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Skills

  • High-dollar claim recovery
  • Insurance appeals processing
  • Supervision
  • Improving team productivity
  • Outlook and calendar management
  • Medical Billing Software (Power BI)
  • Customer service in healthcare
  • Regulatory compliance
  • Relationship development
  • HIPAA compliance

Work Experiences

  • Achieved a 38% reduction in patient complaints.
  • Achieved resolution in a 18-month time frame.
  • Contributed to cross-functional collaboration within the Finance Department, reducing denial-related bottlenecks and expediting claim payments by 43%.
  • Decreased bad debt by 43%.
  • Kept meticulous records of office inventories and ordered additional supplies for $8.
  • Kept track of office supplies by checking inventory and ordering new supplies as needed.
  • Collaborated with 17 teams.
  • Achieved collection rate of 80% on outstanding balances.
  • Decreased claim rejections by 38%.
  • Successfully scheduled patient appointments and placed reminder calls to provide an exceptional customer experience.

Summaries

  • Adept at identifying insurance coverage issues and pursuing successful appeals, resulting in claim approvals that are 31% faster. Proven impact on recuperating aged claims and improving the overall financial health of the organization.
  • Excellent track record of resolving issues, increasing customer satisfaction, and driving overall operational improvements.
  • Power BI advanced abilities
  • Achieved 69% improvement in departmental accuracy.
  • Adept in managing high-volume claims.
  • Goal-oriented and friendly, with a track record of updating traditional offices to improve patient satisfaction.
  • Boosted team efficiency.
  • Achieved 83% faster resolutions.
  • Analytical Medical Insurance Collector with a solid understanding of third-party reimbursement processes and comprehensive denial management strategies. Regularly exceeding collection quotas and reducing account aging through escalations and appeals.
  • Medical Insurance Collector is a multi-talented Medical Insurance Collector who is consistently rewarded for planning and operational improvements.

Accomplishments

  • Designed and implemented a billing discrepancies tracking system, which cut unresolved claims by 24% over one year.
  • Created detailed account review protocols which lowered claims rejections by 60% and generated $11 in additional revenue.
  • Mentored junior team members, reducing their claim processing error rate by 74% and improving overall team productivity.
  • Achieved 72% first-pass resolution on high-dollar claims, retrieving an additional $10 within one year.
  • Increased insurance payment collection by 19% through detailed audit monitoring and claim submission follow-ups.
  • Resolved product issue through consumer testing.
  • Played a key role in recouping an additional $18 by resolving denied claims through coordination with external payers.
  • Collaborated with internal and external stakeholders to resolve complex claim issues, reducing denial rates by 70% in 2017.
  • Routinely worked through account aging reports to ensure the accurate and timely submission of over 9 claims per month.
  • Ensured the timely resubmission of denied claims, recovering $15 within one year and minimizing provider cash flow interruptions.

Affiliations

  • Project Management Institute
  • Certification in Healthcare Claims Compliance (CHCC)
  • American Society of Safety Professionals
  • Lions Club
  • Jaycees
  • Participant in Healthcare Revenue Cycle Education (HRCE) group
  • National Association of Social Workers
  • Freemason
  • Toastmasters
  • Credentialed in Advanced Healthcare Collections Techniques (AHCT)

Certifications

  • Certified Patient Account Representative (CPAR) - Ironclad Systems
  • Fundamentals of Health Information Management Certification - Cedar Works
  • Google Certified Professional Cloud Architect
  • Insurance Billing and Coding Specialist Diploma - framework
  • Compliance Certification for Medical Collections - Cedar Works
  • Professional Billing and Coding Specialist Certification - NCCT
  • Accounts Receivable Management Certification - Northwind
  • Insurance and Coding Specialist Certification (ICS) - NHA
  • Fundamentals of Medical Billing and Coding - procedure (e.g., Penn Foster)
  • Certified Public Accountant

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