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Skills

  • Financial statement analysis
  • Appeals and denials management
  • Data entry
  • Revenue cycle management
  • Closing processes
  • Claim denial reduction strategies
  • CPT and ICD-10 coding proficiency
  • Accounts Receivable (A/R) management
  • Management accounting
  • Strong attention to detail

Work Experiences

  • Oversaw the delivery of system project by method team, which resulted in initiative.
  • Assisted in the negotiation of contracts.
  • Transported Workday to 6 months customer locations.
  • Applied my skills and knowledge to complete monthly closing processes, journal entries, and accruals on time and accurately.
  • Achieved average turnaround time of 9 days.
  • Collaborated with a team.
  • Answered 12 calls per one year to help customers with their questions and concerns.
  • Was in charge of resolving disagreements and negotiating mutually beneficial agreements between parties.
  • Oversaw the quality assurance program, which included on-site assessments, internal audits, and customer surveys.
  • Collaborated with method customers to determine their needs and deliver framework service.

Summaries

  • Achieved a 69% improvement in claims accuracy.
  • Skilled at establishing positive relationships with clients and vendors, as well as managing accounts to reduce outstanding balances.
  • Recognized on a regular basis for outstanding performance and contributions to the Healthcare industry's success.
  • To ensure payment accuracy, be familiar with verifying information in the accounting ledger against vendor information.
  • Overall morale and productivity are boosted by experience in policy development and staff management procedures.
  • Committed to processing invoices with 100 percent accuracy.
  • Accelerated payment recovery by 11 days.
  • Achieved a 32% increase in cash flow.
  • Proactive and self-motivated, with a high level of professionalism and excellent problem-solving skills.
  • Achieved a 25% success rate in appeals resolution.

Accomplishments

  • Achieved a 78% recovery rate in underpaid Medicare claims by meticulously following up on account discrepancies.
  • Resolved product issue through consumer testing.
  • Managed appeal submissions for denied Medicare claims, consistently achieving a 58% success rate over initiative.
  • Implemented an automated claims review process using Microsoft Excel, reducing manual claim rework by 27%.
  • Used Microsoft Excel to develop inventory tracking spreadsheets.
  • Identified and analyzed underpaying Medicare accounts, recovering 14 in payments through data-driven follow-up.
  • Developed standard operating procedures for proper Medicare claim processing, reducing error rates by 32% and improving compliance.
  • Recovered 17 in denied claims by working directly with Medicare contractors to streamline appeal submissions and documentation.
  • Monitored and corrected Medicare billing code updates, resulting in a 58% increase in accuracy and reimbursement rates.
  • Reduced Medicare remittance processing time by 32% by optimizing billing workflows and enhancing system configurations.

Affiliations

  • Society of Human Resource Management
  • Leadership Role in Patient Accounts Management Group framework
  • Attendance in Health Care Compliance Association (HCCA) Annual Conferences initiative
  • Certified Electronic Health Records Specialist (CEHRS) through category
  • Completed Healthcare Management Certificate Program – metric
  • American Marketing Association
  • American Society of Safety Professionals
  • National Association of Social Workers
  • Jaycees
  • Toastmasters

Certifications

  • Compliance Certification Board (CCB) Certified in Healthcare Compliance (CHC)
  • Professional Association of Healthcare Coding Specialists (PAHCS) – HIPAA Privacy Certification
  • Certified Medical Administrative Assistant (CMAA) - National Healthcareer Association (NHA)
  • ServSafe
  • Certified Medical Reimbursement Specialist (CMRS) - American Medical Billing Association (AMBA)
  • Advanced Medical Coding Certification – framework
  • Apple Certified Associate (ACA)
  • SHRM Certified Professional (SHRM-CP)
  • Certified Medical Practice Executive (CMPE) - Medical Group Management Association
  • Certified Professional Coder (CPC) - AAPC

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