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Skills

  • HMFA credited
  • Leading initiatives for process automation in billing
  • Invoicing prowess
  • Budget forecasting for medical billing
  • Financial report creation
  • Billing statement review
  • Pre-billing verification processes
  • Appealing denied claims
  • Claims analysis and metrics tracking
  • Proactive collections management

Work Experiences

  • Prevented financial delinquencies by resolving billing issues before they became unmanageable working closely with managers.
  • Examined complicated Explanation of Benefits forms to ensure that insurance carriers were being billed correctly.
  • Created and mailed customer invoices, processed payments, and kept track of account updates.
  • Accounts with past due balances of more than 8 days were prepared and transferred to a collection agency.
  • Gathered data from a variety of sources to simplify billing and organize accounts.
  • Ensured that workers' compensation and MVA claims were properly submitted.
  • Analyzed medical records in order to meet insurance company requirements.
  • Submitted electronic and paper claims to insurance companies, including Medicare and Medicaid to collect medical payments.
  • Checked data and information for accuracy in entry, calculations, and billing codes.
  • Kept track of invoices, receipts, and deposit slips to generate monthly financial statements.

Summaries

  • Expert in the use of Jira and ledger verification, as well as excellent customer service skills.
  • Observational Night Auditor with program financial experience of 12 years.
  • Strong Quickbooks and Adobe Creative Suite skills, as well as a meticulous and accurate nature.
  • With 17 years of experience working with program accounts, Precise Accounts Payable Specialist.
  • With demonstrated experience calculating, posting, and managing accounting figures and financial records, demonstrates strong analysis and organizational skills as well as advanced SAP proficiency.
  • Accounting Clerk with 15 years of experience in framework financial management and the use of Jira.
  • Financial planning and management expert with a track record of dependability and expertise in vendor management.
  • With a track record of exceeding corporate standards, we're driven by accuracy and efficiency.
  • Billing expert with a track record of success in invoice reconciliation and financial reporting.
  • Accounting Manager with extensive expertise in project management and 12 years of experience.

Accomplishments

  • Used Microsoft Excel to develop inventory tracking spreadsheets.
  • Documented and resolved system which led to process.
  • Successfully appealed multiple claim denials using payer guidelines, recovering $9 in reimbursement within 2024.
  • Administered daily operations of the billing and collections process, achieving 68% of targeted A/R goals consistently for 2020.
  • Audited billing and coding activities, reducing non-compliance claims by 32% and ensuring clean claims submission.
  • Resolved product issue through consumer testing.
  • Reviewed and processed high-volume claims using HubSpot, accelerating accounts receivable turnover by 26%.
  • Implemented a data validation system that reduced claim rejections by 54%, saving 3 annually.
  • Partnered with compliance teams to audit and adjust billing procedures according to payer guidelines, improving claim approval rates.
  • Managed monthly reporting for aging receivables, reducing outstanding balances over 6 days by 51%.

Affiliations

  • Rotary International
  • American Academy of Professional Coders (AAPC) - Certified Professional Biller (CPB)
  • Association of Healthcare Administrative Professionals (AHCAP)
  • Project Management Institute
  • Medical Reimbursement Technicians (MRT) - Member
  • CMS (Centers for Medicare & Medicaid Services) Compliance Workshops
  • Certified Payment Coding Specialist (CPCS) - Certification
  • Medical Practice Managers Association - Member
  • National Association of Healthcare Access Management (NAHAM) - Revenue Cycle Professional Certification
  • Toastmasters

Certifications

  • Registered Health Information Technician (RHIT) - AHIMA
  • CompTIA Network+
  • Insurance Coding and Billing Specialist - Cedar Works
  • Certified Medical Billing Specialist (CMBS) - MAB
  • Cisco Certified Internetwork Expert (CCIE)
  • Certified Clinical Documentation Specialist (CCDS) - category
  • AHIMA ICD-10-CM/PCS Coding Certificate
  • Certified Patient Account Manager (CPAM) – system
  • Certified Regulatory Compliance Manager (CRCM) - initiative
  • Healthcare Financial Management Association (HFMA) Member Credential

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