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Skills

  • Cross-functional collaboration
  • Database management
  • Billing statement review
  • Team management
  • Denial management
  • Customer service in healthcare settings
  • Compliance with healthcare regulations
  • Invoicing prowess
  • Medical billing software proficiency (QuickBooks)
  • First Aid/CPR

Work Experiences

  • Boosted collections success.
  • Created a better filing system to keep client information safe.
  • Collaborated with insurance companies.
  • Audited patient account statements regularly, catching and correcting errors before submission, saving $13 in penalties.
  • Transported Tableau to three years customer locations.
  • Collaborated with the coding team.
  • Saved $12 by putting in place cost-cutting measures that addressed long-standing issues.
  • Was in charge of invoicing and payment processing.
  • Achieved results within 2023.
  • Looked for industry trends on social media and through online sources.

Summaries

  • Strengths in stakeholder engagement and strategic planning backed up by Miscellaneous training.
  • Billing expert with a track record of success in invoice reconciliation and financial reporting.
  • Consistently improved departmental performance.
  • Contributed to bottom-line growth.
  • Adept at managing 7 daily patient claims using HubSpot, reducing processing times by 23% and achieving higher operational efficiency.
  • Dedicated to achieving team goals and deeply motivated by the Lakeside Partners values.
  • Proven leadership, operational excellence, and organizational development skills, as well as a thorough understanding of the initiative business.
  • Adept at integrating updated coding standards and minimizing compliance concerns, securing over $11 in avoidable penalties for healthcare organizations.
  • Collaborated with insurance payers.
  • Dedicated to learning, growing, and succeeding in Miscellaneous.

Accomplishments

  • Successfully reduced claim denial rates by 84% through meticulous payer policy analysis, resulting in 3 in recovered revenue.
  • Managed charge capture for 3 high-volume physician offices, ensuring accuracy and reducing missed revenue opportunities.
  • Resolved product issue through consumer testing.
  • Recognized for leading a billing department to exceed cash collection goals by achieving a 40% reduction in AR days within 17 months.
  • Developed thorough training materials for ICD-10 coding and charge entry processes, ensuring company-wide adherence to industry standards.
  • Delivered in-depth quarterly reports to management on AR trends, helping guide decision-making and improving financial outcomes by 53%.
  • Trained and mentored a team of 8 junior billing specialists, improving team productivity by 75%.
  • Used EHR and practice management systems to streamline billing workflows, reducing processing time by 62% per claim.
  • Negotiated with insurance companies on outstanding bills and achieved higher favorable resolutions on claims, recovering $2 in disputed claims.
  • Worked directly with external payers, including building relationships with Medicare/Medicaid representatives, to expedite claim resolutions and payment timelines.

Affiliations

  • Rotary International
  • American Association of Professional Coders (AAPC)
  • Revenue Cycle Improvement Association (RCIA)
  • National Association of Social Workers
  • Toastmasters
  • Certified Professional Biller (CPB) Certification
  • American Society of Safety Professionals
  • Remote Healthcare Association (RHA)
  • Society of Physician Entrepreneurs (SOPE)
  • Project Management Institute

Certifications

  • Healthcare Information Security and Privacy Practitioner (HCISPP) by (ISC)²
  • Certified Medical Coding Auditor (CMCA) by PMI
  • Certified Healthcare Access Associate (CHAA) by NAHAM
  • Certified Patient Financial Services Professional (CPFSP) by AAHAM
  • Certified Documentation Improvement Specialist (CDIS) by ACDIS
  • Certified Healthcare Billing and Management Executive (CHBME) by HBMA
  • Certified Professional Coder (CPC) by AAPC
  • Certified Professional Compliance Specialist (CPCS) by NAMSS
  • SHRM Senior Certified Professional (SHRM-SCP)
  • Certified Revenue Cycle Representative (CRCR) by HFMA

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