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Skills

  • Advanced Microsoft Excel (Pivot Tables, VLOOKUP)
  • Process improvement
  • Problem resolution
  • Ability to compile data
  • Relationship development
  • Revenue cycle management
  • Billing cycle reduction
  • Implementation of Regulatory Updates
  • Training and mentoring
  • Detail-Oriented Claims Auditing

Work Experiences

  • Adjusted billing procedures.
  • Audited insurance payer contracts.
  • Created detailed monthly billing reports for the finance department that improved visibility into receivables and financial performance.
  • Collected outstanding balances totaling $16 from patients and third-party payers, exceeding monthly recovery targets.
  • Looked for industry trends on social media and through online sources.
  • Answered 12 calls per three years to help customers with their questions and concerns.
  • Adjustments, premiums, and refunds were all calculated by me.
  • Analyzed claim rejection trends and submitted corrective action reports resulting in a 81% improvement in first-pass approval.
  • Created clear and concise patient statements, improving transparency and reducing inbound billing-related inquiries by 59%.
  • Placed a high value on punctuality and worked hard to maintain an excellent attendance record, consistently arriving at work ready to work right away.

Summaries

  • Accomplished Insurance Billing Coordinator skilled in overseeing claims from submission to resolution, increasing reimbursement rates by 49% through efficient payer liaison and proactive follow-up.
  • Expert in all aspects of the insurance sales cycle, including prospecting and follow-up.
  • Hardworking Insurance Billing Coordinator with 14 years of telecommuting experience meeting customer needs.
  • Proficient in Tableau, as well as a dependable nature and a resourceful problem-solving approach.
  • Achieved prompt resolution of discrepancies.
  • Insurance Billing Coordinator with 8 years of experience, dedicated to providing personalized, courteous service.
  • Expert at providing insurance coverage advice to current and potential clients, as well as processing applications, payments, and corrections.
  • Achieved a 62% reduction in rejections.
  • Achieved faster payment turnaround times.
  • A trial-and-data-driven approach to claim appeals, recovering $6 in lost payments within 6 months, vastly improving overall revenue collection.

Accomplishments

  • Presented regular audit findings to senior management, providing actionable insights that reduced claim processing issues by 77%.
  • Partnered with the clinical team to improve documentation accuracy for higher reimbursement rates, boosting revenue by 84%.
  • Documented and resolved metric which led to system.
  • Developed insurance verification protocols to minimize claim denials, reducing verification errors by 57% in the first one year.
  • Reduced data entry errors by 39% through comprehensive staff training on new billing software and automation tools.
  • Designed and launched a monthly reporting tool that provided key insights into denial trends, leading to a 53% increase in collections.
  • Fostered strong relationships with insurance payers across multiple networks, resulting in smoother claim escalations and an improved resolution time for complex cases.
  • Executed regular internal audits on claims submissions to monitor procedural accuracy, driving a 65% improvement in first-pass claim rates.
  • Streamlined claims resubmission workflows, which resulted in a 69% reduction in claim turnaround time and a 3 increase in monthly cash flow.
  • Successfully implemented a streamlined patient communication system, cutting billing-related customer inquiries by 53%.

Affiliations

  • Medical Coding Professionals Network
  • National Association of Healthcare Revenue Integrity (NAHRI)
  • American Academy of Healthcare Interior Designers Administrative Group
  • American Society of Safety Professionals
  • Society of Human Resource Management
  • Certified Patient Account Manager (CPAM) – PMP
  • American Society of Health-System Pharmacists Billing and Reimbursement Section
  • Certified Revenue Cycle Specialist (CRCS) through AAHAM CPA
  • Society of Women Engineers
  • International Association of Insurance Professionals (IAIP)

Certifications

  • Salesforce
  • Health Information Management (RHIA) Certification from Vantage - AHIMA
  • Healthcare Financial Management Association (HFMA) Certification in Patient Financial Services
  • National Certified Insurance and Coding Specialist (NCICS) from Lakeside Partners
  • Certified Revenue Integrity Professional (CRIP) from Beacon Labs
  • Cisco Certified Network Associate (CCNA)
  • Certified Public Accountant (CPA)
  • Certified Medical Administrative Assistant (CMAA) from Summit Group - NHA
  • Compliance Certification Board (CCB) Healthcare Compliance Certification
  • Certified Professional Coder (CPC) from Ironclad Systems - AAPC

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