Marylee Franco
East Stroudsburg,PA
Summary
To obtain a challenging and rewarding position in a medical setting where I can utilize my Leadership skills in clerical and analytical to further my medical interests.
Overview
21
21
years of professional experience
Work History
Supervisor of Revenue Cycle
Regional Cancer Care Associates
03.2017 - Current
- Oversaw revenue cycle processes, ensuring compliance with healthcare regulations and policies.
- Implemented process improvements that enhanced billing accuracy and reduced claim denials.
- Led cross-functional teams to optimize workflow efficiency across departments.
- Mentored staff on best practices in revenue cycle management and patient account handling.
- Developed training programs for new employees, enhancing team productivity and knowledge retention.
- Implemented process improvements, ensuring accurate charge capture and coding compliance.
- Reduced days in accounts receivable by implementing more efficient follow-up procedures with payers.
- Trained new employees on medical billing software, policies, and procedures, ensuring accuracy in claims submission from day one.
Medical Billing
North Jersey Brain and Spine Center
03.2005 - 01.2012
- Submit electronic medical claims and follow up with insurance carriers to ensure accurate and timely reimbursement.
- Manage Accounts Receivable (AR) collections to secure payments for neurosurgical services.
- Process an average of 60+ healthcare claims per day, including surgical and physical therapy cases.
- Respond to patient inquiries regarding eligibility, coordination of benefits, explanations of benefits, and payment policies.
- Create, update, and maintain patient medical records, ensuring accurate demographic data and comprehensive treatment documentation.
Education
High School Diploma -
PC AGE Career Training Institute
Newark, NJSkills
- Analytical decision making
- Teamwork
- Delegation
- Work with EPIC system
- Work with Unlimited Systems G4/ Centricity Medical billing
- Work with ONCO, IknowMed, and Athena EMR systems
- Medical and Administrative Qualifications
- Typing 70 wpm and CPR Certified
- Export CPT Code Modifiers
- Export of Claim Submission
- Accounts Receivable
- Healthcare Terminology
- Medicare and Medicaid Processes
- Medical Billing and Collections
- Obtaining Authorizations
- HIPAA Compliance
- ICD-10 Coding
- CMS-1500 Billing Forms
- Benefits Verifications
- Training and Development
Accomplishments
- CERTIFICATIONS: National Certified Medical Assistant, Medical Billing & Coding
Languages
Spanish
Full Professional
Timeline
Supervisor of Revenue Cycle
Regional Cancer Care Associates
03.2017 - Current
Medical Billing
North Jersey Brain and Spine Center
03.2005 - 01.2012
High School Diploma -
PC AGE Career Training Institute