ANN MCDONALD
Woodlyn,PA
Summary
Expert and knowledgeable billing professional with 14 plus years of experience in office and hospital billing. Proven ability to satisfy customers, achieve goals, handle confidential material, work with in a team, and ensure accurate processing. Strong verbal and written skills. Proficient in Microsoft Office (Word, Excel, and PowerPoint).
Experienced with medical billing systems and healthcare regulations to ensure accurate and timely billing. Utilizes leadership skills to manage teams effectively and improve workflow processes. Knowledge of revenue cycle management and problem-solving to enhance operational efficiency.
Overview
17
17
years of professional experience
Work History
Medical Billing Manager
Brinton Lake Dermatology
01.2024 - Current
- Reviewed billing problems, researched issues, and resolved concerns.
- Worked with customers to develop payment plans and bring accounts current.
- Increased patient satisfaction by addressing billing inquiries promptly and professionally.
- Reduced denied claims through diligent review, correction, and resubmission of errors.
- Managed a team of dedicated medical billers, focusing on professional development opportunities and maintaining a positive work environment conducive to high levels of productivity.
- Maintained up-to-date knowledge of regulatory changes impacting medical billing practices to ensure ongoing compliance within the organization.
- Trained team members on best practices in medical billing, ensuring consistent high-quality work across the department.
- Collaborated with providers and staff to ensure accurate coding for billing purposes.
- Trained and mentored staff on procedures, compliance requirements, and collections techniques.
- Developed policies and procedures for the medical billing department, establishing a strong foundation that supported growth and operational success within the organization.
Billing Specialist
Dr. Robert A. Davis
03.2021 - Current
- Researched and resolved billing discrepancies to enable accurate billing.
- Identified, researched, and resolved billing variances to maintain system accuracy and currency.
- Worked with multiple departments to check proper billing information.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Posted and adjusted payments from insurance companies.
- Located errors and promptly refiled rejected claims.
- 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.
- Collected payments and applied to patient accounts.
- Precisely evaluated and verified benefits and eligibility.
- Reduced errors in medical billing by meticulously reviewing patient records and ensuring accurate coding.
- Verified insurance of patients to determine eligibility.
- Delivered timely and accurate charge submissions.
Billing Manager
CROZER-KEYSTONE HEALTH SYSTEMS
01.2021 - 12.2023
- Identify and resolve patient questions, complaints, and expectations via phone and email in a professional, timely manner through positive, informative client communications
- Identified customer needs, researched client requests, resolved client problems in a timely and confidential manner, expedited issues when necessary, and provided a timeframe for resolution
- Ascertain the status of accounts and balances and identify any issues such as discrepancies and inconsistencies
- Follow up on submitted claims
- Prepare daily deposits accurately after ensuring that payments are obtained from insurance companies and clients
- Accurately maintained client records and call logs
- Provided account reports to team members and appropriate internal departments
- Prioritized work, efficiently managed time, and met department deadlines
- 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.
PRACTICE MANAGER
CROZER-KEYSTONE HEALTH SYSTEMS
01.2018 - 12.2021
- RESPONSIBLE FOR EFFICIENTLY RUNNING THE DAY TO DAY OPERATIONS OF THE PRACTICE
- MAKE SURE ALL THE VENDOR ACCOUNTS ARE KEPT UP TO DATE AND PAID IN A TIMELY MANNER
- PREPARE THE PHYSICIAN SCHEDULES AND HANDLE ALL TIME OFF REQUESTS
- HANDLE ANY COMPLAINTS FROM BOTH MY STAFF AND PATIENTS
- COMPLETE ALL THE OFFICE BILLING AND ENTER HE HOSPITAL ENCOUNTERS ACCURATELY
- WORK MY ASSIGNED DENIAL QUEUES TO ASSURE THE CLAIMS ARE CORRECTED IN A TIMELY MANNER AND RESUBMITTED TO THE INSURANCE COMPANY FOR PAYMENT
- PREPARE THE DAILY DEPOSITS FOR ALL THE CO-PAYS OR PAYMENTS MADE ON PATIENT'S ACCOUNTS
- ATTEND MEETING WITH MY ADMINISTRATIVE DIRECTOR AND SENIOR ADMINISTRATOR TO REVIEW THE BUDGET OF THE PRACTICE AND SEE WHERE MONEY CAN BE SAVED
Operations Assistant
CROZER-KEYSTONE HEALTH SYSTEMS
01.2015 - 12.2016
- Tracked all patients that were admitted and discharged from the hospital on a daily basis
- Reviewed customer demographics, insurance, authorizations for completion and accuracy
- Responsible for reporting missing charges to the Central Business Office (CBO)
Office Coordinator
CROZER-KEYSTONE HEALTH SYSTEMS
01.2012 - 12.2015
- Responsible for overseeing and training two employees, 3 physicians and 2 PA'S
- Managed the patient schedule and the physician call schedule
- Assisted with the credential process for onboarding new physicians
- Overseen all of the office and hospital billing
- Handled inventory of office supplies
Accounts Receivable Clerk
CROZER-KEYSTONE HEALTH SYSTEMS
01.2008 - 12.2012
- Responsible for claim rejects; troubleshoot reasons with insurance companies (denials, adjustments, resubmitted requests)
- Posted insurance checks to patients accounts
- Handled the billing for the neonatal unit and the Hospitalists Group
Education
Associates Degree -
Delaware County Community College
Media, PA01.1989
Skills
- Claims processing proficiency
- HIPAA compliance
- Effective communication
- Patient confidentiality practices
- Revenue cycle management
- Payment posting
- Time management techniques
- Claims processing
- Training and mentoring
- Insurance verification
- Attention to detail
- Staff training and development
Timeline
Medical Billing Manager
Brinton Lake Dermatology
01.2024 - Current
Billing Specialist
Dr. Robert A. Davis
03.2021 - Current
Billing Manager
CROZER-KEYSTONE HEALTH SYSTEMS
01.2021 - 12.2023
PRACTICE MANAGER
CROZER-KEYSTONE HEALTH SYSTEMS
01.2018 - 12.2021
Operations Assistant
CROZER-KEYSTONE HEALTH SYSTEMS
01.2015 - 12.2016
Office Coordinator
CROZER-KEYSTONE HEALTH SYSTEMS
01.2012 - 12.2015
Accounts Receivable Clerk
CROZER-KEYSTONE HEALTH SYSTEMS
01.2008 - 12.2012
Associates Degree -
Delaware County Community College
Similar Profiles
Susan WeberSusan Weber
Medical Billling at Brinton Lake DermatologyMedical Billling at Brinton Lake Dermatology
Stephanie SalazarStephanie Salazar
Medical Assistant at Clear Lake DermatologyMedical Assistant at Clear Lake Dermatology
Gina SealsGina Seals
Office Administrator at Lake Michigan DermatologyOffice Administrator at Lake Michigan Dermatology