Margaret Rose

Daily Billing including ; working edits in Cerner system and in SSI electronic billing system. Working claims on the Medicare DDE (Data Direct Entry) system. Following up with payers on timely payments for medical claims filed within 14 days.

• Supervised daily operations of medical billing department, ensuring compliance with industry regulations.
• Mentored staff on billing procedures, enhancing team efficiency and accuracy in claims processing.
• Implemented workflow improvements to streamline billing processes and reduce claim rejections.
• Analyzed billing data to identify trends, informing strategic decisions and optimizing revenue cycle management.
• Collaborated with healthcare providers to resolve discrepancies, improving patient satisfaction and payment timelines.
• Developed performance metrics for team evaluation, driving accountability and continuous improvement initiatives.
• Managed audits of billing practices, ensuring adherence to standards and minimizing compliance risks.
• Submitted electronic and paper claims to insurance companies, Medicare and Medicaid to collect medical payments.
• Analyzed medical records to satisfy insurance company mandates.
• Managed a team of medical billers, providing guidance and support for their professional development.
• Reduced claim denials by maintaining up-to-date knowledge of insurance policies and regulations.
• Led patient account reconciliations by identifying and rectifying discrepancies within patient accounts, ensuring accurate billing and collection processes.

Filed Physicians medical claims to payers. Duties included, charging, posting payments and follow up with Insrance companies.