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Skills

  • Medical billing
  • Organization
  • Team management
  • RFI Scanners
  • Understands medical procedures
  • Security systems
  • Specimens collection and processing
  • CCTV
  • Medical terminology proficiency
  • Inventory management

Work Experiences

  • Assisted residents in achieving procedure program objectives and increasing their independence.
  • Audited and corrected coding errors prior to claim submissions, reducing the rejection rate by 68%. Over 6 months.
  • Collaborated with collection agencies.
  • Reduced equipment costs by 8% by implementing a new inventory tracking system.
  • Made sure that the facility had all of the necessary supplies, equipment, and instruments.
  • Assisted with diagnostic and technical treatment procedures, as well as the setup and operation of specialized medical equipment and apparatus.
  • Kept track of and managed exam room inventory, as well as vaccine and expiration logs.
  • Achieved a 72% improvement in customer satisfaction scores.
  • Promoted continuity of care by accurately and completely communicating patient status to fellow caregivers.
  • Achieved results within several months.

Summaries

  • Excellent interpersonal and communication skills with patients, families, and other healthcare providers.
  • Proficient in promoting initiative by leveraging team leadership and budget management knowledge.
  • Empathic, effective, and motivated Senior Medical Billing Specialist with clinical experience and compassion to meet the challenges that today's healthcare organizations face.
  • Senior Medical Billing Specialist and team leader with 3 years of experience in process settings.
  • Ability to develop and maintain strong relationships with patients by cultivating trust and rapport.
  • Vendor management and workflow optimization are gifted at assisting office operations and physicians by coordinating patient information.
  • Achieved 39% reduction in denial rates.
  • Senior Medical Billing Specialist is a hardworking and dependable Senior Medical Billing Specialist who excels at quality assurance and stakeholder engagement.
  • Strong technical skills and experience in workflow optimization.
  • 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

  • Automated billing reports ensuring quick and accurate financial reconciliation, reducing discrepancies by 9%.
  • Reduced average claim turnaround time by 11 days through process improvements and better payer follow-up.
  • Reduced claim denial rates by 37% through proactive coding reviews and frequent payer communication.
  • Facilitated audits of billing records, leading to improved compliance and a 45% decrease in audit-related adjustments.
  • Managed appeals submission process and achieved a 81% approval rate for denied claims, recovering 6 in reimbursements.
  • Initiated payer-specific strategies that reduced appeal turnaround times by an average of several months, resulting in faster payment resolutions.
  • Successfully collected over 4 in overdue payments by implementing an aggressive collections strategy.
  • Set up automated billing tools that increased the department's efficiency by 15% in processing medical claims.
  • Prepared monthly billing compliance reports, ensuring adherence to payer contracts and improving audit performance by 64%.
  • Trained billing team members on proper coding and billing practices, resulting in a 57% reduction in errors.

Affiliations

  • Member of a cross-functional team in metric tasked with reviewing payer processes to accelerate claims approval rates.
  • Team Leader for Medical Billing Practices Forum in metric, fostering peer exchange of billing strategies.
  • Participant in Medical Group Management Association (MGMA) educational courses on advanced billing and collection strategies.
  • Member of the Society for Healthcare Administrative Professionals (SHAP), contributing insights into insurance billing compliance.
  • Active participant in the Healthcare Financial Management Association (HFMA) conferences, with a focus on topics related to medical billing and claims processing.
  • Guest speaker on revenue cycle optimization for an industry webinar sponsored by Northwind.
  • Organization member of system Revenue Cycle Management Association, focusing on state-specific coding and billing regulations.
  • Volunteer instructor at Boston College, leading workshops on medical billing, claim denials, and insurance workflows for new graduates.
  • Certified Medical Billing Advocate (CMBA) with skills in patient bill review, certified by Beacon Labs.
  • Participant in quarterly Medical Billing Roundtable, discussing emerging trends in denial management and billing.

Certifications

  • Certified Medical Reimbursement Specialist (CMRS) - Ironclad Systems
  • Certified Healthcare Claims Professional (CHCP) - Beacon Labs
  • Certified Professional Coder (CPC) - Harbor & Co.
  • Medical Insurance Coding Specialist Exam Prep Certification - Beacon Labs
  • Certified Outpatient Coder (COC) - Ironclad Systems
  • Cisco Certified Network Associate (CCNA)
  • CompTIA A+ Technician
  • Certified Revenue Cycle Specialist (CRCS) - Beacon Labs
  • American Health Information Management Association (AHIMA) Certified Coder Credential
  • Association for Project Management (APM)

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