Angelia Clifton

• Reviewed billing problems, researched issues, and resolved concerns.
• Managed monthly billing process to complete billings and returns to meet company revenue recognition policies.
• Trained and mentored staff on procedures, compliance requirements, and collections techniques.
• Collaborated with cross-functional teams to resolve billing-related issues swiftly, minimizing negative impacts on overall operations.
• Reduced errors and discrepancies in invoicing by closely monitoring billing data and conducting regular audits.
• Implemented policies that improved accounts receivable collections, resulting in reduced outstanding balances and increased cash flow.
• Boosted team productivity through effective delegation of tasks, setting performance targets, and providing constructive feedback.
• Conducted performance reviews and implemented improvement plans.
• Worked with customers to develop payment plans and bring accounts current.

• Provided exceptional customer service when responding to patient inquiries about reimbursement status and procedures.
• Supported company objectives by maintaining compliance with all relevant state and federal regulations governing medical billing practices.
• Identified trends in reimbursement denials, recommending process improvements to minimize future occurrences.
• Advanced internal communication channels by sharing best practices among colleagues, fostering an environment of continuous learning and improvement.
• Maintained comprehensive knowledge of healthcare billing practices, staying current on industry updates and changes in regulations.
• Contributed to increased team productivity by consistently meeting or exceeding individual processing goals.
• Coordinated with insurance providers to verify customer's policy benefits in relation to claims.
• Improved departmental accuracy through meticulous attention to detail while reviewing claims submissions.
• Maintained patient confidentiality by adhering to strict HIPAA guidelines when handling sensitive information.

• Managed high-volume patient traffic during peak hours, prioritizing tasks to maintain efficient workflow.
• Provided exceptional customer service, addressing patient concerns and answering questions promptly and professionally.
• Strengthened relationships with healthcare providers by coordinating pre-authorization requirements for various procedures.
• Streamlined the registration process for enhanced patient experience by implementing new software.
• Improved patient satisfaction by efficiently registering patients and verifying their insurance information.

• Communicated with insurance providers to resolve denied claims and resubmitted.
• Posted and adjusted payments from insurance companies.
• Communicated effectively and extensively with other departments to resolve claims issues.
• Located errors and promptly refiled rejected claims.
• Assisted patients with understanding their medical bills and provided clarification on complex insurance issues, promoting a positive customer experience.
• Identified and resolved patient billing and payment issues.
• Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
• Ensured timely submission of claims to various insurance carriers, resulting in prompt payment for services rendered.
• Maintained strong working relationships with healthcare providers, fostering clear communication regarding billing-related matters.

• Participated in regular staff meetings to discuss process improvements while maintaining compliance with industry standards and regulations.
• Supported radiologists in their daily tasks by effectively coordinating patient schedules to optimize department workflow.
• Supported the implementation of new software programs and processes, providing feedback for continuous improvement in the office environment.
• Enhanced overall practice efficiency by cross-training on multiple job roles within the department to provide coverage during staffing shortages or high-volume periods.
• Accurately recorded patient demographics, histories, referral sources, insurances information into electronic health records system to ensure proper documentation.
• Developed strong rapport with patients through empathetic listening and clear communication of medical procedures and policies.
• Assisted in maintaining department inventory levels through ordering supplies as needed while adhering to budgetary guidelines.
• Contributed to the optimization of appointment booking systems by offering insightful feedback on user experience improvements.

Work with contracted providers to meet all their credentialing service expectations outlined in their contract.

Complete the processes to enroll and credential providers with insurances while meeting payer criteria.

Complete the processes to re-credential existing providers.

Gather and maintain current data and documents for all providers in an organized and complete way.

Follow up with clients and insurances for timely credentialing process(es).

Clearly and effectively communicate with providers, Operations Managers, and insurance companies handling basic questions dealing with day-to-day operation of credentialing and enrollments.

Review, and update if necessary, health plan directories, agencies, and other appropriate entities for current and accurate provider information.

Knowledge of computer spreadsheets and other related applications.

Knowledge of provider credentialing/accreditation/insurance regulations, policies, guidelines, and standards.