Dynamic Business Office Manager with proven expertise in accounts reconciliation and medical coding at Uvalde Healthcare And Rehabilitation Center. Adept at resolving payment discrepancies and ensuring compliance with insurance verification processes. Strong communicator and collaborator, enhancing team productivity while delivering exceptional patient support and maintaining accuracy in billing practices.
Overview
12
12
years of professional experience
Work History
Business Office Manager
Uvalde Healthcare And Rehabilitation Center
Uvalde
04.2017 - Current
Performed daily reconciliation of accounts receivable with payment postings on the computer system.
Contacted insurance providers to verify insurance information and obtain billing authorization.
Prepared and posted weekly payments to vendors and suppliers.
Responded to inquiries regarding claim status updates from providers and patients.
Collected payments, processed receipts and informed policyholders of outstanding balances.
Processed appeals for incorrect payment or denial of services rendered by healthcare providers on behalf of patients covered under Medicare plans.
Researched and resolved discrepancies in medical billing codes, insurance coverage details, and other data required for claims submission.
Attended training sessions conducted by CMS representatives on updates pertaining to changes in policy or procedures related to Medicare Claims Processing.
Resolved any discrepancies between payments received and amounts due as per established contracts with third-party payers.
Adhered strictly to HIPAA regulations while handling confidential patient information during the course of processing their claims.
Transcribed data to worksheets and entered data into computer to prepare documents and adjust accounts.
Provided guidance and assistance related to reimbursement policies associated with various types of services offered under the Medicare program.
Assisted with developing job descriptions and updating existing ones when necessary.
Managed communication regarding employee orientation and open enrollment for benefits.
Organized training and development sessions to enhance employee skills and performance.
Answered employee questions during entrance and exit interview processes.
Reported on workplace health and safety compliance to superiors.
Prepared reports related to attendance tracking, disciplinary actions taken, terminations or any other relevant topics.
Maintained HR records, ensuring accuracy and confidentiality of employee data.
Processed monthly payments and researched payment discrepancies.
Handled accounts payable and receivable, including invoicing and payment processing.
RAC Coordinator
Uvalde Memorial Hospital
Uvalde
03.2013 - 04.2017
Accessed programs and set up correct payment strategies based on patient means and needs.
Acted as liaison for hospital staff, physicians, patients and family members.
Collaborated with multidisciplinary teams to coordinate care for complex cases.
Explained various admission forms and policies, acquiring signatures for consent.
Attended meetings with physicians and other healthcare professionals to discuss cases.
Utilized hospital systems to update patient records, ensuring accuracy and completeness.
Managed inventory and supplies to ensure materials were available when needed.
Updated and maintained databases with current information.
Worked effectively in team environments to make the workplace more productive.
Managed household errands and other essential duties.