Detail-oriented professional skilled in overseeing billing operations with a focus on compliance and accuracy. Proven track record in managing denials, coaching staff, and enhancing customer service to meet patient needs and expectations.
Overview
30
30
years of professional experience
Work History
Medical Billing / MTA Manager
Ohio Ambulance
Euclid, OH
04.2015 - Current
Oversee billing operations, ensuring compliance with healthcare regulations and internal policies.
Analyze account discrepancies, coordinating with clinical teams to resolve issues promptly and effectively.
Ensure call center staff is properly scheduling patient/facility requests timely and appropriately
Ensure call center staff handles all calls with attention to patient needs and meeting customer expectations
Handling disputes and/or patient and family complaints effectively
Auditing of calls and scheduled appointments to ensure accuracy of information and correct mode of transport is utilized
Scheduling of billing and MTA staff and approving employee timecards, facilitating PTO and FMLA requests
Insurance Verification
Obtaining prior authorizations where applicable
Ensure proper coding of claims including ICD 10 coding, correct HCPCS codes as well as appropriate modifier use
Post cash and electronic payments, balance to daily ledger
Manage denials in a timely manner to ensure that filing deadlines are not missed
Coaching of billing staff when denials are due to employee errors
Billing patients for copays and deductibles, ensure follow up is done within first 30 days
Billing contracted facilities on a monthly basis and following up at 30 day intervals until statements are paid
Monitoring of AR including unpaid claims, rejected claims and aging customer balances
Ensure all employees are adhering to HIPAA guidelines
Use of reporting to track KPI's and other billing metrics and performing audits daily to ensure accuracy and compliance with Medicare and medical guidelines
Head Cashier
Finest / Tops / Dave’s Supermarkets
Euclid, OH
07.1996 - 04.2015
Supervised daily cash operations, ensuring accuracy and compliance with company policies.
Trained and mentored cashiers, enhancing team performance and service quality.
Implemented process improvements to streamline transaction handling and reduce wait times.
Monitored cash drawer balances, conducting regular audits to prevent discrepancies.
Used POS system to enter orders, process payments and issue receipts.
Worked with floor team and managers to meet wide range of customer needs.
Reconciled cash drawer at start and end of each shift, accounting for errors, and resolving discrepancies.
Prepared daily bank deposits
Prepared weekly payroll, working directly with department managers with reconciling timesheets
Hand led customer complaints focusing on their needs and overall customer satisfaction with the resolution