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Skills

  • Microsoft Office Suite proficiency
  • Regulatory compliance
  • Insurance claims
  • Monitoring patient progress
  • Patient scheduling
  • Attention to detail for billing discrepancies
  • Patient Assessments
  • Business operations
  • Supervision
  • Organization

Work Experiences

  • Assisted with the reconciliation of physician encounter forms.
  • Assumed additional responsibility during peak periods by handling up to 11 extra claims, ensuring 100% adherence to billing deadlines.
  • Helped patients prepare for X-rays, EKGs, suture removal, and dressing changes.
  • Collaborated with compliance teams.
  • Kept detailed records of test results by entering data and patient information into a computer.
  • Balanced patient accounts monthly.
  • Followed all necessary procedures to keep the patient's radiation exposure to a minimum.
  • Improved patient outcomes by educating them about procedures, medications, and other doctor's instructions.
  • Assumed additional responsibility during peak periods.
  • Was in charge of orienting and training new employees on proper procedures and policies.

Summaries

  • Compassionate Medical Billing Assistant.
  • Independent worker with extensive medical experience and a meticulous nature dedicated to providing the best possible care to patients.
  • Recognized for motivating management team members to achieve their goals and fostering innovative work environments.
  • Schedules appointments efficiently and keeps track of patient insurance information.
  • Professional Medical Support with 3 years of experience in a standard environment.
  • Achieved a 15% success rate in recovering denied claims.
  • Customer-focused Medical Billing Assistant, leveraging excellent communication skills to resolve billing-related discrepancies with patients, improving patient satisfaction and reducing disputes by 46%.
  • Achieved this across 2017.
  • Collaborated with Medical Billing Assistant to streamline the billing process.
  • Adept at analyzing and resolving claim denials.

Accomplishments

  • Monitored and resolved aged patient balances, decreasing accounts receivable by 18% over one year.
  • Collaborated with team of 18 in the development of standard.
  • Managed claim appeal processes, recouping 6 in wrongly denied reimbursements within 18 months.
  • Worked closely with patients to explain insurance terms and options, increasing patient understanding and reducing payment delays by 81%.
  • Ensured adherence to federal and state guidelines for medical billing procedures, resulting in zero compliance violations in audits over 18 months.
  • Created and implemented a new patient payment plan process, reducing unpaid invoices by 84% over 6 months.
  • Documented and resolved metric which led to framework.
  • Upskilled team members on using SAP to streamline medical billing, reducing error rates by 83%
  • Verified insurance eligibility and provided detailed explanations to patients, leading to a 82% increase in patient satisfaction.
  • Successfully transitioned to new coding standards (ICD-10) without disruption to claim processing or hospital revenue.

Affiliations

  • Health Billing Regulation Study Group
  • Society of Women Engineers
  • Society of Human Resource Management
  • International Association of Administrative Professionals
  • Member, Patient Access Collaborative
  • Volunteer at Local Health Clinic for Insurance Assistance
  • American Association of Medical Assistants (AAMA)
  • National Association of Social Workers
  • Freemason
  • Member, Coding Accuracy Support Board

Certifications

  • CompTIA Network+
  • Certified Electronic Health Record (EHR) Specialist – process
  • Certified Medical Office Manager (CMOM) - Practice Management Institute (PMI)
  • CompTIA A+ Technician
  • Insurance and Coding Specialist Certification – procedure
  • Healthcare Compliance Certification (CHC) - Health Care Compliance Association (HCCA)
  • Medical Practice Management Certification – method 2024
  • Certified Professional Coder (CPC) - AAPC 2021
  • Certified Inpatient Coder (CIC) – program
  • Medical Billing and Coding Diploma – program 2020

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