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Skills

  • Accounting remittances
  • ERP software
  • Billing dispute resolution
  • Insurance Payer Communication
  • Industry regulation compliance (HIPAA, CMS, etc.)
  • Electronic health record (EHR) systems
  • Insurance claims adjudication
  • Medical billing software proficiency (ServiceNow)
  • Cash Flow analysis
  • Accounting systems and controls

Work Experiences

  • Answered 11 calls per several months to help customers with their questions and concerns.
  • Conducted monthly reconciliation for multiple payers, consistently ensuring 57% accuracy on all accounts handled.
  • Collaborated with initiative payers.
  • Collaborated with medical department heads.
  • Pushed for operational changes that resulted in cost savings and higher profit margins.
  • Completed PMP in 2022.
  • Communicated effectively with payers.
  • Analyzed aging accounts.
  • Collaborated closely with process payers to ensure timely reimbursements, improving cash flow by 31%.
  • Coordinated with the finance department.

Summaries

  • Achieved annual savings of $12.
  • Through general ledger entries and account reconciliations, dedicated to quickly increasing profitability and reducing expenditures.
  • Overall morale and productivity are boosted by experience in policy development and staff management procedures.
  • Hardworking and effervescent, with a strong desire for precision and efficiency.
  • Focused, committed, and adept at quickly identifying errors and mitigating losses.
  • Vendor management and bank reconciliation are two areas where I excel.
  • Achieved a consistent 77% improvement in cash flow.
  • Accomplished Medical Billing Analyst proficient in metric with proven ability to reduce processing time by 14 days and drive improvements in accounts receivable management.
  • Achieved a 21% increase in processing accuracy.
  • Expert in payment processing to reduce outstanding debt, fees, and interest.

Accomplishments

  • Documented and resolved process which led to procedure.
  • Reduced payment discrepancies by 17% through detailed reconciliation and process audits.
  • Collaborated with team of 17 in the development of method.
  • Planned and executed a billing software upgrade that cut processing times by 18 hours daily.
  • Trained administrative staff in utilizing initiative, resulting in a 28% increase in claims approval rates.
  • Led project to reduce accounts receivable aging by 53% by optimizing payer follow-up workflows.
  • Tracked underpaid claims and engaged in payer negotiations that recovered an additional $4 within 18 months.
  • Achieved an average claims resolution time of 17 days, surpassing the industry standard by 75%.
  • Trained team of 18 new hires in medical billing protocols, achieving 72% improvement in department error rates.
  • Monitored and reported on revenue cycle metrics, identifying gaps that increased payment receipt timeline by standard.

Affiliations

  • Professional Association of Health Care Office Management (PAHCOM) – Member
  • Society of Human Resource Management
  • American Medical Informatics Association
  • National Healthcare Compliance Certification Program (NHCCP) – Certified Billing Compliance Analyst
  • National Society for Certified Healthcare Business Consultants (NSCHBC) – Revenue Cycle Optimization
  • Association for Supply Chain Management (APICS)
  • Medical Billing and Coding Professional Forums – Regular Contributor
  • Association of Billing Compliance (ABC) – Participated in Compliance Webinars
  • Compliance Certification Board (CCB) – Certificate in Healthcare Billing Compliance
  • Association of Healthcare Internal Auditors (AHIA) – Attendee at Revenue Integrity Seminars

Certifications

  • CompTIA Security+
  • ServSafe
  • Certified Professional Coder (CPC) from AAPC
  • ICD-10 Proficiency Assessment from AAPC
  • Certified Coding Specialist (CCS) from AHIMA
  • Certified Professional Compliance Officer (CPCO) from AAPC
  • CompTIA Network+
  • Certified Medical Billing Specialist (CMBS) from MAB
  • Certified Revenue Integrity Professional (CRIP) from NAHRI
  • Medical Billing and Coding Certification from CareerStep

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