors
Account Manager
Hansei Solutions, Franklin
07.2024 - 12.2024
- Oversee American Addiction Center’s account
- Work closely with the facility Director and CFO
- Move upfront money from one account to another
- View denial trends, work with other departments to correct them
- Run weekly meetings with AAC facilities regarding billable OP hours.
- Work with Clark Co and Henderson CO, Nevada to get claims paid
Director of Revenue
American Addiction Center, Brentwood
08.2023 - 07.2024
- Run Bank Reports Daily
- Enroll providers into different insurance websites
- Oversee all systems payments are posted in
- Work closely with offshore billing company
- Training for new employees
- Work with other upper management to make sure the company hits monthly goal
- Work closely with VP of Accounting, CEO and CFO at Corporate
- Help with appeals and any aging
- Oversee all revenue cycle departments
- Work closely with facility CEOs, business office managers and providers
- Build different reports
- Reviewing accounts for outside collection company
- Works with Nevada Court system
- Balance all facilities monthly with our Banks
- Balance daily credit cards report to make sure everything hits the banks
- Answers any questions the patient has regarding their bills
- Managing Employees
Manager
American Addiction Center, Brentwood
06.2021 - 08.2023
- Run Bank Reports Daily
- Enroll providers into different insurance websites
- Oversee all systems payments are posted in
- Work closely with outsourcing companies
- Training for new employees
- Work with other upper management to make sure the company hits monthly goal
- Correct and errors
- Help with appeals and any aging
- Answers any questions the patient has regarding their bills
- Managing Employees
Teamlead
American Addiction Center, Brentwood
04.2015 - 06.2021
- Posting payments from insurance companies and patient checks
- Work denials, contact insurance companies
- Doing audits on other employees’ work
- Balancing daily work
- Running Month End Reports
Office Manager
Medical Data Services, Nashville
10.2008 - 04.2015
- Managing the office and employees
- Working closely with providers
- Entering patient information into billing database
- Billing out charges correctly
- Posting payments from insurance and patients
- Logging all work onto a spreadsheet
- Closing out daily activity for all providers
- Problem solving personal patient accounts
- Calling on aging
- Reviewing accounts for pre-collections letters and preparing accounts for outside collections.
Education
High School -
Hickman County High School
05.2000
Skills
- Writing and enforcing policy and procedures
- Knowledge of current HIPPA guidelines
- Experience with all revenue cycle departments
- Knowledge of ICD-10, CPT, Revenue and HCPCS Codes
- Managing skills and experience
- Knowledge of Microsoft Word, Excel and Google Docs
Personal Information
Timeline
Senior CBO Manager
Summit Behavioral Health, Franklin
01.2025 - 07.2025
Account Manager
Hansei Solutions, Franklin
07.2024 - 12.2024
Director of Revenue
American Addiction Center, Brentwood
08.2023 - 07.2024
Manager
American Addiction Center, Brentwood
06.2021 - 08.2023
Teamlead
American Addiction Center, Brentwood
04.2015 - 06.2021
Office Manager
Medical Data Services, Nashville
10.2008 - 04.2015
High School -
Hickman County High School
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