Summary
Overview
Work History
Education
Skills
References
Timeline
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DORNE BLUE

Hillsborough,NJ

Summary

Dedicated Medical Billing/ Office Manager with extensive knowledge of the medical office. Proven ability in planning, managing project and improving over all efficiency in teams. Adept communication and analytical thinker with great success in cross functional team in a fast paced.

Overview

7
7
years of professional experience

Work History

Medical Billing Manager(hybird)

CitiMed NJ
East Brunswick, NJ
01.2023 - 03.2024
  • Daily operation of medical billing, coding, charge entry, scrubbing claims ( for accuracy) post payment, verify insurance, account receivable, follow ups with insurance company regarding denials, payment and appeals.
  • Heavy phone conversation with insurance company and patients.
  • Maintain contact with clinical staff to obtain necessary documents and patients information that is needed.
  • Identified areas of improvement within the medical billing process, implemented changes accordingly.
  • Negotiated contracts with payers to maximize reimbursement rates for services rendered.

Medical Office/Medical Billing Manager

Brain and Spine Institute of NY & NJ
East Brunswick, NJ
02.2018 - 01.2023
  • Lead and influenced staff through effective motivation, Leverage individual strengths to optimize customer satisfaction and maximize productivity.
  • Oversees the daily operation of the front desk and billing department.
  • Prepared internal and regulatory financial reports, balance sheets and income statements.
  • Developed strategies for improving collections performance across multiple sites.
  • Organized training for new hire.
  • Cross trained staff in secondary roles to expand operational diversity.
  • Analyze data to identify trends and opportunities to improve the office work flow.
  • Analyzed financial data, identified discrepancies, and reported findings to senior leadership team.
  • Assisting staff by recognizing individual & team goals,encourage, and positive response.
  • Worked very closely with the surgical coordinator team to ensure and minimize errors and no shows.
  • Interpreted physician orders, notes, lab results, radiology reports. for appropriate code assignment.
  • Maintained up-to-date knowledge of coding regulations and changes in reimbursement policies.

Accounts Payable/Accounts Receivablle Speicalist

Hearing Life
Somerset, NJ
01.2017 - 02.2018
  • Provided excellent customer service to resolve customer complaints in a timely manner.
  • Performed administrative tasks such as filing paperwork, updating databases and generating reports.
  • De-escalated problematic customer concerns, maintaining calm, friendly demeanor.
  • Verified accuracy of patient information and insurance data in the EMR.
  • Submitted claims to insurance companies electronically or by mail.
  • Reconciled accounts receivable to ensure accuracy of payments received.
  • Maintained up-to-date knowledge of coding regulations and changes in reimbursement policies.
  • Liaised with vendors and customers to confirm information and address client issues.
  • Created and maintained filing systems, both paper and electronic.
  • Compiled data, tracked changes, and created reports in Excel spreadsheets.
  • Scheduled appointments for staff members using Outlook calendar system.
  • Reviewed documents for accuracy before submission.

Education

Some College (No Degree) - Business Administration And Management

Union County College
Cranford, NJ

Skills

  • Staff Training and Development
  • Revenue Cycle Management
  • Effective verbal and written communication skills
  • Interest calculations
  • Insurance Verification
  • Analytical thinker
  • Verbal and written communication
  • Familiar with Drop box, Microsoft & Google Workspace
  • Knowledgeable to use MS word, Excel and Spreadsheets
  • Proficient in Major Medical Comp, and PIP (NY & NJ)

References

References available upon request.

Timeline

Medical Billing Manager(hybird)

CitiMed NJ
01.2023 - 03.2024

Medical Office/Medical Billing Manager

Brain and Spine Institute of NY & NJ
02.2018 - 01.2023

Accounts Payable/Accounts Receivablle Speicalist

Hearing Life
01.2017 - 02.2018

Some College (No Degree) - Business Administration And Management

Union County College
DORNE BLUE