Skilled Billing Representative well-versed in billing practices, account monitoring and collections. Builds rapport with customers, solving diverse problems and obtain payments. Certified Medical Billing Specialist with 15 years of experience in fast-paced, multiple-client medical billing company serving large private practice conglomerates and outpatient clinics. Researched denied claims and submitted appeals. Familiar with health billing and collections. Certified Medical Billing Specialist with 201 years of experience in fast-paced, multiple-client medical billing company serving large private practice conglomerates and outpatient clinics. Researched denied claims and submitted appeals. Familiar with health billing and collections. Capable Medical Billing Supervisor with 10 years overseeing billing and coding, patient charting, insurance claims and appointment scheduling in a busy medical office setting. Successful at efficiently handling client inquiries, billing and administrative tasks. Familiar with contracts and other documents affecting billing processes. Prepares professional, polished statements, and business correspondence.
Overview
29
29
years of professional experience
Work History
Billing
Elman Retina Group
03.2023 - 02.2024
Demonstrated leadership skills in managing projects from concept to completion.
Gained extensive knowledge in data entry, analysis and reporting.
Completed paperwork, recognizing discrepancies and promptly addressing for resolution.
Learned and adapted quickly to new technology and software applications.
Acted as team leader in group projects, delegating tasks and providing feedback.
Organized and detail-oriented with strong work ethic.
Proven ability to develop and implement creative solutions to complex problems.
Worked well in team setting, providing support and guidance.
Medical Billing Coder/build Billing Dept
Zephyrx
01.2020 - 01.2023
Assisted in implementation of new billing software, leading to increased efficiency within department.
Applied official coding conventions and rules from American Medical Association and Centers for Medicare and Medicaid Services to assign diagnostic codes.
Improved cash flow by diligently following up on outstanding insurance claims and unpaid balances.
Generated and maintained statistical data related to medical records.
Utilized active listening, interpersonal, and telephone etiquette skills when communicating with others.
Demonstrated adaptability by quickly learning new procedures as medical coding standards evolved over time.
Identified new methods to optimize medical records management.
Interacted with physicians and other healthcare staff to ask questions regarding patient services.
Maintained patient confidentiality by adhering to HIPAA guidelines during record review and billing processes.
Streamlined billing processes for improved efficiency and accuracy in claim submission.
Utilized electronic medical record systems to store, retrieve and process patient data.
Minimized errors in data entry by double-checking information before submitting claims to insurance companies.
Correctly coded and billed medical claims for various hospital and nursing facilities.
Kept management informed of any issues or trends impacting financial performance related to medical billing processes
Assigned appropriate medical codes with 90 percent accuracy rate.
Supervisor
Chesapeake Employers Insurance Formerly IWIF
03.1995 - 11.2021
Maintained compliance with company policies, objectives, and communication goals.
Evaluated employee performance and coached and trained to improve weak areas.
Gathered, organized and input information into digital database.
Increased team productivity by implementing efficient workflows and setting clear expectations for staff members.
Implemented safety protocols to minimize workplace accidents and maintain compliance with industry standards.
Frequently inspected production area to verify proper equipment operation.
Helped meet changing demands by recommending improvements to business systems or procedures.
Collaborated with other departments to achieve organizational goals, fostering teamwork across various functions.
Boosted team performance by developing customer service training materials and conducting service training.
Enhanced communication within team by holding regular meetings and encouraging open dialogue among all members.
Resolved conflicts among team members promptly, maintaining harmonious working environment conducive to productivity.
Managed budgets effectively, ensuring optimal allocation of resources and adherence to financial guidelines.
Evaluated staff performance and provided coaching to address inefficiencies.
Facilitated collaboration between team members on projects requiring cross-functional expertise for successful outcomes.
Developed staff skills through targeted training programs, resulting in improved performance and career growth opportunities.
Identified operational inefficiencies and implemented corrective measures, leading to an overall increase in effectiveness.
Evaluated customer needs and feedback to drive product and service improvements.
Established performance metrics for team, consistently tracking progress towards goals and making adjustments as needed.
Applied strong leadership talents and problem-solving skills to maintain team efficiency and organize workflows.
Generated reports detailing findings and recommendations.
Solicited customer feedback to identify and improve on areas of weakness.
Streamlined operations for increased efficiency through regular process reviews and implementing necessary changes.
Developed effective improvement plans in alignment with goals and specifications.
Medicare/Medicaid Billing Specialist
ROI
05.1998 - 01.2016
Identified, researched, and resolved billing variances to maintain system accuracy and currency.
Generated monthly billing and posting reports for management review.
Contacted clients with past due accounts to formulate payment plans and discuss restructuring options.
Audited and corrected billing and posting documents for accuracy.
Developed and maintained billing procedures to make timely payments.
Assisted with billing inquiries and provided timely responses to enhance customer satisfaction.
Entered invoices requiring payment and disbursed amounts via check, electronic transfer or bank draft.
Assisted colleagues in resolving complex billing issues, promoting teamwork and knowledge sharing within department.
Handled account payments and provided information regarding outstanding balances.
Enhanced customer satisfaction with timely and accurate invoice generation.
Maintained accurate records of customer payments.
Collaborated with collections team to recover overdue payments from clients, maintaining cash flow and minimizing writeoffs.
Maintained detailed records of each account payment history, providing easy access to information for audit and analysis purposes.
Supported company growth initiatives by maintaining scalable billing infrastructure capable of handling increased volumes of transactions smoothly and efficiently.
Utilized various software programs to process customer payments.
Optimized workflow processes for increased productivity within Billing Department, enabling staff members to focus on more strategic tasks.
Enhanced data integrity by implementing strict quality control measures on all billable items entered into system.
Verified accuracy of accounts payable payments, resulting in 95% reduction in payment errors and check reissues.