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Skills

  • Process improvement
  • Problem resolution
  • Patient database management
  • Dispute resolution with insurance companies
  • Team management
  • Revenue cycle management
  • Team building
  • Communications
  • Interpreting physician orders
  • Appointment scheduling

Work Experiences

  • Appealed claim denials successfully.
  • Pushed for operational changes that resulted in cost savings and higher profit margins.
  • Achieved a 21% reduction in unpaid balances.
  • Automated billing follow-up procedures.
  • Achieved results over 6 months.
  • Assessed patient financial status.
  • Collaborated with product in streamlining financial clearance workflows for oncology patients, increasing pre-treatment clearances by 61%.
  • Collaborated with multidisciplinary teams.
  • Saved $5 by putting in place cost-cutting measures that addressed long-standing issues.
  • Had an excellent attendance record and was always on time for work.

Summaries

  • Balanced relationships with insurance providers.
  • Adhered to regulatory requirements.
  • Achieved faster turnaround times.
  • Achieved a 74% improvement in monthly collections.
  • With a talent for collaboration and an eye for detail, she excels at scheduling and medical billing.
  • Achieved a 40% decrease in patient disputes.
  • Collecting patient information, keeping an organized office, and coordinating with medical professionals are all skills she possesses.
  • Strengths in client relations and workflow optimization backed up by Healthcare training.
  • Dedicated to learning, growing, and succeeding in Healthcare.
  • Analytical and detail-oriented.

Accomplishments

  • Supported 11 patients in 2020 through the healthcare exchange, ensuring compliance with enrollment deadlines for new insurance plans.
  • Reduced denials from insurance payers by 29% through accurate financial coding and proactive dispute resolution.
  • Led an initiative that resulted in a 72% increase in completed financial aid applications by utilizing personalized outreach strategies.
  • Trained staff on the latest healthcare financial regulations, improving regulatory compliance by 54% within 17 months.
  • Developed and implemented financial clearance policies for the hospital, resulting in faster patient discharge time by 70%.
  • Managed Tableau application for financial clearance, leading to a 75% faster authorization process.
  • Resolved 2 patient billing discrepancies within 6 months, leading to improved patient trust and hospital reputation.
  • Collaborated with team of 11 in the development of initiative.
  • Collaborated with social services to help patients navigate healthcare financial programs, ensuring access to charity care funding.
  • Secured over $2 in financial aid through process, reducing patient turnover and increasing hospital retention rates by 30%.

Affiliations

  • Professional Association of Healthcare Office Management (PAHCOM)
  • Patient Advocate Foundation
  • Community-Based Health Initiatives Volunteering
  • American Medical Billing Association (AMBA)
  • Medical Group Management Association (MGMA)
  • Society of Human Resource Management
  • Certification in HIPAA Compliance and Healthcare Regulations
  • Certified Revenue Cycle Specialist (CRCS)
  • Revenue Cycle Management Institute (RCMI)
  • Healthcare Financial Literacy Certification

Certifications

  • Cisco Certified Internetwork Expert (CCIE)
  • Cisco Certified Network Associate (CCNA)
  • Certified Revenue Cycle Representative (CRCR) - 2018, Healthcare Financial Management Association (HFMA)
  • Certified Medical Insurance Specialist (CMIS) - 2023, American Medical Billing Association (AMBA)
  • Certified Revenue Integrity Professional (CRIP) - 2021, National Association of Healthcare Revenue Integrity (NAHRI)
  • Advanced Patient Financial Services Certification - 2019, Brightline
  • ServSafe
  • Certified Professional in Patient Safety (CPPS) - 2024, Institute for Healthcare Improvement (IHI)
  • Project Management Professional (PMP)
  • Apple Certified Associate (ACA)

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