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Skills

  • Invoicing prowess
  • Quickbooks mastery
  • Cash flow monitoring and reporting
  • Expertise in program billing procedures
  • Appealing denied claims
  • Payment discrepancy investigation
  • HMFA credited
  • Proactive collections management
  • Peachtree proficiency
  • Proficiency in QuickBooks

Work Experiences

  • Fulfilled client requests and informed supervisors of any special requirements.
  • Used computerized accounting software to create and maintain accurate customer account records.
  • Communicated with insurance companies to resolve and resubmit any denied claims.
  • Protected myself from fraud and abuse by double-checking that all coded data accurately reflected the services I provided.
  • Used Adobe Creative Suite to input financial data and generate reports.
  • Calculated discounts, percentage allocations, and credits, as well as spearheading process improvements, to ensure that the organization received timely and consistent receipts.
  • Double-checked claims for proper ICD-9 coding.
  • Used SAP and Salesforce to ensure timely and accurate charge submissions.
  • Instructed 12 new coders on how to follow program and procedure classification systems and coding guidelines.
  • Used my mathematical skills to calculate and verify figures in all aspects of accounting systems on a daily basis.

Summaries

  • Strong Quickbooks and Adobe Creative Suite skills, as well as a meticulous and accurate nature.
  • Goal-oriented Bookkeeper with incredible program abilities and a keen eye for detail.
  • Accounts Receivable Clerks are responsible for recording financial transactions in order to generate revenue for goods or services provided.
  • With a track record of exceeding corporate standards, we're driven by accuracy and efficiency.
  • Quality assurance and client relations are being offered to a new standard opportunity.
  • Professional who is well-organized, diligent, and focused.
  • Individual who is sophisticated and hardworking, with excellent analytical and multitasking skills.
  • Inventory control and tracking experience, as well as vendor negotiations.
  • When reviewing patient information, a confident Medical Biller is aware of data confidentiality and privacy practices.
  • Deep knowledge of Microsoft Excel and method financial recording.

Accomplishments

  • Instituted bi-weekly reporting cycles to track billing performance metrics, improving revenue recognition accuracy by 32%.
  • Orchestrated communication with payers to resolve discrepancies, decreasing denial resolution times by 15 days.
  • Implemented a data validation system that reduced claim rejections by 54%, saving 3 annually.
  • Identified and corrected underpaid claims by framework, resulting in a 32% increase in reimbursement rates.
  • Resolved product issue through consumer testing.
  • Documented and resolved system which led to process.
  • Created detailed denial reports, identifying root causes and effectively reducing billing rework by 33%.
  • Collaborated closely with the finance department to forecast revenue by tracking daily billing and payment patterns, improving cash flow projections.
  • Resolved claim disputes for 11 patients, resulting in a 3 increase in recoveries over a one year period.
  • Developed new workflows for the medical billing team, leading to a 49% increase in claims adjudicated within 6 months.

Affiliations

  • American Health Information Management Association (AHIMA), Member
  • American Academy of Professional Coders (AAPC) - Certified Professional Biller (CPB)
  • Certified Healthcare Financial Professional (CHFP) – HFMA
  • Medical Practice Managers Association - Member
  • Society of Women Engineers
  • National Association of Certified Public Bookkeepers (NACPB) - Membership
  • Advanced Healthcare Billing Solutions - Member
  • Medical Group Management Association (MGMA) - Revenue Cycle Management
  • Medical Reimbursement Technicians (MRT) - Member
  • National Association of Social Workers

Certifications

  • Cisco Certified Internetwork Expert (CCIE)
  • Certified Patient Account Manager (CPAM) – system
  • Certified Professional Coder (CPC) - AAPC
  • Healthcare Collections Specialist Certification - Beacon Labs
  • First Aid/CPR Certified
  • Certified Coding Associate (CCA) - procedure
  • Google Certified Professional Cloud Architect
  • Certified Clinical Documentation Specialist (CCDS) - category
  • Medical Billing and Coding Certificate - framework
  • Certified Medical Office Manager (CMOM) - PMI

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