Seasoned Revenue Cycle Manager with deep understanding of financial systems, healthcare revenue cycle management and financial analysis. Proven capability in managing billing functions, improving cash flow and reducing bad debt. Notable strengths are in strategic planning, team leadership and process improvement for increased operational efficiency. This experience has led to impactful improvements in both patient satisfaction and bottom-line results.
Established effective working relationships with healthcare professionals to facilitate efficient workflow processes.
Provided real-time transcription services during clinical rounds and other meetings.
Proofread transcribed documents for accuracy and completeness prior to submission to physicians for review.
Maintained up-to-date knowledge of medical terminology and anatomy.
Adhered to departmental policies regarding confidentiality of patient information at all times.
Performed document editing functions such as formatting, spell checking, grammar checking.
Maintained confidentiality of all patient information according to HIPAA regulations.
Followed HIPAA guidelines when handling sensitive patient information.
Reviewed reports generated from electronic health record systems for accuracy and completeness.
Conducted quality assurance checks on a regular basis to ensure that documentation was complete and compliant with regulations.
Lasik Coordinator
Rocky Mountain Eye Center
Pueblo, CO
01.2011 - 12.2022
Scheduled patient appointments for LASIK procedures and preoperative visits.
Assisted patients with paperwork, payment options, and financing arrangements.
Demonstrated excellent customer service skills when interacting with clients.
Provided assistance during laser vision correction surgeries when needed.
Instructed patients on post-operative care instructions following the surgery.
Adhered to HIPAA regulations when handling confidential patient information.
Quality Control Coordinator
Rocky Mountain Eye Ceter
Pueblo, CO
01.2011 - 03.2020
Maintained accurate documentation of all activities related to medical records.
Adhered to HIPAA guidelines when handling protected health information.
Assisted in the development of new policies and procedures for medical record keeping.
Monitored progress notes entered into the system by physicians or other healthcare providers.
Compiled statistical reports on patient care and services provided by physicians or other health professionals.
Conducted quality assurance audits of medical records for compliance with state regulations.
Resolved any issues relating to incomplete documentation or coding errors.
Assisted in auditing medical records for compliance with legal and regulatory standards.
Billing and Codding Specialist
Rocky Mountain Center
Pueblo, CO
01.2007 - 06.2020
Processed payments from insurance companies or other third-party payers.
Entered data into the appropriate software program accurately and efficiently.
Maintained updated knowledge of applicable federal and state regulations for healthcare industry reimbursement procedures.
Verified patient information and insurance coverage in medical records systems.
Analyzed bills for discrepancies and ensured correct pricing was applied.
Provided customer service support regarding billing questions and issues.
Reviewed medical documentation to ensure accuracy of billing codes.
Resolved any payment disputes with payers or patients.
Identified errors in coding and corrected them accordingly.
Followed up on unpaid claims within standard timelines as outlined by the organization's policies.
Submitted claims electronically to insurance companies.
Worked with team members to identify and develop process improvements.
Checked claims coding for accuracy with ICD-10 standards.
Identified professional development opportunities and delivered comprehensive, standardized and hands-on training to new staff.
Prepared and posted weekly payments to vendors and suppliers.
Submitted claims to insurance companies.
Assessed billing statements for correct diagnostic codes and identified problems with coding.
Eliminated inaccuracies in accounts payable payments by verifying information prior to generating checks and electronic payment transfers.
Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management.
Surgery Center Assistant
Rocky Mountain Laser and Surgery
Pueblo, CO
07.2000 - 12.2007
Followed up with patients after surgery to ensure proper healing had occurred.
Performed sterile scrubbing duties for cataract surgery, and other misc eye procedures.
Assisted in surgical procedures, such as turning over operating room between procedures.
Monitored patients' progress following surgery or other treatments.
Instructed families on how to properly care for their loved one following surgery.
Assisted in the preparation of equipment for surgery and other procedures.
Collaborated with clinical staff members in order to ensure accurate completion of all paperwork associated with each visit and procedure performed at the practice facility location.
Answered phone calls, responded to inquiries, and provided general information to callers.
Collected co-payments and other payments as required.
Assisted with preparing medical records for release upon request.
Provided support during peak times throughout the day by helping out with clerical tasks such as photocopying, scanning documents, sorting mail, and faxing forms and letters, as requested by administrative personnel or physicians on staff at the clinic site.
Certified Ophthalmic Assistant
Rocky Mountain Eye Center
Pueblo, CO
03.1993 - Current
Performed ophthalmic testing, including visual acuity, refraction, color vision and depth perception testing.
Conducted eye examinations utilizing specialized equipment such as slit lamps and tonometers.
Kept examination rooms, clinical areas and equipment clean and patient-ready.
Set appointments, verified insurance and informed patients of important points such as pre-surgery restrictions.
Observed pupils, visual acuteness and extra-ocular movements to check patient status.
Counseled patients in surgery and treatment plans.
Assisted during in-office surgical procedures and collected ultrasound images.
Prepared patients and administered basic eye exam tests.
Obtained and recorded patient medical history and operated ophthalmic equipment.
Certified Ophthalmic Assistant
Pueblo Eye Clinic
Pueblo, CO
07.1988 - 03.1993
Performed ophthalmic testing, including visual acuity, refraction, color vision and depth perception testing.
Conducted eye examinations utilizing specialized equipment such as slit lamps and tonometers.
Administered ophthalmic drops and ointments for treatment or to aid in diagnostics.
Kept examination rooms, clinical areas and equipment clean and patient-ready.
Performed Ascan biometry on surgical patient.
Scheduled patients Outpatient surgery at Hospital, coordinated with insurance companies to obtain proper approval/authorizations.
Led patients to exam rooms, collected medical histories and asked questions regarding health and current medications to provide physicians with optimal initial data.