Certified medical biller and coder with over 20 years of experience in revenue cycle management, specializing in full-cycle billing and front and back office operations. Proficient in customer service, patient advocacy, and insurance follow-up across various specialties, including family practice, phlebology, wound care, physical therapy, neurology, radiology, and polysomnography. Recognized as a proven team leader with exceptional multitasking abilities and a strong commitment to accuracy and efficiency. A positive attitude drives dedication to delivering high-quality service and support within the healthcare environment.
Work History
Revenue Integrity Specialist
9 Months
Planned Parenthood Of Illinois | 01.2026 - Current
Was an integral part in completing the required audits and updates for the 2026 accreditation process with PPFA, the parent organization.
Oversaw comprehensive workflows and work queues within Epic.
Conducted thorough reviews of family planning claims to Medicaid, identifying errors and executing effective corrective measures.
Facilitated ongoing communication with Director of Revenue Cycle Management and Payor Relations to support strategic initiatives and optimize revenue outcomes.
Monitored and refined compliance processes related to billing guidelines and payer requirements to enhance accuracy and efficiency.
Collaborated with clinical staff to ensure compliance with billing regulations and procedures.
Analyzed revenue cycle processes to identify discrepancies and enhance accuracy.
Served as a trusted resource for colleagues seeking guidance on complex billing issues or regulatory matters.
Provided comprehensive support to team operations by covering for absent colleagues, ensuring continuity of service.
Led cross-functional teams in initiatives aimed at optimizing revenue collection strategies.
Developed training materials for new staff on revenue integrity best practices and software tools.
Ensured accurate charge capture for improved financial performance with meticulous data analysis and reconciliation procedures.
Spearheaded initiatives to optimize coding practices, resulting in more accurate reimbursements and reduced risk of denials.
Billing Coordinator
1 Year 3 Months
Chicago Ridge Medical Imaging, LLC | 07.2025 - Current
When hired, I quickly learned and took over the authorization process for CT, Ultrasound, and MRI appointments, quickly reducing the amount of rescheduled and cancelled appointments by 80%
Took the initiative to teach myself the company's appointment scheduling processes and helped reduce the wait time of incoming calls by 20%, along with increasing accurately scheduled appointments by 15%
Reviewed and entered x-ray encounters for billing
Mailed and faxed paper claims to insurance companies while also updating payor information into the billing system, Tebra, which helped cut down on overall paper claims by 60%
Recorded appointments, checked patient insurance coverage and demographic information.
Facilitated the organization and modification of patient schedules when necessary.
Oversaw maintenance of outstanding claims and AR lists.
Answered telephone and in-person inquiries with a friendly demeanor and full knowledge of billing department processes.
Established clear communication channels between departments to promote seamless coordination in all aspects of the billing process.
Streamlined workflow for faster invoice processing, improving overall efficiency in the department.
Continually sought opportunities for process improvement, leading to increased efficiency and effectiveness within the billing department.
Evaluates doctors' orders to ensure coding accuracy.
Full Cycle Revenue Cycle Management Specialist
10 Years
Vein Specialists of America | 06.2015 - 06.2025
Achieved seamless revenue cycle management across 8 provider offices through meticulous review of patient accounts and medical records. Enhanced billing accuracy by effectively coding patient visits and submitting claims. Streamlined payment processing by reviewing EOBs and posting insurance and patient payments. Improved cash flow by systematically addressing denials and managing accounts receivable.
Facilitated contracting processes for four phlebology practices, encompassing nine MDs, one DO, four midlevel providers, and two DPTs.
Handled all monthly and quarterly reports for clients, which led to a healthy working relationship and a respected and trusted position among the clients
Created and maintained provider logins to needed web portals, having access to provider web portals allowed staff to work outstanding claims logs in a more timely fashion
Coordinated training programs and oversaw a team of over 8 staff members to ensure high-quality service delivery.
Acted as the primary billing point of contact for existing and new clients, as well as handling customer service and patient relations.
Acted as a liaison between the clients, billers, and third-party payers in resolving billing and reimbursement accuracy
Successfully revamped the existing billing procedures for wound care, which resulted in the payment of all outstanding wound care claims, increasing revenue for the company and clients
Researched and implemented the correct billing practices for unlisted procedures, which allowed clients to expand the procedures offered to patients, which prevented denied claims and increased revenue
Served as primary point of contact for Vein Specialist of America, ensuring effective interaction with departments such as Information Systems, EDI, and Human Resources.
Evaluated employee performance regularly, providing constructive feedback for continuous improvement.
Facilitated regular team meetings focused on problem-solving discussions that led to practical solutions.
Managed client relationships effectively by maintaining open lines of communication and promptly addressing concerns or issues as they arose.
Championed change management efforts to successfully implement new systems or processes within the organization.
Collaborated closely with executive leadership to develop long-term strategic plans aligned with company objectives.
Lead Full Cycle Biller - Veins Specialist of America Clients
2 Years
Millennium Medical Management Resources | 06.2013 - 06.2015
Responded to Millennium Medical Management Resources' request to return after three months, accepting both the previous role and new responsibilities.
Developed and instituted effective billing strategies for J-codes, aimed at maximizing revenue for injection procedures.
Identified multiple billing and coding issues and instituted solutions at the claim level, which cut down on the number of denials from insurance companies and reduced payment times
Reconciled the financials each month for 3 doctors' offices and assisted in the monthly close for each office to ensure all accounts matched and fixed any discrepancies
Acquired and updated insurance retro authorizations for procedures and tests ordered by the attending physician
Telecommuted for 6 months while being the sole point of contact and biller for a new client out of state, while also leading the weekly conference calls with the said office
Created the standard appeal letters and correspondence to patients and insurance companies used by the department
Created and maintained all insurance provider portal logins
Biller / Accounts Receivable - Millennium Medical Management - Veins Specialists of America Clients
5 Months
Medix Staffing Solutions | 10.2012 - 03.2013
Millennium Medical Management - Primary biller and Insurance follow-up for Veins Specialists of America clients
Started monthly accounts receivable, outstanding claims, and appeal tracking logs, which significantly reduced the amount of unpaid, old claims and increased incoming revenue, and these logs
Identified recurring insurance denials and worked with the insurance companies to figure out solutions and implement practices to cut down on these denials and speed up processing time by 25%
Verified the accuracy of accounts payable payments, resulting in an 85% reduction in payment errors and check reissues.
Provided exceptional customer service in handling billing inquiries, resolving disputes promptly and professionally.
Billing Account Specialists - Full Cycle Billing
6 Years
Professional Neurological Services | 01.2005 - 01.2011
Administrative Assistant Jan 2005-June 2006
Facilitated efficient office processes by executing administrative duties and offering support wherever necessary. Achieved role of billing account specialist in 2008, accountable for patient data management, insurance claim processing, and follow-up calls. Recognized by management for exclusive management of Blue Cross Blue Shield and Aetna patient accounts, while diligently maintaining various logs.
Trained two peers to handle and comprehend the job responsibilities to adequately accomplish any given task of a billing account specialist.
While handling the Blue Cross Blue Shield patients I was able to collect over 85% of outstanding deductibles, raising the company's revenue by $250,000.
The company entrusted me to handle the billing department, which consisted of claim calls, data entry, mailing claims, patient statements, and letters for over a year. Consistently made myself available to fellow employees ensuring all work was completed before the end of business.
Skills
Certified professional coder (CPC)
Certified professional biller (CPB)
Billing cycle expertise
Account monitoring
Denial resolution
Revenue performance
Regulatory guidelines
Epic systems
Medical claims
and clinical documentation auditing
HIPAA compliance awareness
Clearinghouse management
Certification
CPC - Certified Professional Coder - AAPC - May 2024
CPB - Certified Professional Biller AAPC - May 2025
Affiliations
AAPC
CCO
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Timeline
Revenue Integrity Specialist
Planned Parenthood Of Illinois
01.2026 - CurrentRead More
Billing Coordinator
Chicago Ridge Medical Imaging, LLC
07.2025 - CurrentRead More
Full Cycle Revenue Cycle Management Specialist
Vein Specialists of America
06.2015 - 06.2025Read More
Lead Full Cycle Biller - Veins Specialist of America Clients
Millennium Medical Management Resources
06.2013 - 06.2015Read More
Biller / Accounts Receivable - Millennium Medical Management - Veins Specialists of America Clients
Medix Staffing Solutions
10.2012 - 03.2013Read More
Billing Account Specialists - Full Cycle Billing
Professional Neurological Services
01.2005 - 01.2011Read More
Training
October 2018 - Prism Billing Software, VeinSpec EHR training
June 2018 - Streamline PM+ & EHR Training
January 2023 - Athena EHR training
May 2023 - October 2023 CPC Training Course & Exam Prep Class - AAPC
November 2023 - April 2024- CPC Exam Prep Blast - CCO
January 2024 - eClinicalworks EHR training
August 2025 - CPB Exam Prep Blast - CCO
July 2024 - AI in Medical Billing and Coding Certification- AAPC