Iris Rivera

Medical Billing Supervisor

Meduit

11.2005 - Current

Improved efficiency in the medical billing process by streamlining workflows and implementing best practices.
Enhanced accuracy of claims/auth submissions through thorough reviews and staff training.
Reduced claim denials by maintaining up-to-date knowledge of insurance policies and regulations for worker's compensation.
Increased revenue by identifying underpayments and errors, ensuring proper reimbursement from insurance companies.
Managed a team of medical billers, providing guidance and support for their professional development.
Developed comprehensive training materials to ensure consistent onboarding of new employees.
Spearheaded initiatives to improve communication between departments, resulting in increased collaboration and efficiency.
Conducted regular audits to ensure compliance with federal, state, and industry guidelines.
Collaborated with physicians and other healthcare providers to resolve complex authorization issues promptly.
Optimized workflow processes within the department, leading to a reduction in errors and delays in auth submissions for BWC.
Assisted with budget preparation and financial reporting for the medical billing department, improving overall fiscal management.
Organized regular team meetings to review performance metrics, discuss challenges, and share best practices for continuous improvement efforts.
Hired additional staff members as needed while effectively managing resources during periods of high volume workload or employee absences.
Provided ongoing mentorship for junior staff members within the Medical Billing Team who were looking to advance their skills or move into leadership positions themselves.
Successfully maintained a high level of team morale and engagement, fostering a positive work environment that encouraged collaboration and dedication to providing top-notch medical billing services.
Complied with HIPAA privacy and security regulations to protect patients' medical records and information.
Participated in workshops and other training opportunities to remain current on billing procedures, regulations and industry updates.
Devised new methods to improve billing workflows.
Analyzed medical records to satisfy insurance company mandates.
Verified insurance of patients to determine eligibility.
Adhered to established standards to safeguard patients' health information.
Reviewed patient records, identified medical codes, and created invoices for billing purposes.
Accurately entered patient demographic and billing information in billing system to enable tracking history and maintain accurate records.
Reviewed patient diagnosis codes to verify accuracy and completeness.
Resolved issues through active listening and open-ended questioning, escalating major problems to manager.
Hired, managed, developed and trained staff, established and monitored goals, conducted performance reviews and administered salaries for staff.
Coordinated individual duties after careful evaluation of each employee's skill level and knowledge.
Delegated tasks to administrative support staff to organize and improve office efficiency.
Kept high average of performance evaluations.
Completed bi-weekly payroll for 25+ employees.