Driven Billing Manager bringing many years of industry experience and looking to apply expertise to new role. Adept at managing team performance, improving operations, and reducing delinquency. Skilled professional inspired and motivated to help customers build financial independence.
Overview
24
24
years of professional experience
Work History
Medical Billing Manager
Stifel
Hagerstown, MD
03.2024 - Current
Maintained detailed records of all payments received from patients or third-party payers.
Monitored accounts receivable aging reports and worked proactively to reduce outstanding balances due from patients or insurers.
Worked closely with clinical staff to ensure timely submission of claims and accurate coding practices.
Reviewed appeals processes and assisted in preparing appeal letters when necessary.
Oversaw daily activities related to the processing of electronic claims submissions.
Resolved issues related to denied or rejected payments from insurance companies.
Conducted insurance verification and pre-authorization, coded medical procedures and managed patient charts.
Resolved billing issues by applying knowledge and completing in-depth research.
Oversaw the preparation of monthly billing reports and analysis to track billing efficiency and accuracy.
Helped customers to bring accounts into good standing by implementing payment plans.
Medical Billing Manager
PREMIER SPINE & SPORTS MEDICINE
Hagerstown, MD
08.2019 - 03.2024
Maintained detailed records of all payments received from patients or third-party payers.
Monitored accounts receivable aging reports and worked proactively to reduce outstanding balances due from patients or insurers.
Managed and reviewed medical billing staff to ensure accuracy of patient accounts.
Worked closely with clinical staff to ensure timely submission of claims and accurate coding practices.
Reviewed appeals processes and assisted in preparing appeal letters when necessary.
Oversaw daily activities related to the processing of electronic claims submissions.
Analyzed financial data, identified discrepancies, and reported findings to senior leadership team.
Created reports outlining trends in revenue cycle management, such as denials and rejections.
Conducted audits on claims submitted by medical billing staff, ensuring compliance with all applicable laws and regulations.
Identified areas of improvement within the medical billing process, implemented changes accordingly.
Resolved issues related to denied or rejected payments from insurance companies.
Prepared monthly financial statements detailing revenue generated by practice locations.
Provided technical assistance regarding coding questions or other inquiries from internal teams.
Prepared detailed financial statements related to billing for executive review and decision-making.
Resolved billing issues by applying knowledge and completing in-depth research.
Led the transition to electronic billing systems, significantly reducing paper use and contributing to sustainability goals.
Oversaw the preparation of monthly billing reports and analysis to track billing efficiency and accuracy.
Managed billing calendar and scheduled claims for payments.
Managed and supervised billing department staff, including training, evaluation, and workflow distribution.
Helped customers to bring accounts into good standing by implementing payment plans.
Developed improved standard operating procedures to increase billing accuracy and cash flow.
Medical Billing Manager
DR MAURIELLO & ORFAN
Hagerstown, MD
02.2000 - 08.2019
Maintained detailed records of all payments received from patients or third-party payers.
Monitored accounts receivable aging reports and worked proactively to reduce outstanding balances due from patients or insurers.
Managed and reviewed medical billing staff to ensure accuracy of patient accounts.
Worked closely with clinical staff to ensure timely submission of claims and accurate coding practices.
Reviewed appeals processes and assisted in preparing appeal letters when necessary.
Oversaw daily activities related to the processing of electronic claims submissions.
Analyzed financial data, identified discrepancies, and reported findings to senior leadership team.
Created reports outlining trends in revenue cycle management, such as denials and rejections.
Developed strategies for improving collections performance across multiple sites.
Resolved issues related to denied or rejected payments from insurance companies.
Prepared monthly financial statements detailing revenue generated by practice locations.
Resolved billing issues by applying knowledge and completing in-depth research.
Managed and supervised billing department staff, including training, evaluation, and workflow distribution.
Helped customers to bring accounts into good standing by implementing payment plans.
Checked payroll, vendor payments and other accounting disbursements for accuracy and compliance.
Education
High School Diploma -
North Hagerstown High School
Hagerstown, MD
06-1993
Skills
HIPAA Compliance Knowledge
Collections Process Handling
ICD-10 Familiarity
Claims Processing Proficiency
Time Management Techniques
Medical Coding Expertise
Patient Confidentiality Practices
Payment Posting Abilities
CPT Coding Understanding
Continuous Improvement Mindset
Denial Management Strategies
Electronic Health Records Experience
Effective communication abilities
Revenue Cycle Management
Staff Training and Development
Payment posting
Project Management
Project Leadership
Collections experience
Collections Management
Workflow Planning
Training and mentoring
Collections understanding
Team direction
Claims Processing
Invoice Processing
HIPAA knowledge
Insurance Verification
Staff Training
Willing to Learn
Proactive and Focused
Goal Setting
Decision-Making
Timeline
Medical Billing Manager
Stifel
03.2024 - Current
Medical Billing Manager
PREMIER SPINE & SPORTS MEDICINE
08.2019 - 03.2024
Medical Billing Manager
DR MAURIELLO & ORFAN
02.2000 - 08.2019
High School Diploma -
North Hagerstown High School
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