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Skills

  • Audit preparation and execution
  • Standard coding
  • First Aid/CPR
  • RFI Scanners
  • Data entry
  • Proper sterilization techniques
  • CCTV
  • MS Office
  • Biller performance monitoring
  • Patient feeding

Work Experiences

  • Cut the number of patients who had to wait by 10%.
  • Automated daily billing tasks.
  • Collaborated with insurance companies to resolve complex billing disputes, recovering 95% of rejected claims within 8 days.
  • Reduced equipment costs by 10% by implementing a new inventory tracking system.
  • Conducted rigorous internal auditing.
  • Assisted with diagnostic and technical treatment procedures, as well as the setup and operation of specialized medical equipment and apparatus.
  • Collaborated with external auditors in 2016 to review and adjust coding practices, resulting in a 30% increase in approved claims.
  • Taught patients about medications, procedures, and doctor's orders.
  • Achieved this over a 17-month period.
  • Assisted residents in achieving framework program objectives and increasing their independence.

Summaries

  • Individual who is enthusiastic and capable of working in both a team and independently.
  • Knowledge of SAP in depth, as well as project management and budget management abilities.
  • Lead Medical Biller is a hardworking and dependable Lead Medical Biller who excels at strategic planning and client relations.
  • Student pursuing a Healthcare degree who is eager to contribute developed knowledge in the role of Lead Medical Biller.
  • Achieved a 47% improvement in revenue cycle management efficiency.
  • Accomplished Lead Medical Biller with proven credentials in audit preparation, leveraging internal controls to pass 12 consecutive state and federal audits unscathed.
  • Looking to join a medical team that is committed to providing the highest level of patient care.
  • Achieved a 68% reduction in unresolved cases.
  • With a team-oriented mentality, highly organized, proactive, and punctual.
  • Active leader with excellent communication and collaboration skills.

Accomplishments

  • Led revenue cycle management functions for framework, improving collections by $66,000 and reducing outstanding balances by 83%.
  • Developed standardized billing procedures that reduced the new task training period for employees by 83% and improved overall efficiency.
  • Ensured 100% HIPAA compliance across all billing operations, successfully passing 15 external audits without violations.
  • Guided the implementation of a patient billing portal, reducing phone inquiries by 32% and improving patient satisfaction scores.
  • Decreased aged accounts receivable over 90 days by 51% through proactive account follow-up and insurer relationships.
  • Worked directly with insurance providers to negotiate payment terms, recovering $108,000 in underpaid claims across 12 months.
  • Reduced claim processing time by implementing an automated billing system, cutting manual errors by 27% and increasing overall efficiency.
  • Implemented a billing review process that led to the recovery of $86,000 in missed claim opportunities last quarter.
  • Successfully managed end-to-end revenue cycle for a metric practice, increasing revenue collections by 15% higher than the industry average.
  • Successfully recovered $81,000 in outstanding revenue by resolving disputes with insurance companies and patients, within 11 days.

Affiliations

  • Completed Medical Billing and Coding Program at Cedar Works, Certified in 2021
  • Attendee, MedTech Revenue Cycle Seminar conducted by Ironclad Systems, 2019
  • Professional Development in Medical Coding Audits provided by category, 2021
  • Continuing Professional Development in Healthcare Compliance offered by Ironclad Systems, 2019
  • Affiliate of Revenue Cycle Excellence (RCE) Network, framework
  • Member, Medical Group Management Association (MGMA) since 2021
  • Lead Facilitator, Coding and Billing Workshops for standard, framework
  • Certified Professional Biller (CPB) through AAPC, Achieved in 2021
  • Served as Billing Compliance Committee Member for program, 2024
  • Certified Healthcare Billing and Management Executive (CHBME) from HBMA, 2018

Certifications

  • Apple Certified Associate (ACA)
  • Certified Public Accountant (CPA)
  • Certified Outpatient Coder (COC) metric
  • ServSafe
  • Certified Professional Biller (CPB) standard
  • American Academy of Financial Management (AAFM)
  • Certified Professional Coder (CPC) issued by AAPC
  • Certified Professional Medical Auditor (CPMA) framework
  • Certified Revenue Cycle Professional (CRCP) metric
  • SHRM Certified Professional (SHRM-CP)

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