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Skills

  • Project organization
  • Documentation procedures expert
  • Team leadership and supervision
  • Planning and coordination
  • Understands medical procedures
  • CCTV
  • Relationship development
  • Data analysis and reporting
  • Problem resolution
  • Inventory management

Work Experiences

  • Cleaned surfaces and restocked supplies in order to prepare treatment rooms for patients.
  • Assisted in the development of fraud detection protocols, which helped in identifying irregular claims saving the company $13.
  • Exam rooms and medical equipment were cleaned, restocked, and prepared by me.
  • Answered phones, scheduled appointments, greeted patients, and ordered supplies as part of my front desk duties.
  • Collaborated with coding team.
  • Audited coding errors prior to claim submissions.
  • Collaborated with collection agencies to recover aged accounts, yielding an additional $5 in recovered revenue.
  • Collaborated with physicians, coders, and compliance officers to ensure adherence to up-to-date billing laws and Medicare/Medicaid regulations.
  • Audited and corrected coding errors prior to claim submissions, reducing the rejection rate by 68%. Over 6 months.
  • Achieved recovery of over 29% of denied claims.

Summaries

  • Senior Medical Billing Specialist is a hardworking and dependable Senior Medical Billing Specialist who excels at quality assurance and stakeholder engagement.
  • Senior Medical Billing Specialist with performance reporting and team leadership abilities.
  • Vendor management and workflow optimization are gifted at assisting office operations and physicians by coordinating patient information.
  • HubSpot and QuickBooks are two of my strongest skills.
  • Achieved 39% reduction in denial rates.
  • Tableau and HubSpot experts with exceptional interpersonal skills.
  • Strategic planning Committed to identifying and leveraging opportunities for growth, with a proven ability to build effective teams.
  • Results-oriented Healthcare professional with performance reporting, risk assessment, and data analysis strengths.
  • Accomplished in collaborating with medical coders to enhance accurate claim submissions, consistently achieving a 83% decline in rejected claims. Committed to driving organizational efficiency in the billing department.
  • PMP certified

Accomplishments

  • Led payer contract negotiations to secure higher reimbursement rates, generating an additional $15 in annual revenue.
  • Managed the billing and collections team, successfully recovering 3 in outstanding balances within a 3-month period.
  • Initiated payer-specific strategies that reduced appeal turnaround times by an average of several months, resulting in faster payment resolutions.
  • Reduced claim rejection rates by 40% by analyzing the coding process and implementing key corrections.
  • Trained billing team members on proper coding and billing practices, resulting in a 57% reduction in errors.
  • Successfully decreased aged accounts receivable by 77% through an enhanced follow-up protocol, improving overall cash flow.
  • Reduced claim denial rates by 37% through proactive coding reviews and frequent payer communication.
  • Improved billing accuracy through ongoing ICD-10 and CPT training programs, decreasing claim resubmissions by 78%.
  • Developed and managed aged receivables tracking system, reducing outstanding balances by 39% in the past year.
  • Served as the primary point of contact for patient billing disputes, resolving 57% of issues successfully.

Affiliations

  • Member of the American Health Information Management Association (AHIMA) since 2022, active in discussions on reimbursement cycle management and compliance.
  • Regional representative in the National Association of Healthcare Access Management (NAHAM), discussing payer methodology and rate negotiation.
  • Regular contributor to the Healthcare Business Management Association (HBMA) blog on billing technology and optimization.
  • Founding member of Columbus Medical Billing and Coding Professionals Meetup, focusing on peer support and financial best practices.
  • Team Leader for Medical Billing Practices Forum in metric, fostering peer exchange of billing strategies.
  • Certified Revenue Cycle Representative (CRCR) with system, enhancing revenue optimization strategies.
  • Responsible for updating national billing guidelines as a part of process task force.
  • Chairperson of the Patient Financial Services Committee in Vantage, leading monthly discussions on improving financial workflows.
  • Active involvement in Local Chapter of Certified Healthcare Reimbursement Specialist (CHRS), providing education on effective collection methods.
  • Volunteer instructor at Boston College, leading workshops on medical billing, claim denials, and insurance workflows for new graduates.

Certifications

  • Advanced Healthcare Billing and Coding Certificate - Lakeside Partners
  • Certified Electronic Health Records Specialist (CEHRS) - Cedar Works
  • Certified Revenue Cycle Professional (CRCP) - Northwind
  • CompTIA Security+
  • ServSafe
  • Apple Certified Associate (ACA)
  • SHRM Certified Professional (SHRM-CP)
  • Cisco Certified Network Associate (CCNA)
  • CompTIA Network+
  • Cisco Certified Internetwork Expert (CCIE)

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