Summary
Overview
Work History
Education
Skills
Personal Information
Certification
Languages
Timeline
Generic

Carol Luong

Brooklyn,NY

Summary

Hardworking Revenue Cycle/Billing Manager proficient in overseeing team operations, implementing improvements and reducing delinquency. Offering 20+ years of experience in healthcare and excellent analytical skills.

Overview

19
19
years of professional experience
1
1
Certification

Work History

Revenue Cycle/Billing Manager

MovnHealth
04.2024 - Current
  • Reviewed billing problems, researched issues, and resolved concerns.
  • Managed weekly billing process to complete billings and returns to meet company revenue recognition policies.
  • Reduced errors and discrepancies in invoicing by closely monitoring billing data and conducting regular audits.
  • Oversee and manage the entire revenue cycle,including insurance verification, billing, collections and date processing.
  • Develop and implement strategies to increase efficiency and effectiveness of billing and collections processes.
  • Ensure compliance with all relevant regulations and standards related to billing and coding.
  • Collaborate with clinics and /or provider to ensure efficient flow of accurate patient information and streamline operations and improve the revenue cycle.
  • Analyze and report on key metrics related to revenue cycle. Use this information to identify areas for improvement and implement appropriate changes
  • Manage claims and appeals processes, ensuring that all claims are submitted and processed in a timely manner.
  • Stay current on changes in healthcare regulations, medical coding and billing practices.

Freelance Billing Manager

Dr. Jimmy Van, Podiatrist
04.2019 - Current
  • Managing billing and practice operations

Billing Manager

National Institute for the Psychotherapies
06.2015 - 04.2024
  • Responsible for estimated 1000 patients billing accounts a month and student tuition and supervision payments
  • Overseeing all billing procedures including bank and payment reconciliation, payment plans, timely filing, and financial assistance
  • Collaborating across departments to ensure quality care and organization development
  • Training new staff and psychotherapy students on billing and insurance processes and procedures
  • Auditing patient charts, charge slip, A/R balance, invoices, and payments for reporting
  • Streamlining new integrative workflow development and auditing to increase organization revenue
  • Communicating with out-of-network and in-network insurance companies, patients, therapist, and staff to streamline billing procedures.

Freelance Billing Consultant

Institute for Psychanalytic Training and Research
09.2019 - 12.2019
  • Designed and built a software system for billing, intake, credentialing, and insurance enrollment for ERA, EFT
  • Created profiles for providers, patients, and supervisors
  • Managing all aspect of practice/billing.

Senior Biller

Hamilton Madison
08.2005 - 06.2015
  • Implemented an efficient follow-up system to expedite the recovery of 30-day outstanding payments from non-responsive insurance carriers
  • Investigated and resolved discrepancies, facilitated medical claims review and appeal processes
  • Researched and resolved incorrect payments, EOB rejections, and other issues with outstanding accounts.

Biller

New York Eye & Ear Infirmary
01.2010 - 11.2011
  • Billing Surgeries
  • Review physician documentation and assign diagnoses and procedures using current ICD-10 and CPT coding to ensure all codes are appropriate for optimal reimbursement
  • Assist with denials related to coding issues, as necessary
  • Communicate with physicians regarding documentation needed in reports
  • Maintain coding certification
  • Perform related work as required and/or assigned
  • Analyze and interpret "Aging Reports"
  • Posting EOBs to a Practice Management software system


Education

Computer Science -

Queens College
New York, NY

Skills

  • Management & Leadership
  • Administration
  • Account Management
  • Payroll
  • Medical Coding
  • Medical Billing
  • Billing & Data Auditing
  • Medical Billing Terminology
  • CPT
  • HCPCS
  • HIPPA
  • ICD-10 & ICD-9
  • Kareo
  • Medisoft
  • MD Office
  • Gusto

Personal Information

Title: Revenue Cycle/Billing Manager

Certification

Billing & Coding Diploma

Bookkeeping Certification

QuickBooks Certification

HIPPA Training Certification

Languages

Chinese (Cantonese)
Native or Bilingual
Chinese (Mandarin)
Full Professional
Vietnamese
Professional Working

Timeline

Revenue Cycle/Billing Manager

MovnHealth
04.2024 - Current

Freelance Billing Consultant

Institute for Psychanalytic Training and Research
09.2019 - 12.2019

Freelance Billing Manager

Dr. Jimmy Van, Podiatrist
04.2019 - Current

Billing Manager

National Institute for the Psychotherapies
06.2015 - 04.2024

Biller

New York Eye & Ear Infirmary
01.2010 - 11.2011

Senior Biller

Hamilton Madison
08.2005 - 06.2015

Computer Science -

Queens College

Similar Profiles

CREATE PROFILE
Carol Luong