Open To Work
Julian Mitchell
Roselle,NJ
Work Preference
Summary
Demonstrates comprehensive knowledge of medical office operations, claims management, and denial resolution. Focused on process improvement initiatives that enhance efficiency and minimize denials, while ensuring strict adherence to HIPAA and regulatory standards.
Overview
38
38
years of professional experience
Work History
Client Account Manager
OPTUM Change Healthcare
Somerset, USA
08.1998 - Current
- Reviewed open receivables monthly, directing team on next steps to resolve balances, advising on denial corrections, and processing adjustments to prevent recurrence.
- Conducted meetings with clients to discuss financial metrics and denial trends.
- Prepare monthly report package related to client account receivables and performance metrics
- Conducted variance reporting on a quarterly basis to assess financial discrepancies and trends.
- Identified process deficiencies affecting payment and customer experience, developing action plans for resolution.
- CPT and ICD10 coding review of declined services to ensure all data elements are present and in compliance with local Medicare Review Policy and /or Correct Coding Initiatives
- Appeal template development (Coding disputes, declined for authorization, emergency care and carrier payment /allowance).
- Bi-monthly meetings with CEO, department of Managed Care, Insurance carrier claims operations team lead and carrier Field reps
Sr. Biller
Medical Billing Consultants
Edgewater, USA
01.1996 - 01.1998
- Managed billing processes for medical services and insurance claims.
- Oversaw billing processes for Meadowlands Anesthesia Associates, maintaining accuracy and timeliness in invoicing.
- Ensured accuracy of patient information and billing codes.
- Reviewed and resolved discrepancies in billing submissions.
Account Manager
Medcon
Secaucus, USA
01.1994 - 01.1996
- Account manager for Attleboro Anesthesia Associates
- Managed client accounts, fostering strong relationships with key stakeholders to enhance client satisfaction.
- Collaborated with internal teams to create tailored solutions addressing specific client needs, improving service outcomes.
- Oversaw project timelines, ensuring on-time delivery of services to clients and meeting project objectives.
Medical Claims Approver
HIP
NY, USA
01.1993 - 01.1994
- Reviewed medical claims for accuracy, post payment review
- Executed day-to-day duties with a focus on accuracy and efficiency, ensuring smooth claims processing.
- Developed innovative ideas and solutions that improved team performance and outcomes.
- Collaborated with diverse coworkers to achieve goals and resolve product and service-related issues.
Medical Claims Approver
GHI
NY, USA
01.1989 - 01.1992
- Approved medical claims and provided client service support for local 1199.
- Completed day-to-day duties accurately and efficiently.
- Contributed innovative ideas and solutions to enhance team performance and outcomes.
- Worked successfully with diverse group of coworkers to accomplish goals and address issues related to our products and services.
Education
Associates Certificate - Business management
ITT Technical Institute
NY, NY01-1989
High School Diploma -
Mount Saint Michael High School
New York, NY06-1984
Skills
- Receivables management
- Variance analysis
- Customer relationship management
- Process improvement
- Performance analysis
- Data presentation
- Conflict resolution
- Staff management
- Effective communication
- Analytical thinking
- Team collaboration
- Interpersonal skills
- Active listening
- Professional demeanor
Timeline
Client Account Manager
OPTUM Change Healthcare
08.1998 - Current
Sr. Biller
Medical Billing Consultants
01.1996 - 01.1998
Account Manager
Medcon
01.1994 - 01.1996
Medical Claims Approver
HIP
01.1993 - 01.1994
Medical Claims Approver
GHI
01.1989 - 01.1992
Associates Certificate - Business management
ITT Technical Institute
High School Diploma -
Mount Saint Michael High School