Colleen Swalley
Foley,AL
Summary
Accomplished Billing Office Manager skilled in directing end-to-end revenue cycle processes. Known for strong analytical skills and a commitment to compliance, with a track record of improving collections and enhancing patient relations.
Overview
23
23
years of professional experience
Work History
Billing Office Manager
Taylor Plastic Surgery, LLC
Gulf Shores, Alabama
08.2019 - Current
- Identified and recovered $75,000 in previously lost revenue through comprehensive account auditing, payer follow-up, denial resolution, and aggressive appeals.
- Liaised among patients, providers, and insurance carriers to resolve billing disputes and account issues, achieving resolution within 48 hours.
- Analyzed billing and A/R trends to identify process deficiencies, enhancing collections and preventing recurring claim and payment issues.
- Coordinated multi-provider scheduling, credentialing, inventory control, office policies, and daily administrative workflows to support operational efficiency.
- Maintain compliance with HIPAA, OSHA, and payer requirements across more than 500 active patient records.
- Direct end-to-end revenue cycle operations for a high-volume cosmetic and reconstructive surgery practice serving multiple providers.
Medical Billing Specialist
Gastroenterology of Pensacola
Pensacola, Florida
07.2018 - 08.2019
- Coded and submitted 300+ medical claims weekly to various insurance carriers, maintaining compliance and optimizing claim processing efficiency.
- Reduced claim denials by 22% through proactive eligibility verification, documentation review, and front-end billing process improvements.
- Researched rejected and denied claims, corrected billing errors, and coordinated prompt resubmissions and appeals, ensuring timely resolution of issues.
- Managed patient and payer inquiries, clarifying insurance processing, account balances, and billing requirements to enhance understanding and satisfaction.
- Contributed to a 98% patient satisfaction score on billing-related surveys through responsive and accurate account resolution.
Billing and Payment Assistant
Pensacola Pediatrics
Pensacola, Florida
12.2014 - 07.2018
- Supported denial appeals and follow-up on aged accounts, recovering more than $40,000 in overdue payments.
- Researched payment variances and corrected account errors to maintain accurate patient and payer balances.
- Performed daily charge entry, payment posting, account reconciliation, and balancing with zero discrepancies during monthly audits.
- Responded to billing inquiries, explaining balances, insurance processing, and payment options to enhance patient understanding.
Medical Biller
Angel Williamson Imaging Center
Pensacola, FL
12.2003 - 12.2014
- Processed high-volume diagnostic imaging claims for a multi-modality center, consistently meeting or exceeding monthly collection goals.
- Reduced outstanding A/R by 25% through systematic payer follow-up, account resolution, and patient payment plans.
- Verified insurance benefits, obtained prior authorizations, maintained complete patient account ledgers to support accurate billing processes.
- Posted insurance and patient payments, balanced daily and monthly reports, maintained accurate financial records to ensure timely revenue cycle management.
- Investigated unpaid and underpaid claims, collaborated with payers and patients to resolve outstanding balances, enhancing cash flow.
Education
Medical Billing/Coding Certificate -
Virginia College
Pensacola05-2003
Skills
- Revenue cycle management
- Billing regulations
- Account auditing
- Payer negotiations
- Claim resolution
- Medical coding
- Patient account management
Timeline
Billing Office Manager
Taylor Plastic Surgery, LLC
08.2019 - Current
Medical Billing Specialist
Gastroenterology of Pensacola
07.2018 - 08.2019
Billing and Payment Assistant
Pensacola Pediatrics
12.2014 - 07.2018
Medical Biller
Angel Williamson Imaging Center
12.2003 - 12.2014
Medical Billing/Coding Certificate -
Virginia College