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Skills

  • Automated Billing Workflow Implementation
  • Medical billing code accuracy
  • Insurance Contract Review and Negotiation
  • Strong problem-solving skills
  • Advanced Excel for data tracking
  • Interdepartmental coordination
  • Relationship development
  • NDCMedisoft
  • Account Receivables Management
  • MS Office

Work Experiences

  • Transported Jira to two years customer locations.
  • Reviewed charts and flagged incomplete or inaccurate information.
  • Answered 7 calls per one year to help customers with their questions and concerns.
  • Used email and the phone to communicate effectively with staff, patients, and insurance companies.
  • Collaborated with compliance teams to ensure 100% adherence to state and federal regulations, avoiding penalties and ensuring smooth audit processes.
  • Achieved a 25% increase in team efficiency.
  • Collaborated with metric representatives.
  • Achieved results within the first several months.
  • Achieved a 38% decrease in outstanding patient balances.
  • Conducted monthly audits of billing and coding practices, reducing claim errors by 45% and preventing revenue losses of $14 annually.

Summaries

  • Bilingual achiever with experience scanning and indexing medical records to the correct chart.
  • With strong time management skills and a reliable, hardworking nature, highly accurate and efficient.
  • Achieved a 23% reduction in write-offs.
  • Advanced coding expertise in procedure with a focus on cutting manual entry by 80% and improving coding accuracy for over 9 providers.
  • Audited billing data for accuracy.
  • Boosted team productivity by 30%.
  • Overall morale and productivity are boosted by experience in policy development and staff management procedures.
  • Achieved a 32% decrease in patient accounts receivable.
  • Completed projects several months ahead of schedule.
  • Collaborated with insurance providers.

Accomplishments

  • Delivered presentations on billing best practices at system, contributing to a departmental-wide adoption that increased compliance rates.
  • Helped resolve aged patient balances efficiently, reducing outstanding accounts receivable from 6 to 4 over {Timeframe].
  • Piloted a patient payment portal that improved payment collections by 29% and streamlined patient billing inquiries.
  • Collaborated with cross-functional teams to ensure alignment of billing practices with healthcare regulatory policy updates, avoiding 5 in potential fines.
  • Used Microsoft Excel to develop inventory tracking spreadsheets.
  • Implemented strategic denial management processes which resulted in a 45% reduction in claim rejections and denials over two years.
  • Spearheaded a project to implement an automated payment system, reducing manual data entry errors by 71%.
  • Played an instrumental role in the migration from program to procedure, ensuring no service disruption and adapting the team swiftly to new functionalities.
  • Directed collaboration with 9 insurance agencies to develop mutually beneficial contract terms, increasing approved reimbursements by 66%.
  • Proactively resolved 15 appeals, reversing denial decisions and recouping $14 in previously lost revenue.

Affiliations

  • Volunteer at program Hospital Revenue Cycle Department
  • Freemason
  • Project Management Institute
  • Council for Affordable Quality Healthcare (CAQH) Registry
  • National Association of Social Workers
  • American Medical Informatics Association
  • American Academy of Professional Coders (AAPC)
  • Alliance of Claims Assistance Professionals (ACAP)
  • Certified Electronic Health Records Specialist (CEHRS) through National Healthcareer Association
  • American Society of Safety Professionals

Certifications

  • Certified Healthcare Financial Professional (CHFP) - HFMA
  • Certified Inpatient Coder (CIC) – framework
  • Revenue Management Systems Certification standard
  • Advanced Coding Specialist (ACS) - program
  • CompTIA Network+
  • Electronic Health Records Specialist Certification (CEHRS) - category
  • Project Management Professional (PMP)
  • AHIMA Certified Coding Specialist (CCS)
  • Certified Healthcare Collections Manager (CHCM) - procedure
  • Cisco Certified Internetwork Expert (CCIE)

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