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Skills

  • Business operations
  • Process equipment
  • Records review
  • General ledger accounting expertise
  • Cost accounting
  • MS Office
  • Vendor invoice processing
  • Cross-departmental collaboration
  • Regulatory compliance
  • Accounting systems and controls

Work Experiences

  • Acted as the primary point of contact for patients regarding billing inquiries, improving patient-barrier relations by 71%.
  • Achieved 78% fewer denial claims.
  • Went over the charts and highlighted any information that was missing or incorrect.
  • Easily interacted and communicated with department personnel and the general public.
  • Answered 18 calls per two years to help customers with their questions and concerns.
  • Created multi-threaded admin web applications based on program.
  • Was able to effectively respond to customer requests via phone and email, as well as answer questions and inquiries.
  • Was in charge of resolving disagreements and negotiating mutually beneficial agreements between parties.
  • Achieved a 42% reduction in claims processing time.
  • Analyzed financial impact reports for the billing department, identifying inefficiencies that resulted in a 68% overhead cost reduction.

Summaries

  • Expert in payment processing to reduce outstanding debt, fees, and interest.
  • Within Healthcare, senior Medical Coding and Billing Specialist and outstanding performer in cross-functional collaboration and process improvement.
  • Framework professional with strong math skills looking for a Medical Coding and Billing Specialist position with a growing company.
  • Dedicated to paying employees, vendors, and suppliers on time.
  • Medical Coding and Billing Specialist with over 13 years of experience in the healthcare field.
  • Among his accomplishments is the creation of a method app for use in the framework industry.
  • Vendor management and bank reconciliation are two areas where I excel.
  • Year-end schedules and additional documents for accounting audits are a strong suit.
  • Top-producing salesperson and industry expert in Healthcare.
  • Medical Coding and Billing Specialist with 18 years of successful team leadership and stakeholder engagement experience.

Accomplishments

  • Implemented automated follow-up system for denied claims, reducing outstanding balance by $16 over two years.
  • Reduced claim denial rates by 42% through rigorous review of coding practices and adherence to billing guidelines.
  • Utilized industry-standard software (HubSpot) to streamline medical billing and claims processing, reducing cycle time by 28%.
  • Investigated overdue accounts and recovered $4 from denied or underpaid claims in 6 months.
  • Collaborated with managed care organizations to renegotiate payment terms, increasing reimbursement rates by 21%.
  • Reduced claim processing times by 53% through the integration of new EHR systems, converting manual claims to electronic submissions.
  • Improved first-pass claim acceptance by 54% through accurate coding and attention to payer guidelines.
  • Assessed patient accounts to identify discrepancies and billed correctly, improving collections by $17 over two years.
  • Managed payer contract negotiations, resulting in increased reimbursements and favorable payment terms.
  • Analyzed claim rejection patterns and developed a correction plan, lowering rejection rates by 53%.

Affiliations

  • Revenue Cycle Management Professionals Network
  • Network of Healthcare Compliance Professionals
  • ICD-10-CM and ICD-10-PCS Taskforce
  • Local Chapter of AAPC - Seattle
  • Medical Coding Auditors Association
  • Association of Clinical Documentation Improvement Specialists (ACDIS)
  • Patient Financial Services Association
  • Toastmasters
  • International Association of Administrative Professionals
  • National Association of Social Workers

Certifications

  • Certified Professional Biller (CPB) - AAPC
  • Certified Professional Compliance Officer (CPCO) - AAPC
  • Clinical Documentation Improvement Specialist (CCDS) - ACDIS
  • Certified Coding Specialist – Physician-Based (CCS-P) - AHIMA
  • Salesforce
  • Certified Public Accountant
  • Certified Healthcare Revenue Integrity Specialist (CHRIS) - NAHRI
  • Certified Healthcare Access Manager (CHAM) process
  • SHRM Senior Certified Professional (SHRM-SCP)
  • Certificate in Medical Billing and Coding - method, 2020

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