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Skills

  • Audit process management
  • Cross-functional team collaboration
  • Claims Analytics and Reporting
  • Cash flow optimization
  • Claims Rejection Rate Reduction
  • Automated Billing Workflow Implementation
  • Organization
  • Operational improvement
  • HCPCS, CPT, and ICD-10 Code Knowledge
  • First Aid/CPR

Work Experiences

  • Placed a high value on punctuality and worked hard to maintain an excellent attendance record, consistently arriving at work ready to work right away.
  • Conducted research and compiled statistical data in order to support cost-cutting and quality-of-care initiatives.
  • Had an excellent attendance record and was always on time for work.
  • Automated billing reminder systems targeting outstanding patient payments, decreasing overdue accounts by 67% within two years.
  • Ensured that medical records and health information were accurate, complete, and secure.
  • Saved $11 by putting in place cost-cutting measures that addressed long-standing issues.
  • Achieved results within the past year.
  • Collaborated with compliance teams to ensure 100% adherence to state and federal regulations, avoiding penalties and ensuring smooth audit processes.
  • Achieved results over several months.
  • Achieved results within the first several months.

Summaries

  • Senior Medical Biller is a multi-talented Senior Medical Biller who is consistently rewarded for planning and operational improvements.
  • Bilingual achiever with experience scanning and indexing medical records to the correct chart.
  • Committed to regulatory compliance.
  • Achieved a 48% reduction in billing errors.
  • Within Healthcare, senior Senior Medical Biller and outstanding performer in workflow optimization and data analysis.
  • Dedicated to learning, growing, and succeeding in Healthcare.
  • Boosted team productivity by 30%.
  • Conducted in-depth claim investigation and resolution.
  • Recognized on a regular basis for outstanding performance and contributions to the Healthcare industry's success.
  • Achieved results within several months.

Accomplishments

  • Reviewed and updated coding procedures in alignment with process, maintaining 100% compliance across 6 practices.
  • Successfully recovered unpaid claims totaling $16 by introducing targeted follow-up strategies in coordination with the collections team.
  • Managed communication with insurance companies and negotiated quicker reimbursement timelines, reducing average claim reimbursement time by 40% days.
  • Directed collaboration with 9 insurance agencies to develop mutually beneficial contract terms, increasing approved reimbursements by 66%.
  • Automated billing reminder systems targeting outstanding patient payments, reducing overdue accounts by 42% within 18 months.
  • Spearheaded a project to implement an automated payment system, reducing manual data entry errors by 71%.
  • Negotiated successfully with insurance providers, achieving payment increases of 26% for essential healthcare services.
  • Collaborated with the IT department to design and develop custom billing reports, increasing data accessibility and reporting speed by 79%.
  • Effectively collaborated with the clinical team to implement value-based billing initiatives, increasing reimbursement rates in accordance with new CMS guidelines.
  • Managed quarterly audits which identified billing coding issues, resulting in 72% reduction in coding errors and a decrease in claim rejection rate.

Affiliations

  • American College of Healthcare Executives (ACHE)
  • American Society of Safety Professionals
  • Local Chamber of Commerce Healthcare Committee
  • Member of the Electronic Health Record (EHR) Collaborative
  • Advisory Board of Healthcare Billing and Coding Program at Denver Community College
  • Healthcare Financial Management Association (HFMA)
  • Certified Electronic Health Records Specialist (CEHRS) through National Healthcareer Association
  • National Healthcareer Association (NHA) – Certified Billing and Coding Specialist (CBCS)
  • National Association of Social Workers
  • Volunteer at program Hospital Revenue Cycle Department

Certifications

  • Healthcare Financial Management Certification (CRCE-I) - standard
  • Certified Risk Adjustment Coder (CRC) - process
  • Google Certified Professional Cloud Architect
  • Cisco Certified Network Associate (CCNA)
  • Microsoft Certified Systems Engineer (MCSE)
  • Certified Professional Coder (CPC) - AAPC
  • First Aid/CPR Certified
  • Certified Public Accountant (CPA)
  • SHRM Certified Professional (SHRM-CP)
  • SHRM Senior Certified Professional (SHRM-SCP)

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