With a proven track record at MD RPM LLC, I leveraged medical coding expertise and leadership qualities to enhance billing efficiencies and compliance, resulting in significant process improvements. My adeptness in data analysis and fostering cross-department collaboration has driven organizational growth and operational excellence.
Overview
21
21
years of professional experience
Work History
Medical Billing Director
MD RPM LLC
Houston, TX
11.2019 - Current
Served as a liaison between physicians and insurers regarding patient coverage information.
Implemented new technologies that improved efficiency within the department.
Completed month-end and year-end closings, kept records audit-ready and monitored timely recording of accounting transactions.
Reviewed patient accounts to ensure accuracy of charges, payments, denials and insurance reimbursements.
Participated in meetings with senior management to discuss revenue goals and strategies.
Analyzed data from various sources to identify potential areas of improvement within the department.
Monitored changes in government regulations affecting healthcare billing practices.
Ensured compliance with applicable state and federal laws related to healthcare billing.
Provided training to staff on coding, collection procedures and HIPAA regulations.
Resolved complex billing issues with patients, insurers and other third-party payers.
Developed invoicing systems and internal controls to boost billing efficiencies.
Created policies and procedures relating to medical coding practices, documentation requirements, collections processes.
Coordinated preparation of external audit materials and external financial reporting.
Coordinated efforts between multiple departments related to medical billing activities.
Performed quality assurance checks on submitted claims prior to submission to insurance carriers.
Senior Support Specialist
Aprima Medical Software Inc.
Richardson, Texas
06.2004 - 11.2019
Reviewed project requirements to identify customer expectations and resources needed to meet goals.
Assessed code during testing stage to determine potential glitches and bugs.
Improved and corrected existing software and system applications.
Resolved customer issues by establishing workarounds and solutions to debug and create defect fixes.
Performed troubleshooting of post-release software faults to support live service and installed software patch design.
Identified opportunities for process improvements to decrease in support calls.
Programmed applications and tools using object-oriented languages with goals of code abstraction, stability and reuse.
Wrote user manuals and other documentation for roll-out in customer training sessions.
Updated software upon release of vendor patches to mitigate vulnerabilities.
Coordinated installation of software systems and collaborated with user experience team on design and implementation of new features.
Analyzed user needs and software requirements to determine design feasibility.
Worked closely with systems analysts, engineers and programmers to understand limitations, develop capabilities and resolve software problems.
Education
Some College (No Degree) - Special Needs Counselor
Collin County
Richardson
Skills
Medical coding
Billing compliance
Claims processing
Data analysis
Financial reporting
Staff training
Problem resolution
Regulatory compliance
Revenue cycle management
Process improvement
Audit coordination
Cross-department collaboration
Attention to detail
ICD-10
HIPAA compliance
Claims processing proficiency
Denial management strategies
Team leadership qualities
Electronic health records experience
Organizational growth
Interpersonal relationship building
Medical billing software mastery
Payment posting
Medicare and medicaid regulations
Decision-making capacity
Medical coding expertise
Account analysis expertise
Fraud prevention
Written communication
Professional risk manager
Microsoft SQL server
Microsoft dynamics 365
Timeline
Medical Billing Director
MD RPM LLC
11.2019 - Current
Senior Support Specialist
Aprima Medical Software Inc.
06.2004 - 11.2019
Some College (No Degree) - Special Needs Counselor
Collin County
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