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Skills

  • Audit coordination
  • Financial statement analysis
  • Billing cycle time reduction initiatives
  • Financial Management
  • Advanced proficiency in Microsoft Excel (pivot tables, VLOOKUP, etc.)
  • Insurance reimbursement analysis
  • Payment processing
  • General accounting
  • Account receivables aging analysis
  • Vendor invoice processing

Work Experiences

  • Contributed to a Innovation Award for best practices.
  • Decreased total receivables by $16.
  • Addressed a 17 claim backlog.
  • Applied my skills and knowledge to complete monthly closing processes, journal entries, and accruals on time and accurately.
  • Achieved results over 14 months.
  • Appealed underpaid claims.
  • Analyzed aged accounts receivables over 15 days.
  • Saved $17 by putting in place cost-cutting measures that addressed long-standing issues.
  • Paid vendors and employees by receiving and verifying expense reports and monitoring discount opportunities.
  • Corrected documentation errors on claims.

Summaries

  • Committed to processing invoices with 100 percent accuracy.
  • Achieved 24% error-free claim processing.
  • Overall morale and productivity are boosted by experience in policy development and staff management procedures.
  • Dedicated to learning, growing, and succeeding in Healthcare.
  • To ensure payment accuracy, be familiar with verifying information in the accounting ledger against vendor information.
  • Professional accountant with over 12 years of experience in the finance industry.
  • Offering 11 years of functional experience in the process industry providing clerical, financial, and administrative services.
  • Hardworking and effervescent, with a strong desire for precision and efficiency.
  • Year-end schedules and additional documents for accounting audits are a strong suit.
  • Achieved a 35% initial acceptance rate for government payer claims.

Accomplishments

  • Used Microsoft Excel to develop inventory tracking spreadsheets.
  • Reduced aged accounts receivable by 31% through targeted follow-ups and aging analysis.
  • Streamlined the claims tracking through automation, resulting in a 46% decrease in delayed reimbursements.
  • Facilitated a 77% improvement in denial processing efficiency by leveraging payer guidelines to reduce common billing errors.
  • Assisted in preparing for external billing audits, contributing to 9 consecutive clean audit cycles.
  • Decreased claim rejections by 59% due to thorough analysis and implementation of corrective action plans.
  • Identified trends in denied claims, which led to the correction of systemic errors and 82% increase in claim approvals.
  • Achieved a 63% faster reimbursement turnaround by refining coding accuracy with ICD-10 codes.
  • Implemented denial management framework, leading to a 60% increase in successful appeals and overturns.
  • Enhanced claim submission accuracy by reviewing and correcting documentation, achieving a claim acceptance rate of 53% on the first submission.

Affiliations

  • Active participant in collaborative projects with the American Medical Billing Association (AMBA)
  • Jaycees
  • Organized and led patient financial services workshops for member clinics of the Patient Advocate Foundation
  • Received recognition from metric for participation in a payer-provider collaboration project
  • International Council of Nurses
  • Member of the American Health Information Management Association (AHIMA) with specialization in ICD-10 coding
  • Active contributor to quarterly meetings at the Regional Healthcare Reimbursement Forum, organizing payer workshops
  • American Society of Safety Professionals
  • National Association of Healthcare Access Management (NAHAM)
  • Member of the Revenue Integrity Taskforce within the National Healthcare Reimbursement Network

Certifications

  • Certified Revenue Cycle Specialist (CRCS) – American Association of Healthcare Administrative Management (AAHAM)
  • Cisco Certified Internetwork Expert (CCIE)
  • Certified Public Accountant
  • Certified Revenue Cycle Representative (CRCR) - framework
  • Registered Health Information Technician (RHIT) - AHIMA
  • Certified Fraud Examiner (CFE) – Association of Certified Fraud Examiners (ACFE)
  • Certified Healthcare Ethics Professional (CHEP) - American Institute of Healthcare Compliance (AIHC)
  • CompTIA A+ Technician
  • Microsoft Certified Systems Engineer (MCSE)
  • Certified Professional Compliance Officer (CPCO) - AAPC

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