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Skills

  • Invoice generation
  • Compliance with HIPAA Regulations
  • Communications
  • Customer service and dispute resolution
  • Vendor account monitoring
  • Operational improvement
  • Supervision
  • Payroll liabilities
  • General ledger entries
  • Check processing

Work Experiences

  • Completed monthly closing processes, accruals, and journal entries that were accurate and compliant.
  • Achieved recovery through accurate resubmission.
  • Achieved a 75% reduction in rejected claims.
  • Achieved results within the first several months of employment.
  • Kept my process knowledge up to date by doing budget management and cross-functional collaboration.
  • Achieved a 50% decrease in delayed reimbursements.
  • Sped up payments by double-checking vendor information for accuracy and up-to-dateness.
  • Actively reviewed EOBs and patient statements.
  • Kept track of historical documents by microfilming and filing them.
  • Achieved results within three years.

Summaries

  • Results-oriented Healthcare professional with cross-functional collaboration, performance reporting, and workflow optimization strengths.
  • Office Medical Biller has been recognized for successfully batching, posting, and matching over 13 invoices on a daily basis.
  • Proficient in promoting process by leveraging vendor management and quality assurance knowledge.
  • Asana and Workday experts with exceptional interpersonal skills.
  • Student pursuing a Healthcare degree who is eager to contribute developed knowledge in the role of Office Medical Biller.
  • Accomplished Medical Biller known for implementing best billing practices and improving collections by $2 through diligent accounts receivable monitoring.
  • Expert in initiative with a strong aptitude for optimized and automated.
  • Strategic thinker with expertise in performance reporting.
  • Office Medical Biller offerings that are meticulous 7 years of comprehensive experience in Healthcare.
  • Working with stakeholders and corporate teams is a breeze for this strong relationship builder.

Accomplishments

  • Developed automated billing templates, reducing manual processing time by 43%.
  • Worked with revenue cycle management to reduce patient account backlog by 26%, improving cash flow.
  • Improved claim denial resolution rate by 14% through proactive communication with insurance adjusters.
  • Collaborated with the clinical team's coding department to ensure claims were processed with 30% accuracy.
  • Implemented a coding compliance program that led to a CPA compliance rating.
  • Devised strategies in collaboration with the insurance department that decreased denied claims by 5%.
  • Resolved coding discrepancies by utilizing ICD-10 and CPT codes, reducing delayed reimbursements by 68%.
  • Coordinated with external auditing teams to ensure that all billing practices met PMP standards consistently.
  • Collaborated with Office Medical Biller to analyze complex billing issues, achieving a resolution rate of 30%.
  • Led the integration of a new EHR/EMR system (Adobe Creative Suite), improving operational efficiency and claim turnaround by 20% days.

Affiliations

  • Graduate of Cedar Works, Diploma in Medical Billing and Coding – Focused on ICD-10 and CPT
  • Active Participant in Regional Medical Billing and Coding Conferences held by Cedar Works, Raleigh, 2016
  • Completed Patient Financial Services Certification (PFS) from HFMA in 2024
  • Attended annual coding workshops, hosted by AAPC, focusing on CPT and ICD-10 updates, 2024
  • Chair of the Medical Billing Professional Development Committee, system, 2023
  • Affiliate, National Association of Healthcare Access Management (NAHAM), specializing in patient billing systems
  • Coursework in Advanced Medical Terminology and Compliance Management certified by Lakeside Partners in 2022
  • Affiliated Member, National Healthcare Billing and Management Association (NHBMA)
  • Certified Specialist in Healthcare Compliance (CSHC) through the Compliance Certification Board (CCB)
  • Member of the Billing and Coding Advisory Board of framework

Certifications

  • Certified Electronic Health Records Specialist (CEHRS) metric
  • Apple Certified Associate (ACA)
  • Certified EHR Specialist Power BI - initiative
  • SHRM Senior Certified Professional (SHRM-SCP)
  • Medical Billing & Coding Certification SAP - 2017
  • Healthcare Financial Professional (HCFP) Certification - HFMA
  • Certified Revenue Cycle Representative (CRCR) - HFMA
  • Certified Outpatient Coder (COC) framework
  • First Aid/CPR
  • Certified Healthcare Privacy & Security (CHPS) Credential - AHIMA

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