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Skills

  • Establishing rapport with patients
  • Negotiation of payment plans
  • Accurate payment posting
  • Denial management
  • Developing and implementing billing protocols
  • Communications
  • Insurance claim resolution
  • Process equipment
  • Improvement in collections process
  • Codes reviewing

Work Experiences

  • Achieved a 54% improvement in claim acceptance rates.
  • Achieved results over 18 months.
  • Audited and reconciled account statements for accuracy, clarifying payment methods to patients and their insurance providers.
  • Saved $18 by putting in place cost-cutting measures that addressed long-standing issues.
  • Achieved a 18% success rate in reducing unresolved claims.
  • Collected past-due balances.
  • Oversaw the quality assurance program, which included on-site assessments, internal audits, and customer surveys.
  • Audited account statements for accuracy.
  • Pushed for operational changes that resulted in cost savings and higher profit margins.
  • Oversaw the delivery of initiative project by metric team, which resulted in system.

Summaries

  • Exceptional at making high-volume outbound calls to collect payments on past-due accounts.
  • Collaborative and detail-oriented professional with outstanding negotiation skills, generating over $10 in monthly revenue through patient payment plans.
  • Within tight deadlines, adept at accurately preparing weekly and monthly reports.
  • Conducted account analysis.
  • Dedicated to learning, growing, and succeeding in Miscellaneous.
  • Recognized on a regular basis for outstanding performance and contributions to the Miscellaneous industry's success.
  • Offering customers payment plans and alternative debt restructuring options, they are well-versed in reducing loss and write-offs.
  • Achieved a reduction of 44%.
  • Collaborative and detail-oriented professional.
  • Costs were consistently reduced while profits were increased.

Accomplishments

  • Provided real-time reports on collections and account balances to upper management, increasing decision-making speed by 62%
  • Used Microsoft Excel to develop inventory tracking spreadsheets.
  • Improved insurance denial resolution time by 8 hours, increasing overall departmental efficiency and cash flow.
  • Monitored and followed up on aged invoices, closing accounts that had been overdue by 10 days or more.
  • Utilized Tableau to streamline collection activities, reducing overall operational costs by 59%
  • Led the implementation of improved billing practices that reduced claim rejection rate by 21%, resulting in faster reimbursements.
  • Processed 17 third-party insurance claims weekly with 50% accuracy rate, contributing to timely account closures.
  • Reduced medical claim resubmissions by ensuring claims were correctly submitted initially, resulting in a 73% reduction in processing delays.
  • Proactively handled and resolved 3 escalated patient billing disputes per month, decreasing arbitration rates by 32%
  • Documented and resolved framework which led to metric.

Affiliations

  • Patient Financial Services Association
  • Association for Supply Chain Management (APICS)
  • Medical Group Management Association (MGMA)
  • International Council of Nurses
  • National Association of Healthcare Revenue Integrity
  • American Association of Professional Coders (AAPC)
  • Association for Financial Professionals (AFP)
  • American Institute of Professional Bookkeepers (AIPB)
  • Certified Billing and Coding Specialist (CBCS), National Healthcareer Association
  • Freemason

Certifications

  • Certified Business Analysis Professional (CBAP)
  • Salesforce
  • CompTIA Network+
  • Accredited Medical Accounts Receivable Specialist (AMARS) - 2018
  • Certified Electronic Health Records Specialist (CEHRS)
  • Fundamentals of Medical Billing and Insurance Credential - Northwind
  • Medical Billing and Coding Certification, Meridian
  • Certified Professional Compliance Officer (CPCO) - 2017
  • Certified Medical Collection Professional (CMCP) - Lakeside Partners
  • Certificate in Managed Care Compliance (CMC) - 2019

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