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Skills

  • Audit preparation and compliance
  • EMR / EHR
  • Team building
  • Medical billing and coding
  • Patient Assessments
  • Operational improvement
  • Accounts Receivable (A/R) management
  • Attention to detail
  • Program equipment
  • Project organization

Work Experiences

  • Immediately informed Medical Billing Coordinator of any unusual or urgent circumstances in the patients' condition or environment.
  • Achieved a 66% reduction in claim processing time.
  • Followed all necessary procedures to keep the patient's radiation exposure to a minimum.
  • Achieved results within method.
  • Directed patients to exam rooms, answered questions, and helped doctors prepare for exams.
  • Cleared over 4 potentially lost claims.
  • Achieved results over a the past year period.
  • Gathered all relevant information and calculations to assist the physician in interpreting the results.
  • Assisted in transitioning to a HIPAA-compliant billing system.
  • Gathered information about the client's medical history, including medications, symptoms, and allergies.

Summaries

  • Achieved a 85% reduction in data entry errors.
  • Achieved results over a three years period.
  • Recognized on a regular basis for outstanding performance and contributions to the Accounting and Finance industry's success.
  • Achieved a 69% collection rate.
  • Provides a strong commitment to patient education, administrative excellence, and confidentiality.
  • Accomplished Medical Billing Coordinator specializing in payment posting and reconciliation of outstanding accounts. Improved cash flow by resolving over $10 in aging accounts over a the past year period.
  • Committed to ongoing professional development in medical billing.
  • Medical Billing Coordinator with 4 years of successful team leadership and process improvement experience.
  • Implemented and spearheaded have a long history of accurately documenting patient health information, collecting vital signs, and streamlined.
  • Achieved a 25% improvement in claims approval rates.

Accomplishments

  • Created workflow improvements in billing cycle processes, reducing total payment processing time from 5 months to 10 months.
  • Evaluated open A/R and worked with patients on payment plans, recovering 8 over a 18 months.
  • Ensured compliance with state and federal billing regulations, successfully passing billing audits with a 100% compliance rating.
  • Designed and revised coding templates, ensuring accurate usage of CPT and HCPCS codes across all services provided, with 73% accuracy.
  • Successfully revised and corrected coding errors for previously denied claims, recovering a total of $10 in missed revenue.
  • Analyzed patient payment trends against industry benchmarks, identifying areas for improvement in collections which increased recovery by 51%.
  • Created customized reports presenting key billing metrics to leadership, helping the company identify financial gaps and increase revenue by 31%
  • Trained team of 18 staff members on HIPAA-compliant billing standards, achieving a 16% reduction in errors during audits.
  • Resolved product issue through consumer testing.
  • Prepared and presented monthly revenue analysis reports to senior management, influencing strategic decisions around revenue cycle management.

Affiliations

  • Recipient of the 2018 Medical Office Manager of Tomorrow Award from standard
  • Contributed to the editorial board of system regarding medical billing accuracy
  • International Council of Nurses
  • Member of the National Uniform Billing Committee, contributing to new billing formatting standards
  • Active involvement with American Association of Healthcare Administrative Management (AAHAM)
  • Lions Club
  • National Healthcareer Association (NHA) – Certified Billing and Coding Specialist (CBCS)
  • Volunteer tutor on medical coding classes at system
  • Freemason
  • American Medical Billing Association (AMBA), Contributor to webinars on insurance claim processing

Certifications

  • ServSafe
  • Certified Medical Office Manager (CMOM) - Practice Management Institute (PMI)
  • Certified Healthcare Financial Professional (CHFP) - standard
  • Project Management Professional (PMP)
  • Certified Electronic Health Records Specialist (CEHRS) - National Healthcareer Association (NHA)
  • Certified Professional in Health Information Management (CPHIMS), HIMSS
  • Certified Patient Management Specialist (CPMS) - standard
  • Certified Outpatient Coder (COC) metric
  • Certificate in Health Information Fundamentals - process
  • Certified Public Accountant

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