Summary
Overview
Work History
Education
Skills
Timeline
SoftwareDeveloper

Mia Anderson

Medical Billing Supervisor
Houston,TX

Summary

Highly effective in establishing customer/patient relationships. Impeccable, leadership, customer service and issue resolution skills. Advanced oral and written communication skills. Strong analytical skills with the ability to effectively communicate ideas. Strong problem solving and organizational skills. Proficient in Microsoft Office and Adobe. Extensive training in infection control, HIPPA Compliance; Billing, Coding, and medical terminology. Outpatient medical billing and coding with ICD-9, ICD-10, and CPT coding experience. Familiar with commercial and private insurance carriers. Resourceful Specialist offering expertise in problem-solving, data analysis and customer service. Adept at quickly learning new technologies and processes for driving success. Proven track record of successfully managing multiple projects and developing innovative solutions. Reliable business professional with experience in project management, process improvement and financial analysis. Adept at analyzing data to identify trends and developing strategies to improve efficiency. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. Top-notch communicator with excellent time management, administrative and customer service skills. Talented Billing Supervisor proficient in daily accounts receivable operations, collections and reporting. Open and clear communicator with consistent approach to reviewing and improving processes. Adept at maximizing productivity across 8-year history of career success.

Overview

9
9
years of professional experience

Work History

Billing Supervisor

Health Prime
11.2022 - Current
  • Responsible for team specific training and development of team members, providing feedback and monitoring
  • Provides leadership, direction and effective communication
  • Manages staff level team members
  • Carries out responsibilities in accordance with organization’s policies and applicable laws
  • Mentors team members on planning and assigning of work as well as training and development
  • Communicates regularly on day-to-day operations with assigned clients
  • Develop client specific and/or standard operating procedures (SOPs) to streamline workflows, ensure consistency and accuracy of revenue cycle process, maximizing technology to enhance productivity and performance
  • Based upon exposure to feedback from client, offshore or team, advise leadership regarding opportunities for improvement related to client or ALN performance metrics
  • Identifies key areas of process improvement and recommends methods of modification, implements approved changes
  • Contributes in the design, communication and implementation of new approaches to reporting, policies, and SOPs, to increase reporting accuracy and influence continuous improvements in operation efficiency
  • Gathers and evaluates results of billing operations regularly and reports these results to Manager and/or Director
  • Uses reports, workflow to monitor daily operations and performance and works with leadership to address positive/negative trends
  • Ensures that quality of work is maintained, and that compliance policies and procedures are followed through billing operations
  • Supports client RCM meetings by preparing requested material in collaboration with Manager and Director
  • Able to document meeting minutes
  • Compile periodic and ad-hoc reports and communicate them to the team including review of codes and carrier specific reports weekly
  • Manages day-to-day vendor activity through established workflow, continuous communications including new processes, changes, projects and issues
  • Responds to questions from ALN team and may assist with Billing Specialists duties related to Cash flow and balancing; Aging; Credit balances and collections; Rework targets; Log resolution; Adjustments; Patient Team emails; Offshore questions.
  • Coordinate with other internal departments and customers to keep operations running smoothly and solve both routine and complex problems
  • Review documentation for compliance with requirements and accuracy of information
  • Assisted with billing inquiries and provided timely responses to enhance customer satisfaction
  • Develop and maintain billing procedures to make timely payments
  • Identify payment trends and adjusted billing processes accordingly to retain clent

Revenue Cycle Supervisor

Preventice Services/Boston Scientific
09.2017 - 01.2023
  • Data Analytics, Power BI, and Dynamics Design Analyst
  • Currently staff of 26 Reps
  • Supervisor over the Non-MCT Team Authorization Team
  • Monitor and distribute work assignments to Verification Specialists
  • Responsible for meeting daily & monthly departmental close out expectations
  • Responsible for overseeing training of new hires for Insurance Verification/Billing role
  • Update and approve timecards, schedules, attendance records and paid time off submissions
  • Ensure email correspondence from upper management, sales reps and other departments is responded to in timely manner
  • Works closely with Revenue Cycle Quality Manager regarding billing and claim issues
  • Maintain and update special instructions related to billing policies and procedures
  • Evaluate effectiveness of verification through websites versus phone calls and/or automated system
  • Monitor staffing needs and provide employee direction if assistance is needed
  • Plan and facilitate monthly department meetings as well as 1:1’s with individual reps
  • Escalates with payors/practices and reports improvement appropriate
  • Communicates issues that are preventing timely and accurate billing to upper management
  • Works with management and leadership in other departments to ensure proper service levels and workflow for patient accounts
  • Establish policies and procedures to help staff manage day to day billing process to meet goals
  • Ensure all team members are following standard operating procedures
  • Analyze quality assurance and productivity metrics with employees on a regular basis
  • Issues disciplinary action as needed.
  • Trained, evaluated and challenged team of 26 personnel
  • Resolved issues through active listening and open-ended questioning, escalating major problems to manager
  • Hired, managed, developed and trained staff, established and monitored goals, conducted performance reviews and administered salaries for staff
  • Managed supervisor itinerary and appointments and streamlined scheduling procedures
  • Completed financial reporting and analysis for billing revenue cycle

Patient/Customer Service, •EDI Specialist

  • Communicated within EDI team to understand contracts and practice agreements
  • Provided feedback to IV Department on errors
  • Claims Corrections
  • Processed voided/corrected claims
  • Communicated with clearinghouse to resolve issues in claim submission
  • Verification Team Lead
  • Share insurance and software/system knowledge with team to help with verification process
  • Conduct training for new hires and refresher courses to current staff
  • Responsible for various reports including team production and inventory
  • Provide direction to team as various issues arise
  • Manage work queues/work assignments for team
  • Monitor staffing needs as well as workflow needs
  • Provide assistance to team and management during close out
  • Verification/Billing Rep
  • Confirmed patient information with practices and patients as needed
  • Verified insurance eligibility and benefits as well as requested medical records and initiated prior authorizations
  • Evaluated accuracy of provider charges, including dates of service, procedures, diagnoses, patient identification, and provider signature
  • Examined diagnosis codes for accuracy, completeness, specificity, and appropriateness according to services rendered and assigned additional codes and modifiers in support of existing codes
  • Accurately entered procedure codes, diagnosis codes and patient information into billing software
  • (Centricity)
  • Ensured timely and accurate charge submission through electronic charge capture, including billing and account receivables system, and clearing house (Availity)
  • Daily quota of 45 claims per day.

Clinical Admin. Assistant

SNG Dialysis
03.2015 - 06.2016
  • Maintained patient charts, insurance information/verification and obtained all consents
  • Handled all patient registration upon arrival to clinic
  • Maintained all Crown Web records for entire clinic
  • Arranged patient transportation as needed and assisted patients with physician appointments
  • Filing, typing, answering phones, screening/directing calls and delivering messages
  • Processed time, PTO and bonus pay for all full-time and PRN Teammates
  • Completed monthly and weekly compliance and clinical data reports
  • Ensured that all Teammates completed all annual compliance training, CPR Certifications, and vaccinations
  • Maintained all Teammate charts while maintaining Teammate and Patient confidentiality
  • Took and recorded vitals on patients before and after dialysis treatment
  • HR liaison between Teammates and HR.

Clinical Admin. Assistant

Davita
05.2014 - 03.2015
  • Maintained patient charts, insurance information/verification and obtained all consents
  • Managed all patient registration upon arrival to clinic
  • Ordered all clinical facility supplies and maintained and accurate inventory of all supplies including dialysis and office supplies
  • Arranged patient transportation as needed and assisted patients with physician appointments
  • Filing, typing, answering phones, screening/directing calls and delivering messages
  • Processed time, PTO and bonus pay for all full-time and PRN Teammates
  • Completed monthly and weekly compliance and clinical data reports
  • Ensured that all Teammates completed all annual compliance training and vaccinations
  • Maintained all Teammate charts while maintaining Teammate and Patient confidentiality.
  • Answered phone calls and messages for medical facility, scheduling appointments, and handling patient inquiries

Education

Associate of Science - Business Administration

University of Phoenix
Dallas

Medical Compliance Officer - CPCO -

AAPC

Skills

  • Project Requirements
  • Patient Appointment Management
  • Specialty Care
  • Verifying Eligibility

Timeline

Billing Supervisor

Health Prime
11.2022 - Current

Revenue Cycle Supervisor

Preventice Services/Boston Scientific
09.2017 - 01.2023

Clinical Admin. Assistant

SNG Dialysis
03.2015 - 06.2016

Clinical Admin. Assistant

Davita
05.2014 - 03.2015

Patient/Customer Service, •EDI Specialist

Associate of Science - Business Administration

University of Phoenix

Medical Compliance Officer - CPCO -

AAPC

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Mia AndersonMedical Billing Supervisor