Dynamic Medical Billing Manager with extensive experience at St. John's Riverside Hospital, excelling in claims processing and team leadership. Proven track record in enhancing revenue cycle management and reducing denied claims through meticulous billing reviews. Skilled in ICD-10 coding and fostering strong relationships with insurance providers to optimize cash flow.
Overview
29
29
years of professional experience
Work History
Medical Billing Manager
St. John's Riverside Hospital
08.1996 - Current
Reviewed billing problems, researched issues, and resolved concerns.
Enhanced revenue cycle management by overseeing timely and accurate claims submission.
Maintained up-to-date knowledge of regulatory changes impacting medical billing practices to ensure ongoing compliance within the organization.
Trained team members on best practices in medical billing, ensuring consistent high-quality work across the department.
Collaborated with providers and staff to ensure accurate coding for billing purposes.
Optimized cash flow by regularly reviewing aging account balances and implementing tactics for timely collections from patients or insurers.
Trained and mentored staff on procedures, compliance requirements, and collections techniques.
Conducted performance reviews and implemented improvement plans.
Performed testing for billing modules, enhancing new functionality and process improvements.
Established internal audit procedures to validate and improve accuracy of financial reporting.
Prepared payroll for department
Supported financial director with special projects and additional job duties.
Managed a team of 11 medical billers.
Streamlined claim appeals process by creating clear documentation guidelines and templates for staff use.
Increased patient satisfaction by addressing billing inquiries promptly and professionally.
Reduced denied claims through diligent review, correction, and resubmission of errors.
Attends mandatory in service as requested.
Developed strong relationships with insurance companies and other hospital departments through effective communication.
Monitored compliance with industry regulations to mitigate risks associated with audits and penalties.
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