Carol Luong
Revenue Cycle/Billing Manager
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, strong analytical capacity and experience tracking metrics related to coding error, billing turnaround, and revenue cycle analysis/reporting.
Overview
19
19
years of professional experience
1
1
Certification
Work History
Revenue Cycle/Billing Manager
MovnHealth
Los Angeles, CA
04.2024 - Current
- Oversees all functions of the Revenue Cycle process, including claims submissions, payment reconciliation and posting, patient account representatives, claims rejections/ denials, A/R follow up, patient statements, refunds and recoupments, revenue integrity, and external collections activities.
- Collects, organizes, analyzes, and disseminates significant amount of information from various date sources with attention to detail and accuracy, in a timely manner.
- Provides data driven insights and actionable information to drive improvement, increase efficiency, and implement best practices in revenue cycle operations. Monitors key performance indicators and escalates issues to senior management as appropriate.
- Analyzes date for insights into claims management, and for special prevention and denials management projects. This includes identifying denials trends by root cause. Payor-related issues, physician trends, etc.
- Oversees and manages payer related issues, including identifying and trending underpayments and overpayments, and communication with payer representatives, and collaborating with our credentialing team.
- Develops and ensures implementation of policies, guidelines, and implementation procedures; and ensures goals and objectives are properly defined and clearly established.
- Conducts regular meetings managers to discuss billing issues.
- Work with the Director of Marketing, Director Provider Engagement, credentialing to achieve business objectives and implement organizational strategy.
- Work closely with Produce Manager to optimize the use of technology to automate revenue cycle functions.
- Strong understanding of payers contracts; fee schedules, rules and guidelines.
- Bill RPM/CCM Prevention Program.
- Other duties as assigned.
Revenue Cycle Management Analyst
Dr. Jimmy Van, Podiatrist
New York
04.2019 - Current
- Oversees daily billing and collection processes
- Generated reports
- Performs daily audits of AR follow up in practice management system for quality assurance.
- Bill surgery procedures
- Responsible for all aspects of the claim cycle.
Billing Manager
National Institute for the Psychotherapies
New York
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
New York
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
New York
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
New York
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
Medical Billing & Coding Specialist Diploma
Stratford
Certified Professional Coder
AAPC
Skills
- Management & Leadership
- Administration
- Account Management
- Payroll
- Bookkeeping
- Medical Billing & Coding
- Billing & Data Auditing
- Medical Billing Terminology
- CPT
- HCPCS
- HIPPA
- ICD-10 & ICD-9
- Tebra
- Medisoft
- MD Office
- Gusto
- AdvancedMD
- QuickBooks Online
Personal Information
Title: Revenue Cycle/Billing Manager
Certification
Billing & Coding Diploma
Bookkeeping Certification
QuickBooks Certification
HIPPA Training Certification
CPC -In progess
Languages
Chinese (Cantonese)
Native or Bilingual
Chinese (Mandarin)
Full Professional
Vietnamese
Professional Working
Contact
Brooklyn NY
Skills
- QuickBooks
- AdvancedMD
- Microsoft Office
- FastAuth
- Accounts receivable management
- Audit Support
- Personnel Oversight
Education
New York, NY
Work Preference
Work Type
Full TimeWork Location
RemoteImportant To Me
Work-life balanceCompany CultureFlexible work hoursTimeline
Revenue Cycle/Billing Manager
MovnHealth
04.2024 - Current
Freelance Billing Consultant
Institute for Psychanalytic Training and Research
09.2019 - 12.2019
Revenue Cycle Management Analyst
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
Medical Billing & Coding Specialist Diploma
Stratford
Certified Professional Coder
AAPC
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