Veteran Billing Manager focused on team efficiency and producing high-quality work. Excellent collaborator and relationship-builder familiar with compliance and documentation requirements. Enthusiastic about taking billing operations to the next level through proactive leadership and skilled problem solving.
Overview
29
29
years of professional experience
Work History
Medical Billing Manager
Expertus Laboratories, Inc.
10.2021 - Current
Reviewed billing problems, researched issues and resolved concerns.
Worked with customers to develop payment plans and bring accounts current.
Conducted performance reviews and implemented improvement plans.
Trained and mentored staff on procedures, compliance requirements and collections techniques.
Managed monthly billing process to complete billings and returns to meet company revenue recognition policies.
Created new standard operating procedures improving billing accuracy and cash flow.
Performed billing, collection and reporting functions.
Performed testing for billing modules, enhancing new functionality and process improvements.
Established and enforced internal controls, workflows and policies for tracking, reconciling and reporting on accounting activities.
Developed strategic plans for day-to-day financial operations.
Billing Manager/Account Manager-Remote
Matrix Medical Network
12.2017 - 08.2021
Reviewed billing problems, researched issues and resolved concerns.
Managed monthly billing process to complete billings and returns to meet company revenue recognition policies.
Kept up-to-date and accurate funding accounts for internal departments, key programs and special projects.
Developed performance improvement plans based on deep reviews of current work.
Led a 10 staff team, handling more than a million dollars in monthly charges.
Conducted insurance verification and per-authorization, coded billing procedures and managed patient charts.
Built-high performance team by collaboration with new members on procedural, administrative, collections and compliance areas.
Resolved billing issues by applying knowledge and completing in-depth research.
Improved standard operating procedures to increase billing accuracy and cash flow.
Worked directly with clients to ensure claims and reports were delivered accurately.
Medical Insurance Specialist
Florida Hospital Medical Group
06.2015 - 12.2017
Maintained knowledge of benefits claim processing, claims principles, medical terminology and procedures and HIPAA regulations.
Managed large volume of medical claims on daily basis.
Paid or denied medical claims based upon established claims processing criteria.
Responded to correspondence from insurance companies.
Tracked all pending authorizations to resolve discrepancies and avoid revenue loss.
Followed up on denials, late payments, extensions and other special circumstances.
Medical Billing Specialist
Clinical Pathology Laboratory
09.2012 - 05.2015
Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
Posted and adjusted payments from insurance companies.
Located errors and promptly refiled rejected claims.
Precisely evaluated and verified benefits and eligibility.
Performed targeted collections on past due accounts aged over 90 days.
Medical Billing Manager
Activcare Physical Therapy
08.2009 - 07.2011
Reviewed billing problems, researched issues and resolved concerns.
Worked with customers to develop payment plans and bring accounts current.
Conducted performance reviews and implemented improvement plans.
Trained and mentored staff on procedures, compliance requirements and collections techniques.
Billing/Collection Manager Specialist
Avante Physical Therapy
01.2008 - 06.2011
Negotiated to collect balance in full.
Delivered exceptional customer service on collection calls and maintained calm and professional demeanor.
Processed payments and applied to customer balances.
Achieved performance goals on consistent basis.
Researched, analyzed and settled 10-15 disputes per week.
Researched accounts and completed due diligence to resolve collection problems.
Medical Insurance Specialist
Omni Vision
09.2004 - 08.2007
Maintained knowledge of benefits claim processing, claims principles, medical terminology and procedures and HIPAA regulations.
Managed large volume of medical claims on daily basis.
Paid or denied medical claims based upon established claims processing criteria.
Responded to correspondence from insurance companies.
Tracked all pending authorizations to resolve discrepancies and avoid revenue loss.
Office Manager
Dr. Harvey Roter
12.1995 - 07.2004
Maintained computer and physical filing systems.
Oversaw office inventory activities by ordering and requisitions and stocking and shipment receiving.
Optimized organizational systems for payment collections, AP/AR, deposits and recordkeeping.
Established workflow processes, monitored daily productivity and implemented modifications to improve overall performance of personnel.
Medical Billing Assistant Manager
Dr. William Cantor
08.1992 - 12.1994
Recruited, hired and trained all staff, providing direct supervision, ongoing staff development and continuing education to employees.
Developed and updated policies and procedures, maintaining compliance with statutory, regulatory and local, state and federal guidelines relating to HIPAA, benefits administration and general liability.
Communicated with patients, ensuring that medical information was kept private.
Education
Associate of Science -
University of Bridgeport
Bridgeport, CT
Skills
Records Maintenance
Organizational Systems
Business Relationship Management
Accounts Payable and Receivable
Insurance Coverage Verification
Time Management
Verbal and Written Communication
Medicare Compliance
Insurance Practices
Timeline
Medical Billing Manager
Expertus Laboratories, Inc.
10.2021 - Current
Billing Manager/Account Manager-Remote
Matrix Medical Network
12.2017 - 08.2021
Medical Insurance Specialist
Florida Hospital Medical Group
06.2015 - 12.2017
Medical Billing Specialist
Clinical Pathology Laboratory
09.2012 - 05.2015
Medical Billing Manager
Activcare Physical Therapy
08.2009 - 07.2011
Billing/Collection Manager Specialist
Avante Physical Therapy
01.2008 - 06.2011
Medical Insurance Specialist
Omni Vision
09.2004 - 08.2007
Office Manager
Dr. Harvey Roter
12.1995 - 07.2004
Medical Billing Assistant Manager
Dr. William Cantor
08.1992 - 12.1994
Associate of Science -
University of Bridgeport
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