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Skills

  • Budgeting
  • Financial Data Auditing
  • ICD-10 and CPT coding
  • Electronic health record (EHR) systems (Jira)
  • Denial management
  • Accounts receivable management
  • Fundamentals of medical terminology
  • Data entry
  • Cost accounting
  • Regulatory filings

Work Experiences

  • Achieved an average 12-day reduction in reimbursement time.
  • Achieved recovery over three years.
  • Assessed billing procedures.
  • Accelerated the claims submission process.
  • Applied my skills and knowledge to complete monthly closing processes, journal entries, and accruals on time and accurately.
  • Analyzed method reports monthly.
  • Achieved results within the past year.
  • Collaborated with insurance providers.
  • Assessed billing procedures and facilitated Workday implementation to cut down average processing time by 6 minutes per patient.
  • Assisted patients in understanding treatment costs.

Summaries

  • Patient Billing Representative who is results-oriented and has a track record of keeping finances up-to-date and accurate.
  • Overall morale and productivity are boosted by experience in policy development and staff management procedures.
  • Accounting principles, reconciliation procedures, report generation, and account payment processing are all areas of expertise.
  • Achieved a 64% boost in overall efficiency.
  • Adhered to all regulatory standards.
  • System professional with a strong understanding of numbers who is capable of managing multiple projects with tight deadlines.
  • Patient Billing Representative with over 4 years of experience who is efficient and detail-oriented.
  • Accounting reports and account reconciliations are second nature to me.
  • Patient Billing Representative is a detail-oriented Patient Billing Representative with 16 years of finance and accounting experience.
  • Results-oriented Patient Billing Representative with a keen eye for detail and a desire to assist in the transformation of business operations.

Accomplishments

  • Created and implemented training materials for staff to increase understanding of medical billing and coding protocols, reducing errors by 71%.
  • Reduced patient call volume by 73%, leveraging self-service billing technology and providing educational materials to patients.
  • Ensured timely submission of claims through effective coordination with payers, resulting in a 24% improvement in payment turnaround time.
  • Developed and executed a plan to increase awareness of electronic billing options, leading to a 10% increase in online payment adoption.
  • Audited billing records and identified $14 in billing discrepancies, ensuring accurate financial reporting.
  • Resolved complex billing disputes with patients and insurance providers, recovering $12 in previously uncollected accounts.
  • Collaborated with team of 10 in the development of method.
  • Led strategy to improve claims submission accuracy, achieving a 41% reduction in insurance claim denials.
  • Spearheaded a patient account reconciliation project, successfully identifying and correcting $3 in billing errors.
  • Analyzed monthly accounts receivable reports to identify overdue payments, reducing past-due collections by $5 within two years.

Affiliations

  • National Alliance of Medical Auditing Specialists (NAMAS)
  • American Hospital Association (AHA) Membership
  • National Association of Social Workers
  • American Association of Healthcare Administrative Management (AAHAM)
  • Lions Club
  • Rotary International
  • Membership in Organized Healthcare Billing Networking Groups Raleigh
  • National Association of Healthcare Access Management (NAHAM)
  • Certified Revenue Cycle Specialist (CRCS) by AAHAM
  • Jaycees

Certifications

  • Certified Patient Account Manager (CPAM) by AAHAM | 2019
  • Health Information Technology Certification - Cedar Works, 2021
  • Certified Revenue Integrity Professional (CRIP) by NAHRI | 2024
  • Healthcare Financial Management Association (HFMA) Certified Revenue Cycle Representative (CRCR) – 2019
  • Certified Healthcare Administrative Professional (cHAP) by PAHCOM | 2020
  • Certification in Healthcare Compliance (CHC) by HCCA | 2020
  • SHRM Certified Professional (SHRM-CP)
  • Revenue Cycle Certification by Lakeside Partners | 2020
  • Certified Public Accountant (CPA)
  • Certified Healthcare Access Associate (CHAA) by NAHAM | 2022

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