HST
Carrie Lara
Medical Biller
Garland,TX
Summary
Ready to help team achieve company goals. Medical billing professional with deep understanding of healthcare reimbursement systems and regulations. Proven success in optimizing billing processes and enhancing operational efficiency. Reliable team collaborator focused on achieving results and adapting to changing industry needs. Expertise in revenue cycle management and regulatory compliance.
Overview
17
17
years of professional experience
Work History
Accounts Receivable Manager
Surgical Notes
12.2023 - Current
- Supervise accounts receivable office personnel of 8, which include work allocation, training, and problem resolution; evaluate performance and make recommendations.
- Oversee operations of billing department, encompassing medical coding, charge entry, claims submissions, payment posting, accounts receivable follow-up, and reimbursement management.
- Ensure that activities of billing operations are conducted in a manner that is consistent with overall department protocol, and are in compliance with Federal, State, and Payer regulations, guidelines, and requirements.
- Keep up to date with current coding, billing regulations and HIPPA compliance.
- Manage End of Month, End of Quarter, and End of Year A/R closings and financial audits.
- Coordinated collection activity for past due accounts, denials/appeals, and reconciled EOB/RA's.
- Facilitated successful internal and external audits through sound and thorough documentation.
Team Lead
Surgical Notes
11.2022 - 12.2023
- Supervised all facets of receivables and credit including credit application research and cash posting Implemented all current Credit Department policies and procedure Managed all monthly and yearly reporting for credit and receivables Analyzed credit and approved for direct billing on accounts from $25,000-$4,000,000.
- Established strong working relationship with internal and external customers.
- Developed strategies and goals to reduce exposure to write-offs.
- Analyzed and forecast payment recoveries.
- Prepared write offs for doubtful accounts.
- Assisted in collections of $4+ million in accounts receivables.
- Selected and managed relationships of third-party collection agencies.
Revenue Cycle Supervisor
Surgical Care Affiliates Inc.
09.2021 - 10.2022
- Hired, trained, and developed accounts receivable, billing and patient account staff of 9.
- Regularly analyzed AR aging; determine and implemented appropriate action.
- Recorded and documented collection activity.
- Worked closely with revenue cycle manager to ensure and maintain accuracy of A/R.
- Reviewed, prepared and analyzed accounts receivable aging reports.
- Facilitated successful internal and external audits through sound and thorough documentation.
- Successfully implemented new technologies and process automations to encourage continuous improvement.
- Worked closely with patient account resolution team to improve patient payments and lower collection intake.
- Regularly review insurance contracts and payer guidelines and implement new changes for insurance verification team.
Billing Specialist
Surgical Care Affiliates
01.2017 - 09.2021
- Prepared invoices and submitted to payers.
- Prepared and posted sales adjustments.
- Reviewed aging reports and followed on with clients on delinquent accounts.
- Monitored payments due from clients and promptly contacted clients with past due payments.
- Researched and resolved accounts receivable discrepancies.
Insurance Verification Specialist
Surgical Care Affiliates Inc.
04.2015 - 01.2017
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Posted payments to accounts and maintained records.
Insurance Verification Specialist
Touchstone Imaging
06.2013 - 10.2014
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Updated patient records with accurate, current insurance policy information.
- Complied with HIPAA guidelines and regulations for confidential patient data.
- Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
- Achieved insurance pre-authorizations to enable timely patient procedures.
- Trained new staff on current, correct insurance verification procedures.
- Assisted patients with understanding personalized insurance coverage and benefits.
- Completed administrative patient intakes with case histories, insurance information and mandated forms.
- Organized and maintained patient chart filing system to promote quick data finding for staff.
- Prepared and processed patient referrals and transfer requests.
- Received and routed laboratory results to correct clinical staff members.
- Coordinated referrals through insurance and other medical specialists and documented details in patient charts.
- Obtained payments from patients and scanned identification and insurance cards.
- Frequently double-checked patient histories and current information while scheduling follow-ups and other appointments.
- Performed various administrative tasks by filing, copying and faxing documents.
- Greeted and interacted with patients to provide information, answer questions and assist with appointment scheduling.
Insurance Verification Specialist/Front End Supervisor
American Health Imaging
02.2007 - 05.2013
- Assured timely verification of insurance benefits prior to patient procedures or appointments.
- Answered telephone calls to offer office information, answer questions, and direct calls to staff.
- Maintained strong knowledge of basic medical terminology to better understand services and procedures.
- Posted payments to accounts and maintained records.
- Made contact with insurance carriers to discuss policies and individual patient benefits.
- Chased insurance companies to achieve accurate and timely payments.
- Generated reports to track insurance verifications and claim progress.
- Updated patient records with accurate, current insurance policy information.
- Complied with HIPAA guidelines and regulations for confidential patient data.
- Managed high-volume insurance verifications within pressured timeframes for productive medical operations.
- Achieved insurance pre-authorizations to enable timely patient procedures.
- Established and maintained relationships with insurance providers for productive communications.
- Trained new staff on current, correct insurance verification procedures.
- Assisted patients with understanding personalized insurance coverage and benefits.
- Organized and maintained patient chart filing system to promote quick data finding for staff.
- Processed medical insurance claims and payments.
- Completed administrative patient intakes with case histories, insurance information and mandated forms.
- Obtained payments from patients and scanned identification and insurance cards.
- Placed new supply orders, managed inventory and restocked clerical spaces.
- Managed office logistics by scheduling appointments, maintaining files and collecting payments.
- Assisted with medical coding and billing tasks.
- Managed office bookkeeping with insurance billing and patient payments.
- Greeted and interacted with patients to provide information, answer questions and assist with appointment scheduling.
- Performed various administrative tasks by filing, copying and faxing documents.
- Assisted with quality improvement of all physician transcription of Diagnostic reports.
- Managed PTO for office employees, assisted with daily batches for end of month close and balancing of monies daily.
- Prepared and processed patient referrals and transfer requests.
- Frequently double-checked patient histories and current information while scheduling follow-ups and other appointments.
- Greeted visitors and initiated triage processes for clients to streamline patient flow.
- Conducted patient intake interviews, recording and documenting relevant information.
- Oversaw employee performance, corrected problems, and increased efficiency to maintain productivity targets.
- Offered hands-on assistance to customers, assessing needs, and maintaining current knowledge of consumer preferences.
- Coached employees and trained on methods for handling various aspects of sales, complicated issues, and difficult customers.
- Trained team members in successful strategies to meet operational and sales targets.
- Mentored team members to enhance professional development and accountability in workplace.
- Created employee schedules to align coverage with forecasted demands.
- Established objectives to offer team members clear roadmap to help company achieve overall goals.
- Walked through department multiple times each shift to evaluate and correct issues such as cleaning and stock replenishment needs.
Education
Some College (No Degree) - Medical Terminology And Anatomy & Physiology
AAPC
OnlineNo Degree - Bachelor of Science
Collin County Community College District
Plano, TX08.2000
High School Diploma -
McKinney High School
McKinney, TX05.1996
Skills
- Accounts receivable professional
- Complex problem solving
- Strong communication skills
- Effective time management
- Conflict resolution techniques
- Healthcare billing proficiency
- In-depth claims knowledge
- Account reconciliations
- Relationship and team building
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Work Preference
Work Type
Full TimeWork Location
RemoteHybridImportant To Me
Work-life balanceCareer advancementHealthcare benefitsCompany CultureFlexible work hoursWork from home optionPaid time offPersonal development programs401k matchPaid sick leaveTeam Building / Company RetreatsQuote
Winners are not people who never fail, but people who never quit.
Unknown
Software
SIS
Vision
Amkai
Advantix
EPIC (entry level)
Languages
English
Native or Bilingual
Interests
Gardening
Cooking and Baking
Photography
Timeline
Accounts Receivable Manager
Surgical Notes
12.2023 - Current
Team Lead
Surgical Notes
11.2022 - 12.2023
Revenue Cycle Supervisor
Surgical Care Affiliates Inc.
09.2021 - 10.2022
Billing Specialist
Surgical Care Affiliates
01.2017 - 09.2021
Insurance Verification Specialist
Surgical Care Affiliates Inc.
04.2015 - 01.2017
Insurance Verification Specialist
Touchstone Imaging
06.2013 - 10.2014
Insurance Verification Specialist/Front End Supervisor
American Health Imaging
02.2007 - 05.2013
Some College (No Degree) - Medical Terminology And Anatomy & Physiology
AAPC
No Degree - Bachelor of Science
Collin County Community College District
High School Diploma -
McKinney High School
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