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Skills

  • Database management
  • Customer service
  • Process improvement
  • Electronic Health Records (EHR) optimization
  • Accounts reconciliation
  • Exceptional attention to detail
  • Ability to handle high-volume billing
  • Medical terminology knowledge
  • Financial reporting and forecasting
  • Problem resolution

Work Experiences

  • Devised and implemented techniques to improve the retrieval of medical records.
  • Assisted in the creation of system procedures.
  • Increased customer satisfaction by coming up with new ways to solve problems.
  • Kept my procedure knowledge up to date by doing quality assurance and performance reporting.
  • Assisted in the roll-out of ICD-10 training for clinical staff, shortening claim submission times by 83%.
  • Developed a reputation for punctuality and hard work.
  • Audited over 18 accounts monthly to identify discrepancies and recover an additional $10 in outstanding reimbursements.
  • Achieved results over 6 months.
  • Increased profit margins by streamlining operations and workflow and negotiating competitive vendor contracts.
  • Boosted departmental productivity.

Summaries

  • Expert in method with a strong aptitude for launched and coordinated.
  • Achieved a 53% improvement in payment processing time.
  • Working with stakeholders and corporate teams is a breeze for this strong relationship builder.
  • Knowledge of ServiceNow in depth, as well as strategic planning and vendor management abilities.
  • Achieved a 41% reduction in claims rejection rates.
  • Motivating leader who has built and managed process teams in the past.
  • Budget management in standard settings and budget management in risk assessment settings.
  • Strong technical skills and experience in cross-functional collaboration.
  • Medical Records Specialist who is self-motivated and has experience scanning and indexing medical records to the correct chart.
  • Achieved 53% faster revenue collection.

Accomplishments

  • Monitored account receivables and followed up on denied claims, resulting in $4 in recovered funds from previously rejected claims.
  • Optimized use of Electronic Health Records (EHR) to increase coding accuracy and minimize billing errors by 24%, lowering overall rejection rates.
  • Set up billing compliance protocols adhering to program, reducing the risk of legal penalties and financial losses.
  • Consulted with framework to improve patient pre-authorization workflows, which resulted in a faster turnaround time by 60%.
  • Created and conducted training sessions for new staff members on medical billing best practices, raising department productivity by 77%.
  • Analyzed billing processes for inefficiencies and recommended solutions, resulting in a 32% decrease in delayed reimbursement.
  • Identified and rectified billing errors during routine audits, resulting in a $8 net recovery for the healthcare facility.
  • Advised healthcare providers on best practices for medical coding, reducing coding errors by 23% and increasing claim approval rates.
  • Developed billing key performance indicators (KPIs) for the department, improving the overall performance by 45%.
  • Trained a cross-disciplinary team on ICD-10 procedures, enhancing coding accuracy and reducing underpayments by $5.

Affiliations

  • Ongoing participation in the American Medical Billing Association (AMBA) annual meetings, staying current on industry trends and billing challenges.
  • Active participant in the National Association of Healthcare Revenue Integrity (NAHRI), staying ahead of compliance and reimbursement innovations.
  • Certification in Healthcare Compliance (CHC) through the Compliance Certification Board (CCB), specializing in policy adherence and audit processes.
  • Completed an advanced course on revenue cycle optimization from Lakeside Partners in 2020, focusing on data-driven decisions and payer-provider relations.
  • Volunteer in healthcare financial literacy workshops, educating patients on insurance options and billing systems to reduce patient delinquencies.
  • Affiliated with the Medical Group Management Association (MGMA), with ongoing focus on practice management and financial operations improvement.
  • Participated in patient financial workshops through Lakeside Partners, advocating for cost-effective care and financial counseling to reduce billing confusion.
  • Member of the Revenue Cycle Management (RCM) Institute, participating in continuing education for denial prevention and payment optimization.
  • Certified Specialist in Managed Care (CSMC) through AAHAM, honing skills in managing payer contracts and cost containment strategies.
  • Member of the American Academy of Professional Coders (AAPC) since 2021, focused on staying updated with the latest in medical coding standards.

Certifications

  • Certified Coding Specialist (CCS) - AHIMA
  • First Aid/CPR
  • Certificate in Healthcare Revenue Integrity - NAHRI
  • Certified Compliance and Ethics Professional (CCEP)
  • Certified Professional Coder (CPC)
  • Google Certified Professional Cloud Architect
  • Certified Healthcare Access Manager (CHAM)
  • SHRM Senior Certified Professional (SHRM-SCP)
  • Certified Medical Office Manager (CMOM)
  • Advanced Denials Management Certification - Meridian

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