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Skills

  • Compliance with HIPAA Regulations
  • Claims Management
  • Team management
  • CMS policy updates
  • Process improvement
  • Inventory controls
  • Communications
  • Appeals and denials resolution
  • Business operations
  • Team building

Work Experiences

  • Collaborated with the IT team to develop enhanced electric billing claims forms, reducing submission errors by 25%.
  • Assisted clinics in navigating updated HIPAA regulations.
  • Saved money by developing functional solutions to framework problems.
  • All requests for medical records were entered into spreadsheets.
  • Assisted in the roll-out of ICD-10 training for clinical staff, shortening claim submission times by 83%.
  • Collaborated with customer success to transition to a new EHR/EMR system, improving processing speed of claims by 70%.
  • Finished initiative of project, which resulted in standard.
  • All parties, including patients, staff members, and insurance company representatives, received respectful assistance from me.
  • Used ServiceNow to compile data gathered from various sources.
  • Audited over 18 accounts monthly to identify discrepancies and recover an additional $10 in outstanding reimbursements.

Summaries

  • Method, initiative, and standard are all available.
  • Achieved a 53% improvement in payment processing time.
  • Expert in method with a strong aptitude for launched and coordinated.
  • Strong time management, communication, and teamwork skills are focused on delivering exceptional results.
  • Communicative and team-oriented, with Jira expertise.
  • Medical Records Specialist with over 3 years of experience in the processing of court orders and subpoenas.
  • Medical Billing Consultant is a hardworking and dependable Medical Billing Consultant who excels at quality assurance and vendor management.
  • Achieved results over one year.
  • Achieved 53% faster revenue collection.
  • Tableau and Microsoft Excel experts with exceptional interpersonal skills.

Accomplishments

  • Collaborated with the IT department to improve method, resulting in a smoother integration of billing and coding processes.
  • Independently managed billing for multi-specialty clinics, successfully increasing reimbursement rates by 24% over 12 months.
  • Worked directly with insurance providers to resolve outstanding claims, recovering over $18 within 18 months.
  • Implemented a robust follow-up system that reduced outstanding payments older than 18 days by 17%, reliably improving cash flow.
  • Created and conducted training sessions for new staff members on medical billing best practices, raising department productivity by 77%.
  • Facilitated cross-functional training between billing and coding departments, achieving a 24% reduction in claim rejections due to submitter errors.
  • Implemented automation tools that reduced claim errors by 45%, leading to faster payment cycles and enhanced accuracy.
  • Led a team to successfully transition from manual billing processes to Jira-based workflows, reducing processing time by 39%.
  • Developed financial reporting tools to monitor claim rejection patterns, leading to a 28% year-over-year reduction in rejected claims.
  • Reduced denial rates from 52% to standard% by advocating for and implementing improved documentation and billing practices.

Affiliations

  • Collaborator with a cross-disciplinary working group on medical billing efficiency through initiative.
  • Recipient of the Outstanding Service Award from Lakeside Partners for excellence in medical billing accuracy and timely claims processing.
  • Active member of the online platform RevCycleIntelligence, offering insights into healthcare revenue cycle analytics.
  • Member of the Association of Healthcare Administrative Professionals (AHCAP), committed to enhancing productivity and compliance in medical billing.
  • Member of the Revenue Cycle Management (RCM) Institute, participating in continuing education for denial prevention and payment optimization.
  • Completed Certified Professional Coder (CPC) training with advanced sessions on Revenue Cycle Management and Medical Billing process efficiency.
  • Participated in patient financial workshops through Lakeside Partners, advocating for cost-effective care and financial counseling to reduce billing confusion.
  • Volunteer in healthcare financial literacy workshops, educating patients on insurance options and billing systems to reduce patient delinquencies.
  • Certification in Healthcare Compliance (CHC) through the Compliance Certification Board (CCB), specializing in policy adherence and audit processes.
  • Contributor to the official Medical Billing and Coding Forum, sharing expertise in appeals, denials, and reimbursement techniques.

Certifications

  • Cisco Certified Network Associate (CCNA)
  • Certified Professional Biller (CPB) - AAPC
  • Revenue Cycle Management Certification – standard
  • Certified Healthcare Financial Professional (CHFP)
  • Advanced Denials Management Certification - Meridian
  • Certified Compliance Professional (CCP)
  • Certified Revenue Cycle Specialist (CRCS)
  • SAP Certified Application Associate
  • Certified in Healthcare Privacy and Security (CHPS) – AHIMA
  • Certificate in Healthcare Revenue Integrity - NAHRI

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