Experienced with managing medical billing processes and leading billing teams to ensure operational efficiency. Utilizes advanced knowledge of healthcare billing systems to identify and resolve discrepancies. Track record of implementing process improvements and maintaining compliance with industry regulations. Fosters a collaborative environment that drives productivity and accuracy, achieving significant improvements in claims processing efficiency and reimbursement rates.
Overview
2026
2026
years of professional experience
Work History
Medical Billing Supervisor
Saint Francis Healthcare System
10.2021 - 08.2025
Managed a team of medical billing specialists, providing guidance and support for their professional development.
Increased revenue by identifying underpayments and errors, ensuring proper reimbursement from insurance companies.
Collaborate with payers to resolve claims, improving billing efficiency and revenue flow.
Conduct monthly audits and evaluations, driving team productivity and achieving revenue targets.
Analyze dashboards and denial patterns, implementing strategies that improve approval rates and reduce losses.
Streamline documentation with clinical staff, reducing delays and fostering a team-oriented environment.
Executed monthly audits and performance evaluations, driving measurable gains in team productivity and ensuring alignment with revenue goals.
Cultivated a positive team culture, promoting professional development and enhancing overall staff morale and collaboration.
Led cross-functional initiatives to optimize claims processes, resulting in substantial improvements in revenue collection and operational efficiency.
Fostered strong relationships with payers to expedite claims resolutions, enhancing billing efficiency and strengthening revenue flows.
Medical Billing Lead
Regional Medical Lab/St John's
2016 - 2021
Enhanced revenue by streamlining medical billing processes and improving accuracy in claims submissions.
Established efficient workflows, organizing tasks to optimize the use of time and resources within the team.
Demonstrated leadership skills by delegating tasks effectively and providing support to team members, contributing to a cohesive and high-performing billing department.
Implemented effective communication strategies among team members, resulting in increased productivity and reduced miscommunications. Led team in resolving complex claims,
Conducted audits and evaluations, achieving revenue targets consistently.
Created training program for new staff, ensuring smooth onboarding and skill development.
Fostered a culture of teamwork by mentoring staff, enhancing communication, and driving collective problem-solving initiatives.
Developed and delivered training sessions for new hires, ensuring they were equipped with the skills necessary for success.
Medical Claims Specialist
McKesson/Change Healthcare
2015 - 2016
Reduced errors in claims submissions through meticulous attention to detail and thorough review processes.
Improved claim processing efficiency by streamlining workflows and implementing best practices.
Utilized advanced knowledge of ICD-10 codes to accurately process complex medical claims.
Maintained accurate patient records by diligently updating databases and following strict documentation guidelines.
Multiple state Medicaid claims, improving payment resolution and compliance across states.
Ensured precise payment postings, enhancing financial integrity and accuracy.
Medical Claims Specialist
St John's Health System
2014 - 2015
Processed claims for timely government payments, reducing receivables significantly.
Collaborated with providers to improve billing efficiency.
Trained new team members, boosting team performance.
Developed strong relationships with healthcare providers to facilitate efficient information exchange regarding patient eligibility and benefits coverage.
Submitted electronic/paper claims documentation for timely filing.
Researched and resolved complex medical claims issues to support timely processing.
Enrollment Specialist
Community Care HMO
2008 - 2014
Updated, entered, and reviewed customer data.
Communicated effectively via telephone, email, and in person with prospective customers.
Enhanced customer service by promptly addressing inquiries and resolving issues in a timely manner.
Reviewed and analyzed claims to ensure accuracy, completeness, and compliance with company policies.
Managed high volume of claims, prioritizing tasks to meet deadlines without sacrificing quality.