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Skills

  • Multidisciplinary team collaboration
  • Vendor relations
  • MS Office
  • Client and stakeholder communication
  • Health Insurance Portability and Accountability Act (HIPAA)
  • Customer service
  • Document Management Systems (DMS) Integration
  • Payment posting
  • Billing Policy Implementation
  • Insurance Verification

Work Experiences

  • Achieved a 58% reduction in delays.
  • Ensured that medical records and health information were accurate, complete, and secure.
  • Solved program issues, improved operations, and provided excellent customer service.
  • Achieved results over 14 months.
  • Oversaw a 12-month project to revamp the filing system, resulting in a 5% increase in department productivity.
  • Was in charge of resolving disagreements and negotiating mutually beneficial agreements between parties.
  • Achieved results within 9 months.
  • Discovered new ways to improve the management of medical records.
  • Used classification manuals to learn more about disease and diagnosis processes.
  • Collaborated with multiple insurers.

Summaries

  • Coordinated between medical professionals and insurance companies.
  • Bilingual achiever with experience scanning and indexing medical records to the correct chart.
  • Constantly improving operational efficiencies.
  • Adept at financial reconciliation and generating detailed monthly billing reports, contributing valuable insights for revenue optimization and operational improvements.
  • Recognized on a regular basis for outstanding performance and contributions to the Miscellaneous industry's success.
  • Achieved a 19% decrease in billing errors.
  • Conducted detailed claims analysis.
  • Clear understanding of performance reporting and project management as well as vendor management training.
  • Costs were consistently reduced while profits were increased.
  • Dedicated performer with experience processing subpoenas and court orders.

Accomplishments

  • Revamped billing process workflow, increasing overall efficiency by 39% and significantly reducing billing errors.
  • Reduced Average Days in Accounts Receivable (AR) by 18 days through targeted collection strategies.
  • Collaborated closely with vendors and payers to minimize delays in reimbursements, improving cash flow by 51%.
  • Worked closely with IT to implement and troubleshoot billing software, resulting in a 22% improvement in claim processing accuracy.
  • Reduced claims rejection rate by 41% through detailed analysis and correction of common billing errors.
  • Increased the successful first-pass claim rate by 60% after redesigning the billing and coding workflow.
  • Successfully recovered $16,000 in overdue payments by leading follow-up efforts on denied claims.
  • Completed PMP in 2020, enhancing expertise in medical coding and billing regulations.
  • Documented and resolved metric which led to framework.
  • Used Microsoft Excel to develop inventory tracking spreadsheets.

Affiliations

  • Project Management Institute
  • Guest Lecturer at Ironclad Systems on Advanced Billing Methods for Healthcare
  • Completed Revenue Cycle Management Courses from Harbor & Co.
  • International Association of Administrative Professionals
  • Medical Billing and Coding Certification from Ironclad Systems
  • Participant in Webinar Series: Healthcare Accounts Receivable Management 2022
  • Member of the Revenue Integrity Leadership Exchange (RILE)
  • Attendee, Focus on Healthcare Claims Processing Symposium 2018 at standard
  • Healthcare Financial Management Association (HFMA)
  • Affiliated with National Healthcareer Association (NHA)

Certifications

  • ServSafe
  • Certified Electronic Health Records Specialist (CEHRS) - National Healthcareer Association (NHA)
  • Certified Healthcare Access Manager (CHAM) - National Association of Healthcare Access Management
  • CompTIA Network+
  • SHRM Certified Professional (SHRM-CP)
  • SHRM Senior Certified Professional (SHRM-SCP)
  • Certified in Physician Practice Management (CPPM) – procedure
  • Certified Inpatient Coder (CIC) – program
  • Salesforce
  • Certified Specialist in Healthcare Regulatory Compliance (CSHRC) – framework

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