Results-driven collections professional with proven track record in managing accounts and achieving collection targets. Well-versed in negotiating with clients and implementing effective strategies to reduce outstanding balances. Known for exceptional teamwork and adaptability, consistently delivering results and fostering cooperative work environment.
Overview
23
23
years of professional experience
1
1
Certification
Work History
Sr. Medical Billing and Collections Manager
Muscogee Asset Protection, LLC Team
12.2024 - Current
Oversee and lead medical billing and medical collections staff to efficiently process medical claims and to aid in collection of outstanding balances.
My role involves developing and implementing billing and collection strategies, analyzing revenue cycle performance, and ensuring compliance with regulatory requirements.
Collaborate with internal stakeholders, such as healthcare providers and insurance companies, to improve reimbursement processes and resolve complex billing issues.
Strong leadership skills, experience in medical billing and collections, and a deep understanding of healthcare finance.
Key Duties: Coordinate activities, track and report attendance, schedule assignments to meet billing deadlines, perform tasks like team members, and serve as the team's main contact. Train, monitor, and management insurance billing and collection contract staff members in managing all questions about their day-to-day workload.
Researched accounts and completed due diligence to resolve collection problems.
Reviewed, researched, and corrected discrepancies and customer concerns.
Coded and entered at least [15-25] invoices each day into in-house accounting software.
Program Director - Medical Coding and Billing
College of Health Care Professions-Dallas, TX / San Antonio TX
10.2019 - 12.2024
Primary Duties are to develop, keep and deliver educational services to students by ensuring that the core curriculum is delivered by preparing course plans and material and by ensuring that the MCB staff adheres to MCB Program curriculum.
Monitor and manage student retention, student advising and grade reporting.
Ensure that the MCB Program adheres to all Federal, State, and Institutional accreditation agencies as well as following CHCP core values.
Supervise and evaluate MCB Program new employees as well as existing faculty.
Direct advisory committee activities for the MCB Program.
Monitor MCB faculty lesson plans, as well as curriculum and textbooks.
Review with MCB instructors a student’s attendance, progress for class schedule also evaluate externships, employee and graduate surveys and report to DOE/Campus President.
Participate in new student enrollments, orientations, site evaluations.
Assist DOE/Career Services/Externship Coordinator with student issues, concerns, and paperwork.
Use of different teaching strategies to instruct classes.
Manage a student population of 20-30 students from time of enrollment to graduation.
Manage classrooms to create a friendly learning environment.
Provide and correct lesson plans, syllabus, lecture on time.
Advise students on academic progress and assess retention.
Ensure that all MCB students meet academic progress.
Address all school regulations and make sure that the MCB program is following AHES and TWC guidelines.
Home Health Business Coordinator / IP Medicare Billing Specialist/DME Coordinator PFS/HIM Liaison
University Medical Center-Lubbock, TX
04.2002 - 10.2019
File and Correct Medicare, Medicaid, Workers Comp and Commercial claim and for payment.
Appeal claims for redetermination and reconsider.
Patient Registration.
Insurance Verification and Eligibility.
Provide Customer Service via Phone or in person.
Oversee customer concerns.
Responsible for all cash reconciliation for end of day and end of month.
Knowledge and Implementation of departmental and hospital policy and procedures.
Create and Submit Monthly Financial Reports to Hospital Directs.
Data Entry to Access/Excel bases for hospital reporting.
Cash handling-collected co-pays/made deposits and posting of insurance payments.
Responsible for supporting Medical Records and updating patient information via procedures and billing.
Scanning and supporting medical records billing and coding of medical claims.
Obtained all Pre-Authorizations for Medicare, Medicaid, Workman’s Comp, and Commercial Insurance.
Update revenue charge-master for current HCPCS and price increases and responsible for monthly inventory control.
Responsible for daily deposits, all cash recaps, posting all retail cash sales, private pays, secondary Medicare payments, insurance, and Hospice.
Implement training for new hires in company policy and procedures, on guidelines for Medicare, Medicaid, and Commercial Insurance.
Completed bi-weekly payroll for 24 employees.
Delivered exceptional customer service by promptly addressing concerns, maintaining strong relationships with clients and vendors.
Coordinated training programs for new employees, resulting in improved performance levels and reduced turnover rates.
Increased client satisfaction with timely communication and proactive problem-solving skills.
Conducted financial activities for monthly reconciliation and to assist with annual budget.
Facilitated communication with clients and team members to improve business strategy and operation.
Strengthened inter-departmental collaboration, fostering a positive work environment and open channels of communication.
Education
No Degree - Medical Billing And Coding Specialist
Kaplan College
Lubbock, TX
07.2008
High School Diploma -
Lubbock High School
Lubbock, Texas
05-1983
Skills
Experience with educational technology platforms
Electronic medical record systems
Proficient in Microsoft Word
Billing and coding proficiency
Familiarity with HIPAA compliance
Proficient in typing at 41 WPM
Timely cash reconciliation
Healthcare administrative experience
Insurance eligibility verification
Patient record management
Staff evaluation process
Educational guidance expertise
Knowledge of ICD-10 and ICD-9 standards
Medical coding expertise
Certification
Medical Billing and Coding Certification
Section name
Authorized to work in the US for any employer.
Languages
Spanish
Native or Bilingual
Timeline
Sr. Medical Billing and Collections Manager
Muscogee Asset Protection, LLC Team
12.2024 - Current
Program Director - Medical Coding and Billing
College of Health Care Professions-Dallas, TX / San Antonio TX
10.2019 - 12.2024
Home Health Business Coordinator / IP Medicare Billing Specialist/DME Coordinator PFS/HIM Liaison