Summary
Overview
Work History
Education
Skills
References
Timeline
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Carmen C Steward

Haines City,FL

Summary

Results-driven billing manager with expertise in overseeing billing processes and optimizing revenue streams. Skilled in managing billing systems, fostering a dynamic team, resolving discrepancies, and ensuring compliance with billing regulations. Strong leadership, analytical, and communication skills, with a focus on driving efficiency and accuracy in billing operations.

Overview

23
23
years of professional experience

Work History

Billing Department Manager

A. T. Radiology, P.A
Haines City, FL
03.2018 - Current
  • Ensured accurate and timely filing and billing of claims process.
  • Overseeing staff claim submissions and follow up.
  • Ensured timely resolutions and escalations for accurate reimbursements.
  • Crafted persuasive appeals to expedite claim reimbursement process.
  • Reviewing and Negotiating Contracts.
  • Provider credentialing.
  • Monitoring Accounts Receivable with regular reporting.
  • Recruit, train, and develop a dynamic Billing team.
  • Writing Memoranda.
  • Work with Law Offices and Attorneys on Auto Injury Claims.
  • Facilitated the negotiation of claims reduction requests.
  • Manage a team of 13 professionals overseeing monthly charges amounting to more than $3,000,000.
  • Conduct insurance verification, pre-authorization, billing, and claim analytic processes.
  • Evaluate employee job performance and motivate staff to improve productivity.

Insurance Coordinator

A. T. Radiology, P.A
Haines City, FL
11.2008 - 03.2018
  • Validated insurance and provided patients with information on benefits and coverage.
  • Evaluating Commercial, Medicare, Medicaid, and Worker's Compensation insurance plans.
  • Extracting benefits and applying to appointment type, calculating co-pay, deductible, and coinsurances.
  • Collaborated with physician offices and insurance companies to secure authorizations.
  • Communicated with insurance companies to obtain up-to-date policy information and relayed it to patients.
  • Devised and executed diverse payment plans for collections.
  • Enhanced financial assessment notes for efficient billing
  • Complied with insurance regulations dictated by local, state, and federal agencies.
  • Enhanced comprehension of medical procedures by retaining sound knowledge in medical terminology.
  • Processed payment claims and referred them to concerned staff for detailed scrutiny.

Registration/Admitting Coordinator

Hoag Memorial Hospital
Newport Beach, CA
04.2004 - 09.2008
  • Provide bedside registration for patients arriving for treatment in the ECU.
  • Obtaining and entering patient demographic and insurance information online to provide an accurate patient record.
  • Calculate and collection of co-pay, coinsurance and deductibles.
  • Verifying insurance eligibility and obtaining authorizations.
  • Meeting or exceeding monthly accuracy and collection goals.
  • Interacted sensitively, effectively, and professionally with individuals from diverse cultural, socioeconomic and educational, sexual, gender and religious orientations and backgrounds.
  • Maintained confidentiality when addressing sensitive information with tact and diplomacy.
  • Worked closely with team members to deliver project requirements, develop solutions and meet deadlines.

FRONT OFFICE ASSISTANT

NEWPORT FAMILY MEDICINE
Newport Beach, CA
03.2002 - 04.2004
  • Patient check in and out, patient call backs, scheduling appointments.
  • Triage calls and multi-lines phones with 125 queue.
  • Physician charge and co-pay posting, medical billing and coding.
  • Maintaining physician schedules for unexpected changes.
  • Rooming patients, obtaining vitals, history and physical charting for thirteen providers in a fast paced office.
  • Collected copays and account balance payments and updated account records.

Education

Associate of Science - Business Management

National University
La Jolla, CA
06-2023

Certification - Nursing Assistance

Long Beach City College
Long Beach, CA
05.2007

Certification - Business Administration

Kellogg Community College
Battle Creek, MI
06.2000

CERTIFICATION - Medical Assisting

Everest Institute - Grand Rapids
Grand Rapids, MI
12.1998

Skills

  • MS Office
  • Excellent Communication
  • Data Analytics
  • Problem Solving
  • Computer Knowledge
  • Organization
  • Administrative support
  • Team management
  • Customer service
  • Insurance billing
  • Contract development and management
  • Claims Processing
  • HIPAA knowledge
  • Negotiation
  • Data entry
  • Collections experience
  • Excel
  • PowerPoint
  • ICD 10
  • CPT/HCPCS
  • Audit Support
  • Staff Training and Development
  • Payment posting

References

References: Available upon request.

Timeline

Billing Department Manager

A. T. Radiology, P.A
03.2018 - Current

Insurance Coordinator

A. T. Radiology, P.A
11.2008 - 03.2018

Registration/Admitting Coordinator

Hoag Memorial Hospital
04.2004 - 09.2008

FRONT OFFICE ASSISTANT

NEWPORT FAMILY MEDICINE
03.2002 - 04.2004

Associate of Science - Business Management

National University

Certification - Nursing Assistance

Long Beach City College

Certification - Business Administration

Kellogg Community College

CERTIFICATION - Medical Assisting

Everest Institute - Grand Rapids
Carmen C Steward