Results-driven billing manager with expertise in overseeing billing processes and optimizing revenue streams. Skilled in managing billing systems, resolving discrepancies, and ensuring compliance with billing regulations. Strong leadership, analytical, and communication skills, with a focus on driving efficiency and accuracy in billing operations.
Overview
17
17
years of professional experience
Work History
Billing Manager
Generation Next Fertility
02.2022 - Current
Managed daily billing operations, ensuring the accuracy and efficiency of patient bills, invoicing, and payment collections
Oversaw the submission of claims to insurance providers, consistently following up on unpaid or denied claims to maximize revenue
Assisted patients in understanding their insurance coverage, financial responsibilities, and out-of-pocket expenses
Managed the entire revenue cycle, from patient registration to final payment, implementing strategies to reduce accounts receivable and improve cash flow
Ensured that billing practices were compliant with federal and state healthcare regulations, including HIPAA
Supervised and trained billing staff, developing standard operating procedures (SOPs) and conducting regular performance reviews
Counseled patients on payment options, financial assistance programs, and payment plans, addressing and resolving billing inquiries and disputes
Prepared and presented financial reports detailing billing activities, revenue generation, and outstanding balances
Managed billing software and EHR systems, ensuring data integrity and security
Prepared for internal and external audits, ensuring billing records were accurate and complete
Worked closely with clinical staff to ensure accurate documentation of services, facilitating accurate billing and reimbursement
Billing Manager
Partners Pharmacy
02.2017 - 02.2022
Collaborated with management to streamline billing processes
Managed a diverse team to ensure adherence to quality standards, deadlines, and procedures
Provided guidance to employees on complex problems and resolved escalated complaints
Addressed customer issues and provided solutions to inquiries
Prepared work schedules, deadlines, and duty assignments for billing staff
Made staffing and procedural recommendations to the Director
Recruited, interviewed, selected, and trained new employees
Implemented new systems and procedures to improve workflow efficiency
Maintained a follow-up system to ensure best practices were followed
Assisted in obtaining authorization and reimbursement for accounts.
Billing Manager
Community Partnerships
09.2007 - 02.2017
Ensured timely, accurate, and compliant billing to multiple entities
Supervised and provided leadership to the billing team
Developed and maintained billing policies and procedures
Acted as the primary liaison for billing issues between agency staff and funding sources
Ensured timely processing of denied claims and resubmissions
Reviewed third-party insurance claims and billed secondary payers
Education
Master of Science in Management, Concentration in Leadership -
Strayer University
Midlothian, Virginia
03.2018
Bachelor of Science in Business Management -
ECPI University
Midlothian, Virginia
06.2013
Skills
Billing Operations Management
Compliance and Regulatory Adherence
Team Leadership and Training
Patient Financial Counseling
Financial Reporting and Analysis
Collaboration with Clinical Staff
Streamlining Billing Processes
Problem Resolution
Staff Recruitment and Training
Workflow Efficiency Improvement
Billing Policies and Procedures Development
Monthly Reporting
Leadership
Audit Support
Workflow Planning
Report Preparation
Staff Training and Development
HIPAA knowledge
Invoice Processing
Payment posting
References
References available upon request.
Timeline
Billing Manager
Generation Next Fertility
02.2022 - Current
Billing Manager
Partners Pharmacy
02.2017 - 02.2022
Billing Manager
Community Partnerships
09.2007 - 02.2017
Master of Science in Management, Concentration in Leadership -
Strayer University
Bachelor of Science in Business Management -
ECPI University
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