Medical Billing Specialist recognized for enhancing operational efficiency and streamlining revenue cycle management. Proven expertise in problem-solving and team leadership, effectively managing billing operations in dynamic environments. Achievements include significant reductions in billing errors and client inquiries, showcasing a commitment to optimizing processes and achieving organizational goals.
Dynamic Clinical Research Study Coordinator with expertise in establishing and managing clinical trials for MRI and PET/CT scans. Successfully organized and facilitated numerous studies focused on Alzheimer’s Research, demonstrating strong project management skills and meticulous attention to detail. Proficient in coordinating interdisciplinary teams to ensure compliance with regulations and protocols, enhancing research outcomes. Committed to advancing clinical knowledge and improving patient care through innovative research initiatives.
Overview
15
15
years of professional experience
Work History
Billing Manager /Clinical Research Coordinator
Toms River X-Ray, CT & MRI Center
Toms River, NJ
09.2009 - Current
Introduced billing system software, optimizing operational processes.
Performed periodic reviews of billing processes to maintain adherence to established policies and regulatory requirements.
Oversaw account status updates to ensure prompt action on delinquent payments.
Generated detailed reports to facilitate executive decision-making.
Streamlined claims scheduling by adhering to predetermined billing cycles.
Enhanced standard operating procedures to boost billing precision and streamline cash flow.
Reduced manual errors by streamlining and modernizing billing processes.
Created billing procedures to guarantee precise data entry and prompt payment collection.
Collaborated with clients to address and rectify billing issues promptly.
Performed insurance verification and pre-authorization.
Transitioned to digital billing systems, achieving a significant reduction in paper usage.
Validated transaction records by reconciling statements on a monthly basis.
Monitored monthly billing reports to ensure efficiency and accuracy.
Investigated complex billing queries utilizing both internal resources and external sources.
Assisted customers in restoring account status through effective payment plans.
Implemented standardized billing policies across client accounts.
Generated comprehensive reports every month illustrating the status of accounts receivable and aging analysis.
Examined variances in customer records against organizational systems.
Generated and refreshed financial reports regularly for leadership teams.
Created comprehensive aging summaries on a monthly basis for team evaluation.
Completed extensive research to rectify billing problems effectively.
Completed refund processing tasks in a timely manner.
Reviewed customer accounts to spot discrepancies in invoices and payments.
Directed compilation and organization of documents for audits.
Created streamlined billing processes to guarantee prompt and precise invoice issuance.
Completed month-end and year-end closings, ensuring audit-ready records.
Ensured superior service quality by handling issues with professionalism and expertise.
Maintained accurate database records by keeping information up-to-date.
Contributed to making the work environment more efficient through teamwork.
Responded to incoming calls with professionalism, providing answers and routing them effectively.
Showcased superior organizational abilities while handling various assignments simultaneously.
Compiled reports, invoices, letters, and medical records with word processing and spreadsheet software.
Sent medical records and correspondence via mail, e-mail, or fax.
Collected payments from patients receiving radiology services.
Coordinated diagnostic tests and medical imaging appointments based on physician instructions.
Assessed insurance plans to guarantee radiology service coverage.
Oversaw routine office functions to ensure seamless operations.
Reviewed and finalized relevant documents for claims processing.
Documented patient information accurately within the computer database.
Provided compassionate communication to patients, maintaining privacy of medical records.
Managed processing of radiology-related incoming correspondence.
Organized appointments ensuring streamlined handling of patients.
Coordinated appointment management and billing processes to improve efficiency.
Assisted with patient reception and appointment check-ins.
Effectively communicated with patients about appointment timings.
Supported radiologists and medical teams with operational tasks.
Executed bookkeeping responsibilities, managing financial documentation and records.
Executed routine office operations encompassing data input, record organization, and equipment utilization.
Sustained a neat and well-organized work environment.
Coordinated and verified patient appointments and consultations.
Directed incoming calls to relevant medical and administrative departments.
Input data into systems with accuracy and speed.
Managed and resolved study-specific queries from investigational sites promptly.
Ensured safety compliance by gathering data from healthcare professionals and subjects regarding adverse events.
Checked patient files for accuracy and adherence to established protocols.
Facilitated seamless communication among project teams, investigators, CRAs, vendors, and partners to ensure adherence to timelines.
Organized procurement of pharmaceuticals for clinical trials.
Followed established procedures for research protocols.
Maintained compliance with clinical trial procedures.
Maintained adherence to Good Clinical Practices guidelines during all phases of clinical trials.
Tracked all adjustments made to protocols throughout trials.
Executed time management strategies for on-time project delivery.
Exhibited exceptional ability in solving problems swiftly and effectively.
Acknowledged by management for delivering outstanding customer support.
Education
High School Diploma -
Woodbridge High School
Woodbridge
06-1987
Certificate Programs For Clinical Research Trials -
CITI Programs
Skills
Project management
Personnel oversight
Payment posting
Project leadership
Team direction
Medical billing expertise
Claims processing
Audit support
Collections management
HIPAA
Billing review
Revenue cycle management
Insurance verification
Clinical research
Customer service
References
References available upon request.
Timeline
Billing Manager /Clinical Research Coordinator
Toms River X-Ray, CT & MRI Center
09.2009 - Current
High School Diploma -
Woodbridge High School
Certificate Programs For Clinical Research Trials -
CITI Programs
Similar Profiles
Crystal FloresCrystal Flores
Travel Nurse, Observation Unit at Community Medical Center Toms RiverTravel Nurse, Observation Unit at Community Medical Center Toms River
Registered Nurse Preop/ Procedure Room/ PACU at Endoscopy Center of Ocean County/ Toms RiverRegistered Nurse Preop/ Procedure Room/ PACU at Endoscopy Center of Ocean County/ Toms River
Building Substitute Teacher ( ESS Education) at Toms River Regional Early Learning Center.Building Substitute Teacher ( ESS Education) at Toms River Regional Early Learning Center.