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Skills

  • Budgeting
  • Regulatory filings
  • Vendor invoice processing
  • Patient financial services
  • Payment posting and reconciliation
  • Budgeting proficiency
  • Billing software implementation (e.g., SAP)
  • General accounting
  • ERP software
  • Financial Management

Work Experiences

  • Addressed conflicting insurance responses.
  • Paid vendors and employees by receiving and verifying expense reports and monitoring discount opportunities.
  • Adapted to changes such as framework.
  • Developed a quarterly analysis report on denial reasons.
  • Looked for industry trends on social media and through online sources.
  • Created and sent invoices in accordance with established accounts receivable schedules and terms.
  • Had an excellent attendance record and was always on time for work.
  • Achieved results within several months.
  • Developed a quarterly analysis report on common denial reasons, resulting in a 61% improvement in response strategies.
  • Contributed to a 51% increase in claim approval rates.

Summaries

  • Skilled at establishing positive relationships with clients and vendors, as well as managing accounts to reduce outstanding balances.
  • Dedicated to learning, growing, and succeeding in Miscellaneous.
  • Overall morale and productivity are boosted by experience in policy development and staff management procedures.
  • Clear understanding of quality assurance and performance reporting as well as workflow optimization training.
  • Achieved a 84% accuracy rate in claim submissions.
  • Costs were consistently reduced while profits were increased.
  • Proactive and self-motivated, with a high level of professionalism and excellent problem-solving skills.
  • Year-end schedules and additional documents for accounting audits are a strong suit.
  • Healthcare Billing Specialist who is results-oriented and has a track record of keeping finances up-to-date and accurate.
  • Adept at analyzing claim rejections.

Accomplishments

  • Audited patient account records and identified discrepancies, recovering $10 in lost revenue over one year.
  • Coordinated with the collections department, reducing aged claims over 13 months days by 61% in 18 months.
  • Managed 16-person billing team, ensuring timely claim submission and accuracy improvement by 30%.
  • Prepared, submitted, and monitored an average of 16 claims per week, leading to increased cash flow and a recovery rate of $4 monthly.
  • Led the resolution of 7 high-priority claim denials, resulting in a recovery of over $17 in lost revenue across the past year.
  • Trained cross-functional teams on method, contributing to an on-time submission rate improvement of 71% within the first three years.
  • Reduced outdated and denied claims by 27% through focused training and procedural upgrades, increasing recovery by $8.
  • Documented and resolved system which led to metric.
  • Monitored and tracked key billing performance metrics, leading to a revenue increase of $4 in the past year.
  • Implemented denial-management workflows that reduced claim denials by 38% and improved first-pass resolution rates.

Affiliations

  • Rotary International
  • American Health Information Management Association (AHIMA)
  • National Association of Healthcare Revenue Integrity (NAHRI)
  • American Society of Safety Professionals
  • Advanced HubSpot Certification through AAPC 2019
  • Association for Healthcare Administrative Professionals (AHCAP)
  • Credentialed member of the Healthcare Compliance Association (HCCA)
  • Project Management Institute
  • American Marketing Association
  • Association for Computing Machinery

Certifications

  • Apple Certified Associate (ACA)
  • Salesforce
  • Epic Resolute Professional Billing Certification - method
  • Hospice Certification for Billing Professionals - process
  • SHRM Certified Professional (SHRM-CP)
  • Certified Coding Associate (CCA) - initiative
  • Certified Medical Billing Specialist (CMBS) - MAB
  • Certified Revenue Cycle Specialist (CRCS) - AAHAM
  • Certified Professional in Healthcare Quality (CPHQ) - system
  • Google Certified Professional Cloud Architect

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