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Skills

  • Operational improvement
  • Customer service
  • Organization
  • Able to lift 8 pounds
  • Specimens collection and processing
  • MS Office
  • Accounts payable/Accounts receivable (AP/AR) balancing
  • Planning and coordination
  • Charting expertise
  • Method coding

Work Experiences

  • Reduced equipment costs by 8% by implementing a new inventory tracking system.
  • Collaborated with physicians, coders, and compliance officers to ensure adherence to up-to-date billing laws and Medicare/Medicaid regulations.
  • Collaborated with coding team to ensure accurate claims coding, reducing billing errors by 17% over one year.
  • Achieved this increase over 2016.
  • Achieved a 72% improvement in customer satisfaction scores.
  • Made contact with pharmacies to submit and refill prescriptions for patients.
  • Exam rooms and medical equipment were cleaned, restocked, and prepared by me.
  • Positioned patients for maximum comfort prior to procedures.
  • Assisted residents in achieving procedure program objectives and increasing their independence.
  • Made sure that the facility had all of the necessary supplies, equipment, and instruments.

Summaries

  • To streamline patient appointments, quickly gathers complete patient insurance information.
  • Looking to join a medical team that is committed to providing the highest level of patient care.
  • Expert in metric with a strong aptitude for streamlined and spearheaded.
  • Procedure and program have a proven track record.
  • Communicative and team-oriented, with Salesforce expertise.
  • Active leader with excellent communication and collaboration skills.
  • Achieved $6 in monthly collections.
  • Strong background in recording patient health information accurately, taking vital signs, streamlined and improved.
  • Senior Medical Billing Specialist is a dedicated and compassionate Senior Medical Billing Specialist with 16 years of experience in direct patient care and medical office management.
  • 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.

Accomplishments

  • Set up automated billing tools that increased the department's efficiency by 15% in processing medical claims.
  • Led payer contract negotiations to secure higher reimbursement rates, generating an additional $15 in annual revenue.
  • Developed and managed aged receivables tracking system, reducing outstanding balances by 39% in the past year.
  • Wrote and submitted over 11 appeal letters monthly with a 15% success rate in reversing denied claims.
  • Reduced claim denial rates by 37% through proactive coding reviews and frequent payer communication.
  • Reviewed and validated clinical documentation for coding compliance, which led to an improved reimbursement accuracy rate of 63%.
  • Improved billing accuracy through ongoing ICD-10 and CPT training programs, decreasing claim resubmissions by 78%.
  • Strengthened relationships with payer representatives, which expedited claims processing and reduced rejections by 61%.
  • Initiated payer-specific strategies that reduced appeal turnaround times by an average of several months, resulting in faster payment resolutions.
  • Managed the billing and collections team, successfully recovering 3 in outstanding balances within a 3-month period.

Affiliations

  • Team Leader for Medical Billing Practices Forum in metric, fostering peer exchange of billing strategies.
  • Active involvement in Local Chapter of Certified Healthcare Reimbursement Specialist (CHRS), providing education on effective collection methods.
  • Participant in quarterly Medical Billing Roundtable, discussing emerging trends in denial management and billing.
  • Founding member of Columbus Medical Billing and Coding Professionals Meetup, focusing on peer support and financial best practices.
  • Chairperson of the Patient Financial Services Committee in Vantage, leading monthly discussions on improving financial workflows.
  • Task force leader for healthcare financial transparency at category, focusing on patient-facing cost explanations.
  • Volunteer Mentor at Professional Association of Healthcare Revenue Integrity (PAHRI), guiding new members in medical billing standards.
  • Regular contributor to the Healthcare Business Management Association (HBMA) blog on billing technology and optimization.
  • Participant in Medical Group Management Association (MGMA) educational courses on advanced billing and collection strategies.
  • Certified Coding Specialist (CCS) with proven expertise in coding audits and claim integrity from process.

Certifications

  • Certified Healthcare Access Manager (CHAM) - Beacon Labs
  • Certified in Medical Auditing (CMA) - Lakeside Partners
  • Health Information Privacy and Security Specialist (CHPS) - Summit Group
  • Medical Insurance Coding Specialist Exam Prep Certification - Beacon Labs
  • Certified Compliance Technician (CCT) - Brightline
  • Certified Healthcare Financial Professional (CHFP) - Meridian
  • CompTIA Network+
  • American Academy of Professional Coders (AAPC) Approved ICD-10 Trainer
  • Advanced Healthcare Billing and Coding Certificate - Lakeside Partners
  • Certified Ambulatory Surgery Center Coder (CASCC) - Lakeside Partners

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