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, CA06-2023
Certification - Nursing Assistance
Long Beach City College
Long Beach, CA05.2007
Certification - Business Administration
Kellogg Community College
Battle Creek, MI06.2000
CERTIFICATION - Medical Assisting
Everest Institute - Grand Rapids
Grand Rapids, MI12.1998
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
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