Summary
Overview
Work History
Education
Skills
Timeline
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Anne Clancy

39 Plum St,NJ

Summary

Accomplished Medical Billing and Collections Specialist with a proven track record at Care Options For Kids, enhancing revenue through effective denial resolution and claims processing. Skilled in ICD-10 and fostering excellent communication, I streamlined workflows, significantly reduced claim denials, and improved cash flow, ensuring compliance with industry regulations.

Medical billing and collections professional with proven track record in handling complex billing systems and resolving claims efficiently. Known for strong teamwork and ability to adapt to changing priorities. Skilled in patient account management and regulatory compliance, consistently ensuring accurate and timely billing.

Detail-oriented individual with exceptional communication and project management skills. Proven ability to handle multiple tasks effectively and efficiently in fast-paced environments. Recognized for taking proactive approach to identifying and addressing issues, with focus on optimizing processes and supporting team objectives.

Overview

19
19
years of professional experience

Work History

Medical Billing and Collections Specialist

Care Options For Kids
01.2013 - 01.2025
  • Reduced claim denials by diligently reviewing patient records for correct coding and billing information.
  • Prevented unnecessary loss of revenue due to late or incomplete billing by meticulously tracking all accounts and ensuring timely submission of accurate claim forms.
  • Provided essential support to the medical billing team, allowing for a more efficient and effective overall operation within the department.
  • Implemented efficient workflows within the department that led to increased productivity levels among staff members while reducing errors in claim submissions.
  • Enhanced revenue by streamlining medical billing processes and improving accuracy in claims submissions.
  • Contributed significantly towards reducing the number of denied claims by identifying potential issues upfront during the initial review phase of the process.
  • Increased overall collection rates with a focus on reducing aged receivables and minimizing writeoffs.
  • Collaborated with team members to identify trends in unpaid claims and develop strategies for resolution.
  • Continually updated personal knowledge base regarding industry best practices, changes in coding guidelines, and advancements in medical billing technology to maximize revenue potential while maintaining strict adherence to ethical standards.
  • Trained new employees on medical billing software, policies, and procedures, ensuring accuracy in claims submission from day one.
  • Played an instrumental role in streamlining the collections process by implementing new procedures that resulted in improved outcomes for both patients and healthcare providers alike.
  • Conducted regular audits of billed services to identify errors or discrepancies before submission, minimizing rejected claims due to inaccuracies.
  • Assisted in maintaining a high-quality database of patient information by accurately entering demographic and insurance details into the system.
  • Provided exceptional customer service to patients regarding their account balances, addressing concerns and answering questions in a professional manner.
  • Ensured compliance with industry regulations by staying up-to-date on changes to medical billing procedures and guidelines.
  • Improved cash flow through timely follow-up on outstanding accounts, negotiating payment plans, and collecting overdue payments.
  • Processed online and paper appeal submissions and refund requests.
  • Maintained excellent relationships with insurance representatives to expedite claims processing and secure timely reimbursements for services rendered.
  • Corrected, completed and processed claims for multiple payer codes.
  • Processed billing calls and answered questions from patients and third-party carriers.
  • Handled account payments and provided information regarding outstanding balances.
  • Collaborated with customers to resolve disputes.
  • Used data entry skills to accurately document and input statements.
  • Responded to customer concerns and questions on daily basis.
  • Utilized various software programs to process customer payments.

Medical Billing and Collections Specialist

NJ Center for Pain Management
11.2009 - 01.2013
  • Assisted in maintaining a high-quality database of patient information by accurately entering demographic and insurance details into the system.
  • Played an instrumental role in streamlining the collections process by implementing new procedures that resulted in improved outcomes for both patients and healthcare providers alike.
  • Trained new employees on medical billing software, policies, and procedures, ensuring accuracy in claims submission from day one.
  • Conducted regular audits of billed services to identify errors or discrepancies before submission, minimizing rejected claims due to inaccuracies.
  • Provided exceptional customer service to patients regarding their account balances, addressing concerns and answering questions in a professional manner.
  • Ensured compliance with industry regulations by staying up-to-date on changes to medical billing procedures and guidelines.
  • Compiled and tracked outstanding balances owed to medical facilities.
  • Improved cash flow through timely follow-up on outstanding accounts, negotiating payment plans, and collecting overdue payments.
  • Maintained excellent relationships with insurance representatives to expedite claims processing and secure timely reimbursements for services rendered.
  • Facilitated effective communication between healthcare providers, patients, and insurance companies to resolve billing disputes promptly.
  • Processed online and paper appeal submissions and refund requests.
  • Corrected, completed and processed claims for multiple payer codes.
  • Processed billing calls and answered questions from patients and third-party carriers.
  • Assisted in reconciling deposit and patient collections.
  • Logged charges and payments within [Software].
  • Monitored outstanding invoices and performed collections duties.
  • Handled account payments and provided information regarding outstanding balances.

Medical Billing and Collections Specialist

Dominion Medical Management
03.2006 - 11.2009
  • Promoted a positive work environment by consistently demonstrating professionalism, mutual respect, and cooperation with fellow team members.
  • Audited and corrected billing and posting documents for accuracy.
  • Responded to customer concerns and questions on daily basis.
  • Used data entry skills to accurately document and input statements.
  • Collaborated with customers to resolve disputes.
  • Maintained accurate records of customer payments.
  • Generated monthly billing and posting reports for management review.
  • Processed payment via telephone and in person with focus on accuracy and efficiency.
  • Reconciled accounts receivable to general ledger.
  • Prevented unnecessary loss of revenue due to late or incomplete billing by meticulously tracking all accounts and ensuring timely submission of accurate claim forms.
  • Provided essential support to the medical billing team, allowing for a more efficient and effective overall operation within the department.
  • Trained new employees on medical billing software, policies, and procedures, ensuring accuracy in claims submission from day one.

Education

State Certification - Medical Office Management

Brookdale Community College
Lincroft, NJ
08-1986

Skills

  • Denial resolution

  • Medical billing software proficiency

  • Claims processing proficiency

  • HIPAA compliance

  • Electronic health records experience

  • Insurance verification

  • ICD-10

  • Medical terminology mastery

  • Payment posting accuracy

  • Collections strategies

  • Patient billing assistance

  • Problem-solving abilities

  • Excellent communication

Timeline

Medical Billing and Collections Specialist

Care Options For Kids
01.2013 - 01.2025

Medical Billing and Collections Specialist

NJ Center for Pain Management
11.2009 - 01.2013

Medical Billing and Collections Specialist

Dominion Medical Management
03.2006 - 11.2009

State Certification - Medical Office Management

Brookdale Community College

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Anne Clancy