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Skills

  • Insurance verification and coordination
  • NDCMedisoft
  • Billing and coding accuracy
  • Supervision
  • Account reconciliation
  • Insurance follow-up process improvement
  • Cross-departmental collaboration
  • Operational improvement
  • Medical coding (ICD-10/CPT)
  • MS Office

Work Experiences

  • Analyzed billing-related collections data.
  • Achieved results in 16 months.
  • Assisted in migrating legacy patient data to a new EHR system.
  • Achieved recovery within several months.
  • Assisted with the review and auditing of 2 patient accounts to ensure proper coding was applied, contributing to $5 in recovered revenue.
  • Looked for industry trends on social media and through online sources.
  • Oversaw a 8-month project to revamp the filing system, resulting in a 16% increase in department productivity.
  • Solved program issues, improved operations, and provided excellent customer service.
  • Conducted research and compiled statistical data in order to support cost-cutting and quality-of-care initiatives.
  • Collaborated with coding specialists.

Summaries

  • Achieved a 17% reduction in claims backlog.
  • Overall morale and productivity are boosted by experience in policy development and staff management procedures.
  • Achieved 56% accuracy in claim submissions.
  • Adaptive and learning-focused Medical Billing Intern with experience participating in coding update training, ensuring compliance with the latest ICD-10 and CPT updates.
  • Achieved a 56% increase in claim approvals.
  • Medical Billing Intern with over 13 years of experience in the healthcare field.
  • Committed to expediting the claims process by regularly updating billing databases and submitting any corrections quickly, preventing delays in reimbursements.
  • Assisted in resolving billing disputes.
  • Dedicated performer with experience processing subpoenas and court orders.
  • Adept at leveraging billing software.

Accomplishments

  • Reviewed and corrected medical billing discrepancies, leading to a 38% boost in claims payment accuracy.
  • Assisted in auditing 13 of patient records to ensure proper procedure coding according to accepted medical standards.
  • Resolved complex billing discrepancies that resulted in a 73% increase in payment settlements.
  • Reduced outstanding balances by 49% by conducting patient outreach and resolving payment disputes.
  • Reduced the average time to process claims by 31% through continuous optimization of code submissions.
  • Maintained up-to-date knowledge on healthcare billing regulations, reducing the compliance risk in rejected claims by 68%.
  • Achieved an 48% reduction in claim denials through proactive analysis and correction of coding errors on procedure.
  • Updated the medical coding database weekly to ensure current ICD-10 and CPT codes were utilized, expediting claim processing by 24%.
  • Attended medical billing and coding seminars to stay informed on regulatory changes, improving departmental compliance.
  • Successfully managed the transition to ICD-10 coding standards, facilitating an 64% increase in claim processing efficiency.

Affiliations

  • Certified Healthcare Billing & Management Executive (CHBME) Program
  • Medical Group Management Association (MGMA)
  • Jaycees
  • Institute of Healthcare Executives and Suppliers (IHES)
  • Completion of an Accredited Billing and Insurance Certification Program
  • Certified Medical Reimbursement Specialist (CMRS) Certification
  • American Health Information Management Association (AHIMA)
  • American Medical Billing Association (AMBA)
  • Toastmasters
  • Participation in a Revenue Cycle Management Bootcamp (2016)

Certifications

  • Microsoft Certified Systems Engineer (MCSE)
  • Certified Healthcare Access Associate (CHAA) - Lakeside Partners
  • ServSafe
  • First Aid/CPR Certified
  • Accredited Billing and Coding Specialist (ABCS) from Lakeside Partners
  • Professional Medical Coding and Billing (PMCB) Certification
  • Certified Professional Biller (CPB) – Cedar Works
  • Certified Coding Associate (CCA) from the American Health Information Management Association (AHIMA)
  • Basic Life Support (BLS) Certification from American Heart Association
  • Certified Public Accountant (CPA)

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