Accomplished Billing Account Manager with a proven track record at GeneDx Laboratory, enhancing revenue recovery and streamlining operations. Expert in denial management and ICD-10 proficiency, I've led teams towards maximizing reimbursements and fostering strong client relationships. My strategic approach to problem-solving and team training underscores my commitment to operational excellence and financial growth.
Overview
9
9
years of professional experience
Work History
Billing Account Manager
GeneDx Laboratory
11.2021 - Current
Developed strong client relationships with consistent communication and proactive problemsolving.
Liaised with insurance companies to negotiate settlements for complex or high dollar-value denied claims, securing maximum reimbursement possible for the organization.
Analyzed denial trends to proactively address recurring issues and improve clean claim submission rates.
Recommended policy changes to reduce administrative burdens associated with managing denied claims, streamlining operations.
Identified root cause of denials to provide plans for denial resolution.
Enhanced revenue recovery with strategic follow-ups on unresolved denials.
Trained new employees on denial management best practices, fostering a knowledgeable and efficient workforce.
Reduced aging accounts receivable balance with timely appeal submissions for denied claims.
Medical Billing Manager
Avanti Healthcare
08.2020 - 11.2021
Developed policies and procedures for the medical billing department, establishing a strong foundation that supported growth and operational success within the organization.
Managed monthly billing process to complete billings and returns to meet company revenue recognition policies.
Developed strong relationships with insurance companies through effective communication and negotiation skills, enhancing payment turnaround times.
Managed a team of dedicated medical billers, focusing on professional development opportunities and maintaining a positive work environment conducive to high levels of productivity.
Evaluated vendor contracts for external services such as collections agencies or clearinghouses, negotiating favorable terms that improved bottom-line results.
Collaborated with providers and staff to ensure accurate coding for billing purposes.
Reduced denied claims through diligent review, correction, and resubmission of errors.
Implemented new software systems for better tracking of accounts receivable and payable balances.
Monitored compliance with industry regulations to mitigate risks associated with audits and penalties.
Served as an expert resource on complex patient account issues or high-dollar claims requiring specialized handling, ultimately resolving outstanding balances in an efficient manner.
Streamlined claim appeals process by creating clear documentation guidelines and templates for staff use.
Trained team members on best practices in medical billing, ensuring consistent high-quality work across the department.
Conducted performance reviews and implemented improvement plans.
Trained and mentored staff on procedures, compliance requirements, and collections techniques.
Accounts Receivable Supervisor
Conifer Healthcare Solutions
09.2015 - 07.2020
Resolved accounts with late or skipped payments by contacting account holders or delegating to accounts receivable clerks.
Provided exceptional support during annual audits by maintaining organized records and facilitating information requests from external auditors efficiently.
Conducted monthly account reviews to identify potential issues and maintain healthy aging reports.
Streamlined account reconciliation procedures, ensuring timely and accurate financial reporting.
Coordinated cross-functional projects that improved overall efficiency within the finance department.
Optimized collections efforts by prioritizing high-value accounts and strategizing targeted approaches.
Managed a team of accounts receivable clerks, fostering a positive work environment that encouraged professional growth.
Posted customer payments by recording cash, checks, and credit card transactions.
Updated aging reports based on daily audits.
Verified discrepancies and resolved clients' billing issues
Completed daily process adjustments to maintain accuracy.
Maintained strong relationships with clients by addressing inquiries promptly and professionally.
Collaborated with internal departments to resolve billing discrepancies, improving interdepartmental communication.
Education
Associate of Applied Science - Health Information Technology
DeVry University
05-2022
Skills
ICD-10 proficiency
HIPAA compliance
Denial management
Documentation review
Claims management
Cash flow management
Data analytics
Account monitoring
Procedure optimization
Denial resolution
Revenue enhancements
Revenue metrics analysis
Billing cycle expertise
Timeline
Billing Account Manager
GeneDx Laboratory
11.2021 - Current
Medical Billing Manager
Avanti Healthcare
08.2020 - 11.2021
Accounts Receivable Supervisor
Conifer Healthcare Solutions
09.2015 - 07.2020
Associate of Applied Science - Health Information Technology