Hardworking Billing Manager proficient in overseeing team operations, implementing improvements and reducing delinquency. Offering 25+ years of experience in the Healthcare Billing Industry and excellent organizational skills as well as time management and leadership skills.
Overview
16
16
years of professional experience
Work History
Billing Manager
Southampton Healthcare
I oversee all aspects of billing for a fast paced primary doctor's office
This includes, editing charges brought in from the EHR system, manually entering some charges
Calling
insurance companies on past due balances, heavy customer service, entering payments into the software,
appealing denied charges with insurance companies.
Animal Caregiver
Stray Rescue Of St.louis
05.2016 - 05.2017
I was responsible for walking dogs, cleaning their apartments
Giving medicines as needed
Heavy contact
with dogs
I would enrich them many ways
I would take them on hikes, bring them home for a few hours to
get away from the shelter
I started with this organization as a volunteer in September of 2015 and in May
I decided I wanted to be more hands on with the dogs
Each dog is an individual and has different needs
I
would adapt to each and get to know them and bring out their best all the while working with them on things
to further benefit them in finding a new home.
Reimbursement Specialist
NextGen Practice Solutions
10.2004 - 10.2016
Thoroughly investigate past due invoices/claims and minimized the number of unpaid accounts
Demonstrated analytical and problem-solving by addressing barriers to billing A/R.
Strictly follow all federal and state guidelines for release of information
Accurately entered procedure codes, diagnosis codes, and patient information into billing software
Carefully follow HIPAA Privacy and Security Regulations
Review EOB's to insure proper payment and worked the denial codes
Apply payments, adjustments and denials into the billing software
Print, review and mail patient statements
Ensure timely claims filing and check for accuracy,
Perform quality control of the date entry system to verify the claims and payments were processed correctly
Write up appeals where needed based on the denial of the charges
Meet with the Physician bi-monthly to review the A/R and address any issues or concerns they may have.
Home Health Biller
HRS, Home Health
12.2003 - 10.2004
Follow Up on home infusion therapy services from all parts of the country
Review the accounts for accuracy of billing
Bill for maximum collections rates
Communicate with the client any concerns they may have or needs I nay have.
Radiology Supervisor
Hawthorne
09.2001 - 12.2003
I was in charge of 21 employees
Review their accounts monthly with staff to insure collections were at a
maximum
I would train staff and update staff on the most current billing procedures and laws
Scheduled regular employee meetings
Encourage feedback and meet with employees on an individual basis as questions or concerns arose
Responsible for the hiring and firing of employees as well as give disciplinary
actions as needed
Responsible for the annual review of employees
Meet with clients to go over their collections and monies received as well
address any concerns or questions they may have.
Education
Certificate in Animal Care - undefined
Meramec Community College
High School Diploma - General
St
Skills
CERTIFICATIONS/LICENSES
Animal Care
ADDITIONAL INFORMATION
Skills
Active Listening Deadline-driven
Knowledge of most of the major Good written communication
Insurance carriers as well as well Great organizational skills
Versed on Worker's Compensation Very pro-active when it comes to my
Insurance companies work
Billing Systems I have worked with Work well independently
Include Medical Manager, NextGen, Great problem solver
Assistant Professor at Southampton Malaysia Business School, University of Southampton MalaysiaAssistant Professor at Southampton Malaysia Business School, University of Southampton Malaysia