ALEXANDRIA BISHOP
Kite,GA
Summary
Reimbursement specialist with strong focus on achieving accurate and timely reimbursements in healthcare settings. Skilled in navigating complex billing systems, ensuring compliance with regulations, and fostering team collaboration. Reliable and adaptable, consistently delivering results in dynamic environments while maintaining high standards of professional conduct.
Overview
9
9
years of professional experience
Work History
Reimbursement Coordinator
Future Care Consultants
04.2025 - Current
- Managed claims processing and reimbursement procedures to ensure timely payments.
- Developed and implemented efficient billing workflows for enhanced operational accuracy.
- Prepared and submitted claims (Part A & B) for managed care and long-term care insurance
- Verified insurance and coverage for residents, including managed care and supplemental policies
- Processed payments from residents, families, and insurance carriers; post payments and apply remittance advices
- Manage collections for outstanding balances, including follow-up on denials, appeals, and liens
- Compile and prepare aging reports for clients
- Consistently met or exceeded monthly billing and collection targets, contributing to the facility's financial stability
Revenue Cycle Manager
Pleasantview Nursing Center
07.2024 - 03.2025
- Prepared and submitted claims (Part A & B) for Medicare and Medicaid claims.
- Researched and resolved billing discrepancies to enable accurate billing.
- Streamlined revenue cycle processes, enhancing billing accuracy and reducing claim denials.
- Printed and reviewed monthly patient aging report and solicited overdue payments.
- Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
- Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
Office Manager
Central Georgia Clinic
08.2017 - 07.2024
- Oversees and collects fees, disburses payments, and posts to appropriate patient accounts
- Created and managed electronic patient records, encompassing data entry and administrative functions related to insurance, billing, and accounts receivable.
- Provided proper scheduling of patients, ensuring timely, and effective allocation of resources and calendars.
- Improved office operations by automating client correspondence, record tracking and data communications.
- Negotiated and executed contracts on behalf of department.
- Hired, managed, developed and trained staff, established and monitored goals, conducted performance reviews and administered salaries for staff.
- Assessed processes and procedures, complying with OSHA, and HIPAA regulations.
Education
Bachelor of Arts (B.A.) - Business Administration
Strayer University
03-2022
Skills
- Procedure optimization
- Prior authorization
- Appeals handling
- HIPAA compliance
- Claims processing
- Insurance verification
- Denial management
Timeline
Reimbursement Coordinator
Future Care Consultants
04.2025 - Current
Revenue Cycle Manager
Pleasantview Nursing Center
07.2024 - 03.2025
Office Manager
Central Georgia Clinic
08.2017 - 07.2024
Bachelor of Arts (B.A.) - Business Administration
Strayer University