Results-driven Medical Billing Manager with expertise in claims processing, compliance auditing, and HIPAA regulations. Proven track record of implementing process improvements and training staff to enhance billing efficiency.
Overview
18
18
years of professional experience
Work History
Medical Billing Manager
Petersen Drug
Chadron, NE
07.2011 - Current
Led medical billing staff reviews, ensuring accuracy of patient accounts and compliance with standards.
Streamlined billing processes to improve efficiency and decrease claim denials.
Conducted audits on claims submitted by medical billing staff, ensuring compliance with all applicable laws and regulations.
Implemented training sessions focused on compliance standards to enhance staff understanding and adherence.
Worked closely with clinical staff to ensure timely submission of claims and accurate coding practices.
Facilitated team meetings to discuss billing challenges and share best practices for improved collaboration and efficiency.
Oversaw daily activities related to the processing of electronic claims submissions.
Processed insurance claims using industry-standard software systems.
Maintained up-to-date knowledge of medical billing regulations and practices.
Analyzed appeals processes and prepared appeal letters to support claims resolution.
Waitress
Wreckers
Chadron, NE
06.2010 - 06.2011
Provided attentive service to guests in busy restaurant environment.
Took orders for food and drinks, ensuring timely delivery to enhance guest satisfaction.
Greeted customers, answered questions, and recommended specials to drive sales.
Assisted in menu selection and offered daily specials to customers.
Maintained cleanliness and organization of dining area throughout shifts.
Handled cash transactions and processed payments with precision.
Trained new staff on service standards and operational procedures to maintain consistent service quality.
Retail Sales Associate
Kmart, Sears Holding
Laramie, WY
10.2009 - 05.2010
Guided customers in product selection and addressed inquiries to enhance shopping experience.
Processed transactions accurately using point-of-sale systems.
Organized and curated merchandise displays to attract customer interest and drive sales.
Worked with team members to streamline store operations and improve overall customer satisfaction.
Conducted inventory checks and restocked items.
Pharmacy Technician
Petersen Drug
Chadron, NE
05.2008 - 07.2009
Processed prescription orders for diverse patient needs, ensuring accuracy and efficiency.
Prepared medications for dispensing by counting, pouring, labeling, and verifying doses.
Assisted pharmacists in preparation of compounded medications and specialized prescriptions, enhancing patient care.
Operated pharmacy management software to manage prescriptions and patient records.
Maintained inventory levels by tracking stock and replenishing medications, ensuring availability for patient needs.
Trained new pharmacy staff on procedures, systems, and customer service best practices.