Accomplished Director of Operations and Medical Biller with a proven track record at Crescent Medical Billing, adept in insurance verification and enhancing customer relationships. Excelled in reducing claim denials and streamlining operational processes, achieving significant improvements in efficiency and financial performance. Skilled in HIPAA compliance and fostering team engagement.
Overview
27
27
years of professional experience
Work History
Director of Operations
Enturo Medical Billing/Crescent Medical Billing
05.2002 - 08.2024
Mentored and coached team members for enhanced skills and increased engagement.
Evaluated financial performance metrics to inform operational adjustments and improvements.
Developed financial forecasts for resource allocation and strategic planning.
Streamlined operational processes by identifying bottlenecks and implementing best practices.
Oversaw daily operations across multiple departments, ensuring seamless coordination and efficient execution of tasks.
Assisted in recruiting, hiring and training of team members.
Interacted well with customers to build connections and nurture relationships.
Handled problematic customers and clients to assist lower-level employees and maintain excellent customer service.
Tracked employee attendance and punctuality, addressing repeat problems quickly to prevent long-term habits.
Verified insurance of patients to determine eligibility.
Communicated with insurance providers to resolve denied claims and resubmitted.
Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
Filed and updated patient information and medical records.
Ensured timely payments from insurance providers through submission of accurate and complete claims.
Collected payments and applied to patient accounts.
Posted payments and collections on regular basis.
Reduced claim denials by meticulously reviewing patient insurance information and coding practices.
Delivered timely and accurate charge submissions.
Receptionist
Help U Rent
03.1997 - 03.2002
Greeted incoming visitors and customers professionally and provided friendly, knowledgeable assistance.
Confirmed appointments, communicated with clients, and updated client records.
Answered phone promptly and directed incoming calls to correct offices.
Kept reception area clean and neat to give visitors positive first impression.
Responded to inquiries from callers seeking information.
Answered central telephone system and directed calls accordingly.
Managed multiple tasks and met time-sensitive deadlines.
Education
Associate of Science - Criminal Justice
Victor Valley College
Victorville, CA
High School Diploma -
Willow Park High School
Apple Valley, CA
Skills
Insurance claims
Medical billing
Insurance billing
Electronic claims
HIPAA compliance
Insurance verification
Customer service
CPT knowledge
Billing and collection procedures
Accounts receivable
Insurance claims processing
Data entry
Electronic health record software
Timeline
Director of Operations
Enturo Medical Billing/Crescent Medical Billing
05.2002 - 08.2024
Receptionist
Help U Rent
03.1997 - 03.2002
Associate of Science - Criminal Justice
Victor Valley College
High School Diploma -
Willow Park High School
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