Billing professional with proven track record in supervising billing operations and fostering team collaboration. Expertise in managing billing processes ensures optimized workflow and compliance with regulatory standards. Known for reliability, adaptability, and results-driven approach, excelling in dynamic environments given time to adapt to the processes.
Manage Cardiology Billing Office:
-Process electronic claims and statements daily
-Approve all PTO request and sick time per pay period
-Answer incoming calls as needed on overflow calls or someone out of the office
-Run weekly report to advise other departments who is taking billing calls for the day
-Pulled all EFT info from Bank so the payment poster can post all insurance payments and patient payments
-Discuss coders that the DRs are signing off on their charges to make sure no charges are behind
-Monitor all insurance follow up to ensure claims are being paid timely. For Medicare,Medicare Advantage, BCBS, Commercial,Medicaid, Work Comp
-Monitor patient collections to make sure patient are making there payments and setting up payment plans. Also to make sure we are transferring balances to collections to keep the AR down
-Process all insurance and patient refunds as needed on all overpaid claims.
Monitor Timeplus Clock in and out to ensure no overtime for payroll.
-Help work AR to ensure accounts are followup in a timely manner.
-Monitor that charges are being entered daily to ensure charges are going out to the insurance correctly with minimal errors on the claims
-Help work AR to ensure accounts are followup in a timely manner.
-Assist with Payment Posting, prior authorizations, charge entry as needed
-Run month end reports and hard close for month end to sure payments balances to the bank and to ensure the reports submitted to accounting dept. are correct and balanced.
First ever billing manager at Tennessee Heart to lead her billing team to collections reaching over $900,000 in one calendar month. I was so proud of my team and all that they accomplished that month.