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Skills

  • Healthcare regulations adherence
  • Operational improvement
  • Monthly performance reporting
  • Revenue cycle management
  • Aging reports analysis
  • Accounts reconciliation
  • Aging account analysis
  • Debt reduction strategies
  • Financial statements audit
  • Workflow Optimization

Work Experiences

  • Achieved a 40% reduction in rejected claims.
  • Collaborated with billing staff and IT department to implement an EDI solution for electronic claims, reducing processing errors by 80% %.
  • Achieved a claim resolution success rate of 32%.
  • Achieved results during 2015.
  • Collaborated with legal teams on severely delinquent accounts to place cases into arbitration, recovering 62% of debts that were near charge-off status.
  • Achieved a 47% increase in insurance recovery rates.
  • Achieved 62% faster claim dispute resolution.
  • Transported Salesforce to one year customer locations.
  • Collaborated with legal teams on delinquent accounts.
  • Pushed for operational changes that resulted in cost savings and higher profit margins.

Summaries

  • Achieved results within the past year.
  • Dedicated to learning, growing, and succeeding in Accounting and Finance.
  • Adept at utilizing advanced medical billing and coding techniques.
  • Adept at utilizing advanced medical billing and coding techniques to investigate unpaid claims, achieving a claim resolution success rate of 31% and reducing payment discrepancies.
  • Costs were consistently reduced while profits were increased.
  • Outstanding ability to resolve billing disputes, provide excellent customer service, and process payments.
  • Bolstered overall efficiency in medical collections operations.
  • Achieved a 51% improvement in turnaround times.
  • Consistent achiever in exceeding recovery targets.
  • Strengths in stakeholder engagement and workflow optimization backed up by Accounting and Finance training.

Accomplishments

  • Achieved a 39% debt recovery rate on severely delinquent accounts by collaborating with legal teams to navigate arbitration.
  • Increased claim resolution effectiveness by 71% through ongoing insurance training and process improvements.
  • Resolved complex payer issues, reducing denied claims by 80% and increasing department reimbursement by $11 annually.
  • Reduced denied claims by 83% through systematic review and pre-submission auditing of aging accounts.
  • Documented and resolved framework which led to process.
  • Recovered $2 in denied claims after thorough payment discrepancy analysis and re-submission of corrected forms.
  • Led implementation of an automated claims system, improving efficiency and reducing manual errors, saving the department $2 annually.
  • Partnered with billing teams to reduce re-submission rates by 58%, streamlining the claims submission workflow.
  • Collaborated with team of 2 in the development of category.
  • Implemented new aging account review procedures, reducing outstanding account balances by $17 within 18 months.

Affiliations

  • Association of Information Technology Professionals
  • Regional Healthcare Compliance Association (RHCA)
  • Toastmasters
  • Certified Professional Collector (CPC) - ACA International
  • Medical Collections Leadership Development Seminar - 2021
  • Patient Financial Services Leadership Network
  • American Marketing Association
  • Insurance Billing and Coding Specialist (CBCS) - NHA
  • American Association of Healthcare Administrative Management (AAHAM)
  • United Credit System Association (UCSA)

Certifications

  • Medical Billing and Coding Certificate by Vantage
  • Certified Healthcare Access Associate (CHAA) by procedure
  • Microsoft Certified Systems Engineer (MCSE)
  • Certified Patient Account Representative (CPAR)
  • CompTIA Network+
  • Certified Specialist Business Intelligence (CSBI) by HFMA
  • Certified Credit and Collections Professional (CCCP) by ACA International
  • Specialist in Managed Care (SMC) by HFMA
  • Certified Legal Process Professional (CLPP) by ACA International
  • Registered Health Information Technician (RHIT)

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