Organized, diligent administrative professional with hands-on experience supporting business areas such as Revenue Cycle, and daily operations management. Collaborative team player with strong communication, decision-making and time management abilities.
Overview
21
21
years of professional experience
Work History
Revenue Cycle Manager
Cleveland Orthopedic & Spine Institute
07.2024 - Current
Streamlined workflows to minimize claim rejections and maximize reimbursement rates from insurance providers.
Reduced days in accounts receivable by implementing more efficient follow-up procedures with payers.
Supported clinical team members with revenue cycle procedures and addressed issues.
Reduced denial rates through meticulous claims review and enhanced coding practices, ensuring maximum revenue capture.
Conducted detailed audits of billing and coding practices, identifying and rectifying compliance issues.
Provided staff training on revenue cycle management best practices, increasing productivity across the department.
Charge Entry Specialist
NOMS Healthcare
11.2022 - 07.2024
Improved charge entry accuracy by diligently reviewing and verifying patient demographic information.
Contributed to practice growth by effectively coordinating with other departments to optimize billing processes across all service lines.
Managed high-volume workload while maintaining exceptional attention to detail for precise data input into the medical billing system.
Increased efficiency by identifying and addressing discrepancies in coding and charge entries promptly.
Ensured compliance with billing guidelines by staying current on relevant regulations, policies, and procedures.
Developed strong working relationships with physicians, nurses, and office staff to promote collaboration on complex cases requiring additional assistance or clarification on charges entered.
Revenue Cycle Coordinator
St. Vincent Medical Group
04.2016 - 11.2022
Planned, organized, supervised and provided assignments for Medical Coding and Quality Review staff
Directs and oversees all billing for employed Physicians in their clinics, works closely with Office Coordinators to ensure all charges are captured and front desk registration is completed appropriately
Reviewed medical records, diagnosis codes and procedure codes to ensure accuracy and compliance
Conducted probationary and annual performance evaluations of all coding staff
Responsible for submitting records and statements to attorneys for personal injury cases and negotiating payments.
Collaborated effectively with clinical teams to address documentation issues impacting reimbursement rates, leading to higher revenues overall.
Office Coordinator
St. Vincent Medical Group
01.2014 - 04.2016
Responsible for all day to day clinic staffing, operational issues, supply management and billing issues
Responsible for holding staff accountable for correct EMR utilization
Reviewed and investigated patient complaints
Recommended implementation/ purchase of new services/ equipment for new and existing practice locations
Conducted spot audits of locations to ensure compliance with policies and procedures
In collaboration with other Executive Team members, ensured cost effective vendors and products were being utilized.
Medical Office Manager/ Medical Assistant
St. John Medical Center
07.2004 - 01.2014
Responsible for running all aspects of a busy Hand Surgeon's office
Scheduling appointments, surgeries, and specialized testing
Insurance Pre-certifications, very knowledgeable in worker's compensation, triage, dressing changes, wound care, suture removal, instrument sterilization
ICD and CPT coding for all office visits and surgeries
Created and implemented organizational policies and procedures.
Ordered all medical and office supplies
Responsible for maintaining a clean, orderly, well-stocked environment, charting filing assisting in procedures, labeling and handling all specimens and cultures.
Education
MEDICAL CODING AND BILLING -
Cuyahoga Community College
Parma, OH
2012
CERTIFICATE OF COMPLETION: MEDICAL ASSISTING -
Sanford Brown Institute
Middleburg Heights, OH
2001
Skills
Quality assessment of coded data Project coordination
Strong work ethic Ability to prioritize
Knowledge of HMOs, Medicare, Medicaid, BWC
Troubleshooting and problem solving
Medical coding capability
Proactive and Focused
Timeline
Revenue Cycle Manager
Cleveland Orthopedic & Spine Institute
07.2024 - Current
Charge Entry Specialist
NOMS Healthcare
11.2022 - 07.2024
Revenue Cycle Coordinator
St. Vincent Medical Group
04.2016 - 11.2022
Office Coordinator
St. Vincent Medical Group
01.2014 - 04.2016
Medical Office Manager/ Medical Assistant
St. John Medical Center
07.2004 - 01.2014
MEDICAL CODING AND BILLING -
Cuyahoga Community College
CERTIFICATE OF COMPLETION: MEDICAL ASSISTING -
Sanford Brown Institute
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