Christine Houghton
Lusby,MD
Summary
Skilled Medical Billing Supervisor with depth of knowledge in medical billing procedures, coding and compliance. Demonstrated strengths include streamlining billing systems, leading teams and enhancing revenue collections. Known for improving operational efficiency, reducing errors and fostering positive relationships with healthcare providers.
Overview
10
10
years of professional experience
Work History
Medical Billing Supervisor
CalvertHealth Medical Center
Prince Frederick, MD
05.2014 - Current
- Monitored accounts receivable reports on a weekly basis to ensure timely payments from insurers.
- Assisted with the development of policies and procedures related to medical billing operations.
- Reviewed claims prior to submission to determine accuracy and completeness.
- Resolved any billing issues that arose in a timely manner.
- Established relationships with insurance companies and managed appeals process when necessary.
- Coordinated with department managers regarding changes in reimbursement policies or procedure updates.
- Responded promptly to inquiries from patients or insurance companies regarding bills or payments.
- Prepared documents for auditing purposes including patient account histories, eligibility verifications.
- Managed day-to-day operations of the medical billing team including setting goals, assigning tasks.
- Reviewed claims for coding accuracy.
- Completed and submitted appeals for denied claims.
- Coordinated communications between patients, billing personnel and insurance carriers.
- Contacted insurance providers to verify insurance information and obtain billing authorization.
- Reviewed account information to confirm patient and insurance information is accurate and complete.
- Communicated with insurance representatives to complete claims processing or resolve problem claims.
- Submitted appeals using provider portals and phone communication.
- Monitored reimbursement from managed care networks and insurance carriers to verify consistency with contract rates.
- Handled billing, waivers and claims for private and commercial clients.
- Applied HIPAA privacy and security regulations while handling patient information.
- Organized information for past-due accounts and transferred to collection agency.
- Delegated work to staff, setting priorities and goals.
- Guided employees in handling difficult or complex problems.
- Recommended solutions related to staffing issues and proposed procedural changes to managers.
- Resolved customer complaints or answered customers' questions.
- Implemented departmental policies and standards in conjunction with management to streamline internal processes.
- Provided leadership, insight and mentoring to newly hired employees to supply knowledge of various company programs.
- Coordinated with other supervisors, combining group efforts to achieve goals.
- Trained employees on best practices and protocols while managing teams to maintain optimal productivity.
- Reviewed employees' work to check adherence to quality standards and proper procedures.
- Participated in subordinates' tasks to facilitate productivity or help overcome difficulties.
- Researched and prepared reports required by management or governmental agencies.
Education
High School Diploma -
Northern High School
Owings, MD06-1987
Skills
- Team leadership and supervision
- Staff Training and Development
- Revenue Cycle Management
- Multitasking and Organization
- Commercial and Private Insurance
- Claims Processing and Review
- HIPAA Compliance Certification
- Teamwork and Collaboration
- Billing and Collection Procedure
- Account Reconciliation and Follow-up
- Collections Management
- Account Management
- Insurance Claims/Insurance Billing
- Proficiency in Meditech, Finthrive (MedAssets)
- Insurance Verification
- Worker's Compensation Knowledge
- Database systems
- Knowledgeable in Microsoft Office Suite
- Insurance Reimbursements
- Proficient with Institutional Medicare Billing
- Medicare and Medicaid Knowledge
- CPT code modifiers
- Insurance collections
- HIPAA Compliance
- UB04/CMS-1500 Billing Forms
Timeline
Medical Billing Supervisor
CalvertHealth Medical Center
05.2014 - Current
High School Diploma -
Northern High School
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