Denise Watson
Corona,CA
Summary
Veteran Billing Manager focused on team efficiency and producing high-quality work. Excellent collaborator and relationship-builder familiar with compliance and documentation requirements. Enthusiastic about taking billing operations to the next level through proactive leadership and skilled problem solving.
Overview
28
28
years of professional experience
Work History
Billing Manager
Medical Billing Services
09.2021 - 02.2024
- Provided ongoing professional development opportunities for staff members through workshops, seminars, and mentoring programs.
- Processed payroll, commissions and other accounting disbursements for accuracy and compliance.
- Analyzed business processes to identify cost savings and operational efficiencies.
- Prepare monthly reports on departmental progress.
- Optimized resource allocation within the department by analyzing workload trends and adjusting staffing levels accordingly.
- Implemented policies that improved accounts receivable collections, resulting in reduced outstanding balances and increased cash flow.
- Conducted performance reviews and implemented improvement plans.
- Boosted team productivity through effective delegation of tasks, setting performance targets, and providing constructive feedback.
- Excellent communication skills, both verbal and written.
- Self-motivated, with a strong sense of personal responsibility.
- Identified issues, analyzed information and provided solutions to problems.
- Used strong analytical and problem-solving skills to develop effective solutions for challenging situations.
Revenue Cycle Supervisor
Radiology Partners
07.2019 - 04.2021
- Supervised a team of 35 employees in the demographic and claims department of the billing department
- Responsible for receiving charges through HL-7, resolving all demographic issues, EDI claims submission and resolving claim rejections
- Close working relationships with project management for new implementations, client services and RCM analyst to resolve any electronic file issues
- Provide direction to operating departments regarding methods to improve operating performance
- Conducted interviews for new hires, payroll processing and yearly compensation cycle.
MIPS Manager/Billing System Administrator
Integrated Oncology Network
11.2015 - 12.2018
- Promoted from previous assignment of Revenue Cycle Analyst (Integrated Physician Support Services) to subsidiary company to take on the responsibility of researching and plan development for physicians under the MACRA/MIPS program for 22 cancer centers
- This included education training to physicians and staff on the categories under the MIPS programs
- Reported progress on a regular basis to our Compliance Director, Board of Directors, CEO and compliance committees
- Developed and coordinated a multifaceted educational and training program that focuses on the elements of the program
- I worked very closely with staff in training on data requirements to collect in their EHR systems to successfully report resulting in a positive payment adjustment for all physicians
- In addition to the MIPS program, I Also worked with the billing department as the system administrator maintaining/updating all fees, CPT codes, ICD 10, and insurance plan updates
- I also assisted billing staff on difficult appeals, resolution of EDI rejections, EDI/ERA set up and assisting in credentialing when needed.
Revenue Cycle Analyst
Integrated Physician Support Services
01.2013 - 01.2018
- Worked very closely with the billing department as the billing software administrator maintaining and assigning appropriate access to all users
- Obtain/maintain and update billing system with payment schedules, automatic write down based on insurance contracts
- Set up and maintain ICD-10 and CPT codes
- Research and resolve all EDI rejections
- In addition to billing functions, I was also responsible for physician credentialing for our physician practices in California, New York, Florida, Texas and Ohio
- Submission of government credentialing applications, revalidations and EDI and ERA.
Billing Manager
Radiology Oncology, Inc
11.2004 - 02.2013
- Responsible for overseeing and managing the billing team for Radiation Oncology centers
- Review and developed working plan to successfully bill and collect revenue for 6 cancer centers throughout California
- Responsibilities included credentialing for all doctors, maintaining all licensure, re-validation for Medicare and submitting new applications for Medicare PTAN, applying for NPI when necessary, completing new physician/group contract, negotiating leader of agreements
- Maintained and tracked physicians' licensures to assure that all licenses were up to date
- I worked very closely with accounting department at month end closing, assuring that all collections received were accounted, and accurately posted in the billing system, and balanced to the bank statements at the end of the end of every month.
Office Manager
Marcia Glenn, MD
11.1995 - 02.2004
- I was responsible for overall management of Dermatology practice
- Responsibilities included medical billing, scheduling appointments, collecting patient payments, assisting doctor in back office and payroll.
Education
Medical Assistant Cer)ficate -
Bryman College
General Studies -
Compton College
01.2017
Skills
- Revenue Cycle Management
- Staff Training
- Risk Analysis
- Collections Actions
- Decision-Making
- Attention to Detail
- Revenue Generation
- HIPAA Compliance Knowledge
- Insurance Negotiation
- Collections understanding
Timeline
Billing Manager
Medical Billing Services
09.2021 - 02.2024
Revenue Cycle Supervisor
Radiology Partners
07.2019 - 04.2021
MIPS Manager/Billing System Administrator
Integrated Oncology Network
11.2015 - 12.2018
Revenue Cycle Analyst
Integrated Physician Support Services
01.2013 - 01.2018
Billing Manager
Radiology Oncology, Inc
11.2004 - 02.2013
Office Manager
Marcia Glenn, MD
11.1995 - 02.2004
Medical Assistant Cer)ficate -
Bryman College
General Studies -
Compton College
Similar Profiles
Rachel ReimcheRachel Reimche
Revenue Cycle Management Clerk at Medical Billing ServicesRevenue Cycle Management Clerk at Medical Billing Services
Jagdish Kumar SJagdish Kumar S
Assistant Manager at 4D Global Medical Billing Services Pvt. LTDAssistant Manager at 4D Global Medical Billing Services Pvt. LTD
Kimberly SealKimberly Seal
Medical Payment Poster at Rehab Medical Billing Services, Inc.Medical Payment Poster at Rehab Medical Billing Services, Inc.
Lauren MorganLauren Morgan
Administration and Billing Clerk at Anaesthetic & Medical Billing ServicesAdministration and Billing Clerk at Anaesthetic & Medical Billing Services
Sukhvir JaswalSukhvir Jaswal
Manufacturing Manager at Bel Air MachineManufacturing Manager at Bel Air Machine