Detailed oriented Billing Office Manager with over 20 years experience in medical billing, accounts receivable, and accounts payable. Proven ability to streamline administrative processes, ensure compliance, and support organizational success through strong communication and analytical skills.
Overview
44
44
years of professional experience
1
1
Certification
Work History
Office Billing Manager
Advanced Orthopedics & Sports Medicine, LLC
Union City, Tennessee
03.2011 - Current
Generated monthly revenue reports detailing total collections and outstanding balances.
Conducted insurance verification and pre-authorization, coded medical procedures and managed patient charts.
Resolved billing issues by applying knowledge and completing in-depth research.
Helped customers to bring accounts into good standing by implementing payment plans.
Reviewed patient medical records to extract relevant coding information.
Assigned ICD-10 codes for diagnoses and procedures based on guidelines.
Maintained accuracy and completeness of coded data to facilitate billing processes.
Updated knowledge of medical terminology and coding systems related to billing.
Resolved discrepancies in medical billing and collections efficiently.
Benefits Specialist
Goodyear Tire & Rubber
Union City, Tennessee
02.2006 - 03.2011
Explained benefit programs and eligibility requirements to employees and new hires.
Resolving any discrepancies or issues that arose.
Responded to benefit inquiries from employees on plan provisions, benefits enrollments and status changes.
Responsible for issuing work comp and sick pay checks.
Medical Billing Manager
Internal Medicine Clinic
Union City, Tennessee
11.2003 - 03.2006
Kept up-to-date records of all transactions using specialized software systems.
Managed medical billing processes, ensuring accuracy and timeliness of payments.
Analyzed provider contracts to identify potential revenue opportunities.
Responsible for ordering office supplies.
Responsible for 3 other employees.
Patient Account Representative
Baptist Memorial Hospital
Union City, Tennessee
11.1981 - 04.2003
Provided excellent customer service while resolving billing inquiries from both internal and external customers.
Identified discrepancies between billed charges and payments received from insurance companies.
Utilized problem-solving techniques to resolve complex billing issues quickly and efficiently.
Education
Certified Professional Coder -
AAPC
Paducah, KY
01-2012
High School Diploma -
Fulton County Highschool
Hickman, KY
05-1978
Skills
Bank Reconciliation
Medical coding
Insurance verification
Payment processing
Customer service
Attention to detail
Critical thinking
Organizational skills
Accounts Receivable
Accounts Payable
End of Month Reports
Athenahealth and eClinical Work software
Payment posting
Medical billing expertise
HIPAA Compliance
Certification
Certified Professional Coder
Accomplishments
Improved collections process
Reducing outstanding balances by 20% over 6 months
$50,000.00 plus collections on surgery down payments for 1 month
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