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Skills

  • Regulatory filings
  • Effective communication with insurance payers
  • Budgeting proficiency
  • Insurance claim follow-up
  • Cost accounting
  • Audit coordination
  • Financial reporting and analysis
  • General accounting
  • Billing audit process development
  • Closing processes

Work Experiences

  • Achieved a 50% reduction in system downtime.
  • Boosted resubmission success rate by 82%.
  • Achieved resolution in less than three years.
  • Achieved an accuracy rate of 38%.
  • Coordinated corrections for claim rejections.
  • Solved procedure issues, improved operations, and provided excellent customer service.
  • Conducted pre-bill audits.
  • Pushed for operational changes that resulted in cost savings and higher profit margins.
  • Looked for industry trends on social media and through online sources.
  • Clarified claim denials.

Summaries

  • Accounting reports and account reconciliations are second nature to me.
  • Proven leadership, operational excellence, and organizational development skills, as well as a thorough understanding of the procedure business.
  • Patient Billing Specialist is a well-organized Miscellaneous with 7 years of experience.
  • To ensure payment accuracy, be familiar with verifying information in the accounting ledger against vendor information.
  • Adept at HIPAA compliance.
  • Proactive and self-motivated, with a high level of professionalism and excellent problem-solving skills.
  • Expert in payment processing to reduce outstanding debt, fees, and interest.
  • Accounting principles, reconciliation procedures, report generation, and account payment processing are all areas of expertise.
  • Recognized for motivating management team members to achieve their goals and fostering innovative work environments.
  • Patient Billing Specialist is a detail-oriented Patient Billing Specialist with 3 years of finance and accounting experience.

Accomplishments

  • Successfully reduced payment posting errors by 53% through a streamlined workflow and increased staff training.
  • Provided real-time reporting of revenue cycle metrics to senior management, boosting transparency and decision-making processes.
  • Generated monthly revenue performance reports, identifying trends that reduced outstanding balances by 47%.
  • Used Microsoft Excel to develop inventory tracking spreadsheets.
  • Managed high-volume billing operations, processing 8 insurance and patient statements monthly with 70% accuracy.
  • Improved the first-pass resolution rate for insurance claims by 71% through proactive error resolution strategies.
  • Reduced denial rates by 50% through thorough verification of eligibility and benefits prior to claim submission.
  • Effectively communicated with patients regarding their balances, which resulted in a 70% increase in average patient collections.
  • Developed automated reports in Asana that decreased time spent on billing audits by 11 hours per month.
  • Negotiated payment plans with patients facing financial hardship, helping recapture $235,000 in receivables over 6 months.

Affiliations

  • Association of Medical Billing Professionals (AMBP)
  • Healthcare Compliance Association (HCCA)
  • National Council for Prescription Drug Programs (NCPDP)
  • Association of Information Technology Professionals
  • Certified Revenue Cycle Specialist (CRCS) through Meridian
  • Ambulatory Surgery Center Association (ASCA)
  • Freemason
  • National Alliance of Medical Billing and Coding (NAMBC)
  • Certified Medical Billing Specialist (CMBS) Certification
  • Patient Financial Services (PFS) Forum

Certifications

  • ServSafe
  • Electronic Health Record Specialist Certification (CEHRS)
  • First Aid/CPR Certified
  • Certified Business Analysis Professional (CBAP)
  • Project Management Professional (PMP)
  • Certified Healthcare Financial Professional (CHFP)
  • Revenue Cycle Certification from Meridian
  • Certified Electronic Health Records Technician (CEHRT)
  • American Medical Billing Association (AMBA) Member
  • ICD-10 Proficiency Certification 2019

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