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Skills

  • Patient billing issue resolution
  • Cost accounting
  • Cross-functional team collaboration
  • Management accounting
  • Regulatory compliance
  • ERP software
  • Audit coordination
  • Monthly revenue reporting and analysis
  • Budgeting proficiency
  • ICD-10 and CPT coding standards

Work Experiences

  • Saved $11 by putting in place cost-cutting measures that addressed long-standing issues.
  • Audited 12 claims per 6 months, identifying trends and errors in billing codes to improve overall billing accuracy.
  • Achieved results within three years.
  • Achieved recovery within 6 months.
  • Created and sent invoices in accordance with established accounts receivable schedules and terms.
  • Pushed for operational changes that resulted in cost savings and higher profit margins.
  • Analyzed payer contract performance, identifying gaps and opportunities to increase reimbursement revenue by $5 annually.
  • Boosted claim reimbursement by $9.
  • Audited 2 claims per two years.
  • Achieved a $11 revenue recovery for the hospital.

Summaries

  • Adept at implementing streamlined billing workflows.
  • Focused, committed, and adept at quickly identifying errors and mitigating losses.
  • Recognized for motivating management team members to achieve their goals and fostering innovative work environments.
  • Overall morale and productivity are boosted by experience in policy development and staff management procedures.
  • Dedicated to learning, growing, and succeeding in Miscellaneous.
  • Results-oriented Physicians Billing Lead with a keen eye for detail and a desire to assist in the transformation of business operations.
  • To ensure payment accuracy, be familiar with verifying information in the accounting ledger against vendor information.
  • Dedicated to paying employees, vendors, and suppliers on time.
  • Vendor management and bank reconciliation are two areas where I excel.
  • Within Miscellaneous, senior Physicians Billing Lead and outstanding performer in vendor management and quality assurance.

Accomplishments

  • Reduced claim denials by 18% by implementing automated claim scrubbing tools and error-prevention checks.
  • Facilitated a Power BI upgrade that enhanced claim submission speed by 29% and reduced operational costs by $3 annually.
  • Designed an audit process that reduced claim rejections, decreasing write-offs by $7 within one year, improving financial outcomes.
  • Developed and maintained Medicare/Medicaid billing workflow, improving compliance and eliminating billing delays for 15 of patients.
  • Devised a reconciliation process for payments, leading to a 31% reduction in outstanding patient balances within the past year.
  • Integrated automated billing alerts using ServiceNow, decreasing the average time to resolve rejections by 81%.
  • Used Microsoft Excel to develop inventory tracking spreadsheets.
  • Revised existing billing processes to align with industry standards, lowering denial rates by 41% and increasing collections by 9.
  • Increased cash flow by 41% by negotiating with insurance companies to expedite claim approvals and reduce processing delays.
  • Standardized billing protocols across 14 medical practices, ensuring compliance with both CMS and private payers.

Affiliations

  • Association of Healthcare Internal Auditors (AHIA)
  • Society of Women Engineers
  • Jaycees
  • Healthcare Compliance Association (HCCA)
  • American Society of Health-System Pharmacists (ASHP)
  • American Society of Safety Professionals
  • American Health Information Management Association (AHIMA)
  • International Council of Nurses
  • Association for Health Care Resource & Materials Management (AHRMM)
  • American Board of Medical Specialties (ABMS)

Certifications

  • Certified Professional in Healthcare Quality (CPHQ) – by National Association for Healthcare Quality (NAHQ)
  • Fellow of the American College of Healthcare Executives (FACHE)
  • American Medical Billing Association (AMBA) Membership and Certification
  • Apple Certified Associate (ACA)
  • SHRM Certified Professional (SHRM-CP)
  • Certified Public Accountant (CPA)
  • Google Certified Professional Cloud Architect
  • Certified Revenue Cycle Professional (CRCP) by Healthcare Financial Management Association (HFMA)
  • Certified Business Analysis Professional (CBAP)
  • CompTIA Network+

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