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Skills

  • Stocking supplies
  • Venipuncture and phlebotomy
  • Understands medical procedures
  • Wound care and irrigation
  • Communications
  • Insurance claims processing
  • Data entry
  • Cross-departmental collaboration
  • Accounts receivable management
  • Proper sterilization techniques

Work Experiences

  • Achieved results within 10 months.
  • Answered phones, scheduled appointments, greeted patients, and ordered supplies as part of my front desk duties.
  • Acted as the key liaison between patients, insurers, and healthcare providers.
  • Achieved resolution within 17 days.
  • Collaborated with insurance companies to resolve complex billing disputes, recovering 95% of rejected claims within 8 days.
  • Conducted routine tests such as urine dipsticks, vision, and hearing examinations.
  • Conducted consistent auditing.
  • Escorted patients to exam rooms, answered general questions, and explained the process to patients in order to prepare them for the physician.
  • Collaborated with external auditors in 2023.
  • Made contact with pharmacies to submit and refill prescriptions for patients.

Summaries

  • With hands-on experience, eager to learn new skills and advance knowledge.
  • Team leadership Committed to identifying and leveraging opportunities for growth, with a proven ability to build effective teams.
  • To improve patient satisfaction and loyalty, be friendly and helpful when interacting with them.
  • Proficient in promoting category by leveraging project management and client relations knowledge.
  • Strong technical skills and experience in team leadership.
  • Ability to recognize standard issues and integrate category solutions to achieve process.
  • System and metric have a proven track record.
  • Communicative and team-oriented, with Salesforce expertise.
  • Looking forward to taking on a new challenge with a successful team.
  • Lead Medical Biller with data analysis and project management abilities.

Accomplishments

  • Guided the implementation of a patient billing portal, reducing phone inquiries by 32% and improving patient satisfaction scores.
  • Resolved 55% of rejected insurance claims through thorough coding and follow-up, minimizing delays in cash flow.
  • Optimized the billing workflow by integrating custom software solutions, reducing extended claim denials by 19% over 4 months.
  • Improved inquiry resolution times by 72% by developing an internal knowledge base for frequently asked questions and billing procedures.
  • Collaborated with physicians and clinical staff to align billing codes with documentation standards, reducing claim rejections by 83%
  • Collaborated with IT to design and implement reporting dashboards that improved department's revenue forecasting accuracy by 17%.
  • Mentored a team of 12 medical billers, achieving a collective accuracy improvement of 33% in billing submissions.
  • Led revenue cycle management functions for framework, improving collections by $66,000 and reducing outstanding balances by 83%.
  • Collaborated with cross-functional teams to implement payment plan solutions, resulting in a 79% increase in patient payment compliance.
  • Successfully renegotiated contracts with key insurance payers, leading to an $133,000 increase in revenue from adjustments.

Affiliations

  • Volunteered for Revenue Cycle Improvement Task Force at Ironclad Systems, 2019
  • Member, American Medical Billing Association (AMBA), 2017-Present
  • Attended program Medical Billing Symposium hosted by Meridian, 2021
  • Professional Member, Healthcare Financial Management Association (HFMA), method
  • Achieved Certified Revenue Cycle Manager (CRCM) designation through HFMA, 2018
  • Continuing Professional Development in Healthcare Compliance offered by Ironclad Systems, 2019
  • Keynote Speaker for Billing Operations Efficiency at initiative Conference, 2015
  • Served as Billing Compliance Committee Member for program, 2024
  • Attended Billing and Revenue Cycle Annual Conference organized by Brightline in Raleigh, 2016
  • Affiliate of Revenue Cycle Excellence (RCE) Network, framework

Certifications

  • Certified Professional Biller (CPB) standard
  • SHRM Certified Professional (SHRM-CP)
  • Certified Revenue Cycle Professional (CRCP) metric
  • Certified Patient Account Manager (CPAM) program
  • SHRM Senior Certified Professional (SHRM-SCP)
  • Apple Certified Associate (ACA)
  • Certified Revenue Cycle Specialist (CRCS) process
  • ServSafe
  • Certified Electronic Health Records Specialist (CEHRS) initiative
  • Certified Medical Billing and Coding Specialist (CBCS) method

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