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Skills

  • Customer service excellence
  • Cross-functional team collaboration
  • Medical terminology
  • Revenue cycle management
  • Budgets
  • Insurance Verification
  • Billing dispute resolution
  • Conflict resolution
  • Medical office administration
  • Relationship development

Work Experiences

  • Communicated claim statuses and appeals directly with insurance companies, ensuring payments on over 17 high-dollar claims within standard.
  • Achieved a 64% improvement in claim submission accuracy.
  • Collaborated with clinical staff.
  • Gathered all relevant information and calculations to assist the physician in interpreting the results.
  • Gathered information about the client's medical history, including medications, symptoms, and allergies.
  • Achieved results during 2015.
  • Collaborated with clinical staff to clarify treatment plans and billing codes to facilitate timely payment of claims.
  • Achieved a 66% reduction in claim processing time.
  • Directed patients to exam rooms, answered questions, and helped doctors prepare for exams.
  • Assisted in transitioning the office to a HIPAA-compliant billing system, reducing data handling errors by 42%.

Summaries

  • Within Accounting and Finance, senior Medical Billing Coordinator and outstanding performer in strategic planning and client relations.
  • Medical Billing Coordinator with extensive knowledge of medical policies and regulations.
  • 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.
  • Achieved a 38% improvement in patient satisfaction scores.
  • Medical Billing Coordinator is a multi-talented Medical Billing Coordinator who is consistently rewarded for planning and operational improvements.
  • Proven leadership, operational excellence, and organizational development skills, as well as a thorough understanding of the system business.
  • Accomplished Medical Billing Coordinator with 11 years of experience.
  • Recognized for motivating management team members to achieve their goals and fostering innovative work environments.
  • Provides a strong commitment to patient education, administrative excellence, and confidentiality.
  • Achieved a 69% collection rate.

Accomplishments

  • Achieved 50% growth in patient satisfaction by creating clear and accessible patient billing communications.
  • Prepared and presented monthly revenue analysis reports to senior management, influencing strategic decisions around revenue cycle management.
  • Initiated improved communication protocols between billing and clinical teams, reducing delayed submissions by 27%.
  • Created customized reports presenting key billing metrics to leadership, helping the company identify financial gaps and increase revenue by 31%
  • Evaluated open A/R and worked with patients on payment plans, recovering 8 over a 18 months.
  • Ensured timely and accurate delivery of over 12 billing invoices weekly, achieving a 52% on-time submission rate.
  • Led efforts to implement ICD-10 transition within billing system, achieving seamless integration over 12 months with no revenue loss.
  • Developed procedure to reconcile accounts receivable discrepancies, resulting in timely resolution of over 6 in outstanding claims.
  • Implemented a claims tracking system and scheduled routine follow-ups, reducing claim denials by 27% over 2019.
  • Streamlined claims submission process using category, reducing denials by 19% and improving collection efficiency.

Affiliations

  • Society of Human Resource Management
  • American Society of Safety Professionals
  • Society of Women Engineers
  • Project Management Institute
  • American Medical Billing Association (AMBA), Contributor to webinars on insurance claim processing
  • Association of Information Technology Professionals
  • Completed Advanced CPT Coding courses through initiative
  • Volunteer tutor on medical coding classes at system
  • Recipient of the 2018 Medical Office Manager of Tomorrow Award from standard
  • Toastmasters

Certifications

  • Certified Specialist in Healthcare Quality (CSHQ) - procedure
  • Certified Professional Medical Auditor (CPMA) - AAPC
  • Certified Professional Coder (CPC) - AAPC
  • Salesforce
  • Google Certified Professional Cloud Architect
  • CompTIA Security+
  • Certified Revenue Cycle Specialist (CRCS) – American Association of Healthcare Administrative Management (AAHAM)
  • Certified Documentation Expert Outpatient (CDEO) - AAPC
  • Health Information Technology Specialist (HIITS) - initiative
  • Cisco Certified Internetwork Expert (CCIE)

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