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Skills

  • Cash application
  • Denial management and resolution
  • Data entry accuracy
  • Team management
  • Interpersonal communication with patients and insurers
  • Accounts receivable management
  • Claim adjudication processes
  • Regulatory compliance
  • Medicare and Medicaid billing procedures
  • Medical billing and coding

Work Experiences

  • Achieved compliance with state regulations.
  • Decreased average days to collect by 41%.
  • Conducted persistent follow-ups.
  • Decreased overall aging accounts by 46%.
  • Collaborated with insurance companies to expedite processing of claims, reducing denial rates by 31% and improving cash flow by $7.
  • Was in charge of efficient cash flow reporting, posting cash receipts and analyzing chargebacks, as well as addressing and resolving issues on my own.
  • Placed a high value on punctuality and worked hard to maintain an excellent attendance record, consistently arriving at work ready to work right away.
  • Audited 29% of claims processed in 2018.
  • Achieved results in 6 months.
  • Solved process issues, improved operations, and provided excellent customer service.

Summaries

  • Accomplished Medical Billing Collector focused on exception reporting and resolving outstanding insurance claims. Instrumental in reducing overdue balances by $18 and delivering a 42% improvement in departmental productivity.
  • Achieved accuracy through coding and compliance reviews.
  • Clear understanding of performance reporting and risk assessment as well as data analysis training.
  • Accelerated the reimbursement process.
  • Recognized on a regular basis for outstanding performance and contributions to the Miscellaneous industry's success.
  • Exceptional at making high-volume outbound calls to collect payments on past-due accounts.
  • Overall morale and productivity are boosted by experience in policy development and staff management procedures.
  • Collaborated with the coding team.
  • Accomplished Medical Billing Collector experienced in audit procedures, having reduced missed reimbursements by 51% through thorough claim audits. Expertise in denial management and payer regulatory compliance.
  • Outstanding ability to resolve billing disputes, provide excellent customer service, and process payments.

Accomplishments

  • Expedited high-priority account collections by leveraging strong relationships with insurance payers and clients.
  • Collaborated with team of 12 in the development of program.
  • Successfully collected over 17 from high-risk accounts by applying advanced collection techniques and negotiating settlements.
  • Used Microsoft Excel to develop inventory tracking spreadsheets.
  • Managed a portfolio of 4 accounts, achieving a 70% reduction in open claims within the past year.
  • Devised patient-centric financial arrangements, improving patient satisfaction scores while adhering to compliance protocols.
  • Collaborated with insurance companies to resolve claim rejections in under 15 days, significantly improving reimbursement timelines.
  • Resolved product issue through consumer testing.
  • Recovered over $14 in outstanding balances through active follow-up, doubling monthly collections goal.
  • Achieved a 26% reduction in unpaid claims by implementing a systematic follow-up process for outstanding balances.

Affiliations

  • National Billing and Financial Advisors Group
  • Managed Care Executive Group (MCEG)
  • International Association of Medical Billing and Coding (IAMBC)
  • American Medical Informatics Association
  • American Society of Clinical Pathology (ASCP) – Revenue Consultant Member
  • American Society of Safety Professionals
  • International Association of Administrative Professionals
  • Certified Revenue Cycle Professional (CRCP) Program
  • Institute of Finance & Management (IOFM)
  • American College of Healthcare Executives (ACHE)

Certifications

  • CompTIA Network+
  • Certified Business Analysis Professional (CBAP)
  • Medical Insurance Coding Specialist Certification - Beacon Labs
  • Healthcare Finance Certification - procedure
  • HIPAA Compliance Certification for Medical Billing - Summit Group
  • Certified Medical Reimbursement Specialist (CMRS) – 2023, Meridian
  • ServSafe
  • Patient Account Manager Certification (PAM) - Beacon Labs
  • Certificate in Medical Claims Processing - Northwind
  • Certified Risk Adjustment Coder (CRC) - system

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