Rachel Buhler
Denver,CO
Summary
Veteran Billing Manager focused on team efficiency and producing high-quality work. Excellent collaborator and relationship-builder familiar with compliance and documentation requirements. Enthusiastic about taking billing operations to the next level through proactive leadership and skilled problem solving.
Overview
13
13
years of professional experience
Work History
Billing Manager
Specialized Physical Therapy
Centennial, CO
04.2022 - Current
- Reviewed billing problems, researched issues and resolved concerns.
- Trained and mentored staff on procedures, compliance requirements and collections techniques.
- Conducted performance reviews and implemented improvement plans.
- Established and checked coding procedures, monitored reports, and updated internal files.
- Lead team of 4.
Denials Resolution Specialist
Granger Medical Clinic
West Jordan, UT
03.2020 - 11.2021
- Assist with documenting processes and procedures for team training.
- Used critical thinking to break down problems, evaluate solutions and make decisions.
- Drove dispute resolutions using effective problem-solving and by guiding mutual understanding of opposing viewpoints.
- Collected and tracked denial and resolution trends of various payer types.
- Analyzed, researched, and resolved payment claims within required timeframes.
- Managed eleven providers with over 1400 claims per month.
Reimbursement Specialist
AdvancedMD
South Jordan, UT
09.2018 - 03.2020
- Prevented delays and claim denials by correcting information prior to submission.
- Created documents in accordance with payer guidelines and submitted to appropriate parties.
- Followed up on denied and unpaid claims to resolve problems and obtain payments.
- Monitored outstanding claims and performed collections duties.
- Trained new employees in company and system processes.
- Manages A/R for 11 doctors.
Medical Billing Specialist
Bristol Hospice
Salt Lake City, UT
04.2018 - 09.2018
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Posted payments to client accounts.
- Developed method of posting payments that saved valuable time and resources.
- Trained new employees on multiple medical billing programs and data entry software.
- Resolved A/R for Medicaid and Commercial insurance claims for multiple states.
Health Care Advocate
Denial Management Inc
Murray, UT
09.2016 - 02.2018
- Partnered with clients to advocate for their children, to obtain insurance payments for mental health treatment.
- Established critical eye for determining needed support information after reviewing medical records and insurance documents.
- Communicated with various entities to assist clients in gathering needed information for insurance appeals.
- Caseload included 25 clients minimum.
Sr Account Manager
Visa - CyberSource
American Fork, UT
02.2015 - 09.2016
- Educated clients about service options and offered solutions via phone, chat, and email.
- Supported merchants in becoming self-sufficient in handling their day-to-day payment transaction needs.
Online Servicing Account Manager
Discover Financial Services
West Valley City, UT
09.2009 - 03.2015
- Assisted customers with management of their credit card accounts via phone, email, and chat.
- Developed strong ability to connect and engage with clients.
- Enhanced verbal and written communication.
Education
Certificate - Medical Billing And Coding
Red Rocks Community College
Denver, CO 08.2023 - Current
Bachelor of Science - Psychology
Westminster College
Salt Lake City, UT05.2015
Skills
- Critical thinking
- Policy analysis
- Customer Service
- Process management and improvement
- Great Communicator
- Self-Starter
- Attention to detail
- Medical Billing - Full Cycle
- Process improvements
- Training and mentoring
- Accurate payment posting
- Analytical and Critical Thinking
- Attention to Detail
Work Availability
monday
tuesday
wednesday
thursday
friday
saturday
sunday
morning
afternoon
evening
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Quote
Growth demands a temporary surrender of security.
Gail Sheehy
Timeline
Certificate - Medical Billing And Coding
Red Rocks Community College
08.2023 - Current
Billing Manager
Specialized Physical Therapy
04.2022 - Current
Denials Resolution Specialist
Granger Medical Clinic
03.2020 - 11.2021
Reimbursement Specialist
AdvancedMD
09.2018 - 03.2020
Medical Billing Specialist
Bristol Hospice
04.2018 - 09.2018
Health Care Advocate
Denial Management Inc
09.2016 - 02.2018
Sr Account Manager
Visa - CyberSource
02.2015 - 09.2016
Online Servicing Account Manager
Discover Financial Services
09.2009 - 03.2015
Bachelor of Science - Psychology
Westminster College
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