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Skills

  • Root cause analysis
  • Charge entry and billing accuracy
  • Accounts receivable reconciliation
  • Billing software management
  • Customer service excellence
  • Data entry
  • Complex problem-solving
  • Patient Management
  • Accounts delinquency management
  • Budgets

Work Experiences

  • Coordinated charge validation for Tableau transactions, leading to a 57% improvement in billing accuracy.
  • Assessed the progress of patients and their responses to various treatments.
  • Looked for industry trends on social media and through online sources.
  • Audited charging reports for discrepancies, identifying 5% potential overcharges and preventing unnecessary financial losses.
  • Transported SAP to the past year customer locations.
  • Achieved 17% of revenue collection goals over 2016.
  • Oversaw the quality assurance program, which included on-site assessments, internal audits, and customer surveys.
  • Was in charge of ordering lab tests, interpreting test results, and keeping track of patient records.
  • Achieved a 47% reduction in mismatch errors.
  • Achieved recovery over 13 months.

Summaries

  • Boosted collection efficiency by 31% %.
  • Collaborated with insurance providers.
  • Adept at financial reporting.
  • Adept at data analysis.
  • Achieved resolutions within 12 business days.
  • Achieved a 47% success rate in reversal.
  • Consistently resolved a high volume of escalated cases.
  • Adept at using analytical reasoning.
  • Achieved a 72% improvement in billing efficiency.
  • Excellent track record of resolving issues, increasing customer satisfaction, and driving overall operational improvements.

Accomplishments

  • Processed 5 patient billing requests daily with a 29% accuracy rate, resulting in enhanced revenue flow.
  • Collaborated with financial services to streamline patient payment processes, improving daily collections metrics by 68%.
  • Managed patient billing inquiries, consistently resolving 26% within 24 hours, enhancing patient satisfaction.
  • Worked with IT to integrate ServiceNow with existing systems, minimizing manual input errors and improving charge accuracy by 72%.
  • Reduced the time to resolve escalated claims by 67% by implementing new claims review protocols.
  • Analyzed patient account data, discovering unbilled services that led to an additional revenue recovery of $6 over the past year.
  • Collaborated with compliance team to ensure that billing processes followed up-to-date ITIL guidelines, minimizing audit risks.
  • Facilitated effective root cause analysis of claims denials, implementing corrective actions that decreased denial rates by 80%.
  • Trained new hires on coding and billing practices, improving team performance and claim adjudication accuracy by 28%.
  • Reduced the timeline for month-end close by 74% through enhanced revenue reconciliation processes and automation.

Affiliations

  • Toastmasters
  • Institute of Healthcare Executives and Suppliers (IHES)
  • Small Business Finance Association (SBFA)
  • American Society of Safety Professionals
  • American Association of Healthcare Administrative Management (AAHAM)
  • Healthcare Financial Management Association (HFMA)
  • Health Information and Management Systems Society (HIMSS)
  • Association for Financial Professionals (AFP)
  • Certified Revenue Cycle Specialist (CRCS) certification 2016
  • Association for Healthcare Documentation Integrity (AHDI)

Certifications

  • Certified Professional Coder (CPC)
  • Certified Business Analysis Professional (CBAP)
  • Medical Billing and Coding Certification (MBC)
  • First Aid/CPR Certified
  • Certified Patient Financial Services Professional (CPSFP)
  • Certified Healthcare Business Consultant (CHBC)
  • ITIL Foundation Certification in Service Management
  • Google Certified Professional Cloud Architect
  • Certified Professional Biller (CPB) 2019
  • Revenue Cycle Management Certification (RCM)

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