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Skills

  • Regulatory filings
  • Medical billing and coding expertise (ICD-10, CPT, HCPCS)
  • Claims submission and processing
  • Accounting remittances
  • General accounting
  • Financial Management
  • Audit participation and underpayment identification
  • Developing and implementing automated billing solutions
  • Billing Software Proficiency (HubSpot)
  • Compliance with healthcare regulations (HIPAA, CMS)

Work Experiences

  • Cleared aged accounts receivables within 6 months.
  • Achieved improvement over three years.
  • Achieved a 73% error-free audit result in 2019.
  • Cleared aged accounts receivables within 17 months, recovering a total of over $5 in frozen claims.
  • Communicated with insurance companies to verify patient coverage and manage patient benefits, improving the accuracy of pre-authorizations by 34%.
  • Developed a patient payment plan process that improved average monthly collections by $10.
  • Boosted department revenue by $10 in 2024.
  • Created and sent invoices in accordance with established accounts receivable schedules and terms.
  • Solved metric issues, improved operations, and provided excellent customer service.
  • Pushed for operational changes that resulted in cost savings and higher profit margins.

Summaries

  • Medical Insurance Biller who is results-oriented and has a track record of keeping finances up-to-date and accurate.
  • Achieved a 53% reduction in claim processing times.
  • Recognized on a regular basis for outstanding performance and contributions to the Healthcare industry's success.
  • Offering 16 years of functional experience in the initiative industry providing clerical, financial, and administrative services.
  • Hardworking and effervescent, with a strong desire for precision and efficiency.
  • Accomplished in streamlining billing processes resulting in 39% decrease in claim submission processing delays across varied insurance carriers.
  • Achieved a 32% decrease in claim submission processing delays.
  • Dedicated to increasing profits, lowering accounting errors, and streamlining accounting processes.
  • Proven leadership, operational excellence, and organizational development skills, as well as a thorough understanding of the metric business.
  • Committed to processing invoices with 100 percent accuracy.

Accomplishments

  • Developed a comprehensive training manual for billing procedures, resulting in a 54% reduction in procedural errors and a more consistent workflow.
  • Decreased claim rejection rates by 49% by updating insurance plan guidelines within all EHR systems.
  • Rectified billing inaccuracies, resulting in an increase by $4 in recovered revenue from previously denied claims.
  • Collaborated with insurance companies to settle claim disputes, thereby reducing outstanding receivables by $17.
  • Supported patients in choosing appropriate payment plans, decreasing overdue balances by 77% within a 11 months-month period.
  • Utilized in-depth knowledge of medical billing codes and insurance protocols to streamline submission processes, reducing claim denials and increasing collection efficiency by 71%.
  • Improved patient satisfaction by resolving billing inquiries within 48 hours, leading to a 76% decrease in escalated complaints.
  • Processed over 9 claims per week with an accuracy rate of 84%, exceeding the department’s quality benchmarks.
  • Trained new team members on billing protocols and compliance standards, increasing team accuracy and efficiency by 29% within 6 months.
  • Led the adoption of an improved EHR system, resulting in faster documentation retrieval by 42% and a more efficient claims process.

Affiliations

  • Association for Supply Chain Management (APICS)
  • Certified Electronic Health Records Specialist (CEHRS)
  • National Association of Health Data Organizations (NAHDO)
  • Membership in method's Billing Compliance Committee
  • Health Level Seven International (HL7)
  • Billing and Coding Certificate from standard
  • Jaycees
  • Volunteer in Medical Non-Profit Billing Projects Austin
  • Society of Women Engineers
  • Revenue Cycle Professional Certification (RCA)

Certifications

  • Project Management Professional (PMP)
  • Electronic Claims Filing Specialist – client relations
  • Apple Certified Associate (ACA)
  • ServSafe
  • Cisco Certified Internetwork Expert (CCIE)
  • Certified Medical Coding and Billing Specialist – Northwind
  • Insurance Billing Specialist – procedure
  • Certified Healthcare Financial Professional (CHFP) - procedure
  • Medicare Billing Certified Specialist – Lakeside Partners
  • Advanced Coding Certificate – American Health Information Management Association (AHIMA)

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