With a proven track record at Lancaster Retina Specialist, I excel in optimizing billing processes and enhancing revenue cycle management. My expertise in medical billing software, combined with exceptional leadership qualities, has significantly improved financial outcomes. Achievements include boosting revenue collection rates and fostering strong team dynamics, ensuring compliance and operational excellence.
Overview
22
22
years of professional experience
Work History
Medical Billing Manager
Lancaster Retina Specialist
04.2019 - Current
Performed billing, collection, and reporting functions for office generating over $[Amount] annually.
Managed monthly billing process to complete billings and returns to meet company revenue recognition policies.
Worked with customers to develop payment plans and bring accounts current.
Reviewed billing problems, researched issues, and resolved concerns.
Monitored compliance with industry regulations to mitigate risks associated with audits and penalties.
Analyzed reports to identify areas for improvement in the overall billing process, leading to increased revenue collection rates.
Reduced denied claims through diligent review, correction, and resubmission of errors.
Managed a team of dedicated medical billers, focusing on professional development opportunities and maintaining a positive work environment conducive to high levels of productivity.
Improved medical billing processes by streamlining workflows and implementing efficient systems.
Streamlined claim appeals process by creating clear documentation guidelines and templates for staff use.
Enhanced revenue cycle management by overseeing timely and accurate claims submission.
Achieved key performance metrics goals by setting expectations for the team''s output quality standards while monitoring progress toward objectives closely throughout each reporting period.
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.
Increased patient satisfaction by addressing billing inquiries promptly and professionally.
Collaborated with providers and staff to ensure accurate coding for billing purposes.
Developed strong relationships with insurance companies through effective communication and negotiation skills, enhancing payment turnaround times.
Developed policies and procedures for the medical billing department, establishing a strong foundation that supported growth and operational success within the organization.
Implemented new software systems for better tracking of accounts receivable and payable balances.
Optimized cash flow by regularly reviewing aging account balances and implementing tactics for timely collections from patients or insurers.
Maintained up-to-date knowledge of regulatory changes impacting medical billing practices to ensure ongoing compliance within the organization.
Conducted performance reviews and implemented improvement plans.
Trained and mentored staff on procedures, compliance requirements, and collections techniques.
Analyzed business processes to identify cost savings and operational efficiencies.
Developed strategic plans for day-to-day financial operations.
Established internal audit procedures to validate and improve accuracy of financial reporting.
Prepared internal and regulatory financial reports, balance sheets and income statements.
Utilized financial software to prepare consolidated financial statements.
Collaborated with cross-functional teams to resolve billing-related issues swiftly, minimizing negative impacts on overall operations.
Reduced errors and discrepancies in invoicing by closely monitoring billing data and conducting regular audits.
Implemented policies that improved accounts receivable collections, resulting in reduced outstanding balances and increased cash flow.
Performed banking, business administration and financial tasks to guarantee five-star service for clients.
Improved overall financial reporting by streamlining control processes and reporting structures.
Boosted cash flow with effective billing strategies, closely monitoring aging reports and prioritizing high-value accounts for collection efforts.
Achieved significant cost savings by identifying and eliminating inefficiencies in billing process, reallocating resources to areas of higher impact.
Enhanced customer service, resolving billing disputes swiftly and maintaining positive relationships with clients.
Demonstrated respect, friendliness and willingness to help wherever needed.
Assisted with day-to-day operations, working efficiently and productively with all team members.
Medical Billing Manager
Infection Specialist of Lancaster
01.2003 - 10.2018
Performed billing, collection, and reporting functions for office generating over $[Amount] annually.
Managed monthly billing process to complete billings and returns to meet company revenue recognition policies.
Worked with customers to develop payment plans and bring accounts current.
Reviewed billing problems, researched issues, and resolved concerns.
Trained team members on best practices in medical billing, ensuring consistent high-quality work across the department.
Monitored compliance with industry regulations to mitigate risks associated with audits and penalties.
Analyzed reports to identify areas for improvement in the overall billing process, leading to increased revenue collection rates.
Reduced denied claims through diligent review, correction, and resubmission of errors.
Improved medical billing processes by streamlining workflows and implementing efficient systems.
Streamlined claim appeals process by creating clear documentation guidelines and templates for staff use.
Enhanced revenue cycle management by overseeing timely and accurate claims submission.
Achieved key performance metrics goals by setting expectations for the team''s output quality standards while monitoring progress toward objectives closely throughout each reporting period.
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.
Increased patient satisfaction by addressing billing inquiries promptly and professionally.
Collaborated with providers and staff to ensure accurate coding for billing purposes.
Developed strong relationships with insurance companies through effective communication and negotiation skills, enhancing payment turnaround times.
Developed policies and procedures for the medical billing department, establishing a strong foundation that supported growth and operational success within the organization.
Optimized cash flow by regularly reviewing aging account balances and implementing tactics for timely collections from patients or insurers.
Maintained up-to-date knowledge of regulatory changes impacting medical billing practices to ensure ongoing compliance within the organization.
Established and checked coding procedures, monitored reports and updated internal files.
Analyzed business processes to identify cost savings and operational efficiencies.
Reviewed historical records, current operational data and forecasting information to identify and capitalize on system enhancement opportunities.
Developed strategic plans for day-to-day financial operations.
Reduced errors and discrepancies in invoicing by closely monitoring billing data and conducting regular audits.
Implemented policies that improved accounts receivable collections, resulting in reduced outstanding balances and increased cash flow.
Skills
HIPAA Compliance Knowledge
Claims Processing Proficiency
Patient Confidentiality Practices
Team Leadership Qualities
Electronic Health Records Experience
Payment Posting Abilities
Staff Training and Development
Continuous Improvement Mindset
Accounts receivable management
Conflict Resolution Strategies
Revenue Cycle Management
Denial Management Strategies
Medical Billing Software Mastery
Healthcare Reimbursement Principles
Medicare and Medicaid regulations
ICD-10 Familiarity
Effective communication abilities
Financial Reporting Competence
Analytical Thinking Capacity
Collections Process Handling
HIPAA knowledge
Collections experience
Claims Processing
Training and mentoring
Insurance Verification
Staff Training
Collections understanding
Collections Management
Payment posting
Billing review
Teamwork and Collaboration
Problem-Solving
Customer Service
Attention to Detail
Problem-solving abilities
Multitasking
Reliability
Critical Thinking
Active Listening
Cash handling expertise
Task Prioritization
Financial analysis and reporting
Self Motivation
Profitability improvement
Staff Management
Interests
Animal Care
Kayaking
Horseback Riding
I participate in a variety of outdoor recreational activities