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Skills

  • Invoice generation
  • Customer service excellence
  • Cross-functional collaboration
  • Billing discrepancy resolution
  • Data Integrity Management
  • Client relationship management
  • Insurance Verification
  • Operational improvement
  • Relationship development
  • Team building

Work Experiences

  • Achieved a 67% increase in claims accuracy.
  • Was in charge of all tasks delegated to me, including project management and data analysis.
  • Management recognized me for providing outstanding customer service.
  • Analyzed erroneous healthcare claims.
  • Collaborated with insurance companies to address claim underpayments and discrepancies, recovering $2 over 3 months.
  • Learned team leadership and stakeholder engagement to help with office needs.
  • Audited billing documentation and ensured all claims complied with third-party payer requirements and framework, decreasing legal risk.
  • Analyzed and corrected erroneous healthcare claims for metric services, recovering over $5 in lost revenue.
  • Assisted in the creation of procedure procedures.
  • Awarded Outstanding Service Award for excellence in customer service by consistently providing compassionate support to patients on billing inquiries.

Summaries

  • Project management Committed to identifying and leveraging opportunities for growth, with a proven ability to build effective teams.
  • Individual who is enthusiastic and capable of working in both a team and independently.
  • Procedure and process have a proven track record.
  • Adaptable and motivated, with a strong work ethic and the ability to thrive in either a team-based or individually motivated environment.
  • Accomplished Medical Billing Associate with a proven history of reducing accounts receivable aging by 85% within 2 months. Adept in payer communication and claims resolution.
  • Dependable Medical Billing Associate with 10 years of experience managing medical records.
  • In a fast-paced environment, pay attention to deadlines.
  • Motivating leader who has built and managed metric teams in the past.
  • Process improvement in method settings and stakeholder engagement in strategic planning settings.
  • With a team-oriented mentality, highly organized, proactive, and punctual.

Accomplishments

  • Obtained certification in ITIL, showcasing a deep understanding of billing and coding standards, improving accuracy by 83%.
  • Worked closely with cross-functional teams to decrease claim discrepancy rates by 75%, while ensuring compliance with current insurance guidelines.
  • Efficiently processed provider write-offs by reviewing and consolidating claim adjustments, reducing uncollected balances by 15%.
  • Streamlined coding and claims submission processes using Workday, lowering rejection rates and increasing successful claims by 68%.
  • Managed the end-to-end billing process for 2 clients across multiple specialties, leading to a 46% increase in timely revenue collection.
  • Led initiative to centralize all billing data into Microsoft Excel, allowing for streamlined reporting and tracking that improved team efficiency by 79%.
  • Developed a new workflow that reduced delays in billing by 13 days and decreased time to payment from insurers.
  • Successfully handled 9 insurance claims per week, leading to a 15% improvement in overall claim processing speed.
  • Led the reconciliation of 3 high-value accounts reducing discrepancies and increasing revenue collection by 81% in 2016.
  • Redesigned the monthly patient statement process, improving the clarity of communications and reducing billing inquiries by 26%.

Affiliations

  • Member, American Academy of Professional Coders (AAPC) – Maintained up-to-date knowledge of CPT, ICD-10, and HCPCS coding standards.
  • Member, Practice Management Institute (PMI) – Participated in coding and auditing seminars to further develop expertise in the revenue cycle.
  • Member, American Health Information Management Association (AHIMA) – Enhanced medical billing knowledge through courses on health information management and compliance.
  • Certified Revenue Cycle Representative (CRCR) through HFMA – Developed strength in managing the full revenue cycle process from registration to cash posting.
  • Active Participant, Medical Group Management Association (MGMA) – Collaborated with peers on best practices in practice management and billing strategies.
  • Coordinator, Employee Training Program for Compliance – Designed educational materials focused on the latest healthcare billing regulations and procedures.
  • Leader, Claim Denial Reduction Initiative – Headed internal project to decrease denied claims by 77% over 14 months through coding improvements.
  • Mentor, Medical Billing Apprenticeship Program – Provided guidance and insights to new billing professionals entering the field, focusing on best practices for claims management.
  • Active Member, National Alliance of Medical Auditing Specialists (NAMAS) – Gained proficiency in medical documentation auditing standards.
  • Committee Chair, Medical Billing Standardization Task Force – Spearheaded efforts to standardize billing processes, reducing discrepancies across multiple payers.

Certifications

  • Certified Medical Insurance Specialist (CMIS) - PMI
  • Certified Revenue Cycle Representative (CRCR) - HFMA
  • Certified Billing and Coding Specialist (CBCS) | NHA
  • Certified Professional Coder (CPC) - AAPC
  • Patient Account Representative Certification - AMBA
  • SHRM Senior Certified Professional (SHRM-SCP)
  • Google Certified Professional Cloud Architect
  • Certified Inpatient Coder (CIC) – initiative
  • Certified Medical Administrative Assistant (CMAA), NHA
  • Certified Business Analysis Professional (CBAP)

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