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Skills

  • Creating and analyzing revenue reports
  • Claims submission and processing
  • Insurance claim appeals and resolutions
  • Financial reporting
  • New staff onboarding and training
  • Electronic health record (EHR) systems
  • Vendor invoice processing
  • Budgeting proficiency
  • Management accounting
  • Cross-departmental collaboration

Work Experiences

  • Clarified clinical documentation.
  • Collected patient financial information.
  • Collaborated with the finance department on account reconciliations, reducing long-term outstanding balances by 38%.
  • Achieved results within 3 months.
  • Boosted department revenue by $10 in 2024.
  • Advised patients on available payment options, leading to a 51% reduction in outstanding patient balances.
  • Collected, documented, and verified patient financial information to ensure compliance with process, reducing instances of claim rejections by 35%.
  • Transported ServiceNow to 18 months customer locations.
  • Developed and maintained internal claims tracking systems, which led to a 68% reduction in claim errors.
  • Cut paper and mailing costs by 46% annually.

Summaries

  • Achieved long-term improvements in reimbursement.
  • Achieved 38% accuracy.
  • Achieved accurate filing and error resolution.
  • With 6 years of experience, I'm a focused billing clerk.
  • Skilled at establishing positive relationships with clients and vendors, as well as managing accounts to reduce outstanding balances.
  • Accomplished in streamlining billing processes resulting in 39% decrease in claim submission processing delays across varied insurance carriers.
  • Recognized on a regular basis for outstanding performance and contributions to the Healthcare industry's success.
  • Clear understanding of performance reporting and strategic planning as well as data analysis training.
  • Strengths in project management and performance reporting backed up by Healthcare training.
  • Vendor management and bank reconciliation are two areas where I excel.

Accomplishments

  • Improved patient satisfaction by resolving billing inquiries within 48 hours, leading to a 76% decrease in escalated complaints.
  • Maintained an average of 36% first-pass clean claim rate, reducing the need for rework and increasing cash flow.
  • Successfully managed daily billing operations for 6 medical offices, ensuring claims were submitted with a 95% accuracy rate.
  • Trained new team members on billing protocols and compliance standards, increasing team accuracy and efficiency by 29% within 6 months.
  • Processed over 9 claims per week with an accuracy rate of 84%, exceeding the department’s quality benchmarks.
  • Minimized compliance violation fines by ensuring 32% adherence to payer-specific requirements and state regulations within 2023.
  • Achieved a 40% increase in successful claim reimbursements by optimizing submission procedures and payer follow-ups.
  • Supported patients in choosing appropriate payment plans, decreasing overdue balances by 77% within a 11 months-month period.
  • Reduced the average claim aging time from procedure days to metric days by implementing stricter follow-up protocols.
  • Rectified billing inaccuracies, resulting in an increase by $4 in recovered revenue from previously denied claims.

Affiliations

  • Volunteer in Medical Non-Profit Billing Projects Austin
  • Association for Supply Chain Management (APICS)
  • Billing and Coding Certificate from standard
  • Certified Electronic Health Records Specialist (CEHRS)
  • Revenue Cycle Professional Certification (RCA)
  • Active Member of Insurance Alert Compliance Team
  • Health Level Seven International (HL7)
  • American Marketing Association
  • Jaycees
  • Medical Group Management Association (MGMA)

Certifications

  • Certified Hospital Outpatient Coder (COC) – American Academy of Professional Coders (AAPC)
  • Electronic Claims Filing Specialist – client relations
  • Claims Processing and Billing Specialist Certification – Vantage
  • SHRM Senior Certified Professional (SHRM-SCP)
  • Certified Revenue Cycle Representative (CRCR) - metric
  • Medical Billing and Coding Specialist Certification – initiative
  • Medical Office Billing and Coding Specialist Certification – Brightline
  • ServSafe
  • Advanced Coding Certificate – American Health Information Management Association (AHIMA)
  • Certified Patient Account Manager (CPAM) – American Association of Healthcare Administrative Management (AAHAM)

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