Robin Moppin
Cameron,MO
Summary
Skilled in reconciling accounts, identifying discrepancies, and resolving billing issues promptly. Strong attention to detail and numerical accuracy, with a commitment to maintaining confidentiality and upholding the highest standards of integrity in financial transactions.
Overview
5
5
years of professional experience
Work History
Medical Billing and Coding Manager
Northwest Health Services
Saint Joseph, MO
06.2019 - Current
- Reviewed incoming requests from other departments requiring changes or additions to existing codes.
- Ensured compliance with applicable laws and regulations pertaining to coding practices.
- Reviewed coded documents for accuracy before submitting them for processing.
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
- Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.
- Maintained high accuracy rate on daily production of completed reviews.
- Communicated with healthcare personnel, including practitioners to promote accuracy.
- Coordinated with billing department to clarify billing issues related to coding.
- Communicated with patients with compassion while keeping medical information private.
- Built work schedules and staff assignments, taking workload, space and equipment availability into consideration.
- Maintained communication and transparency with governing boards, department heads and medical staff.
- Recruited, hired and trained new medical and facility staff.
- Maintained awareness of government regulations, health insurance changes and financing options.
- Directed, supervised and evaluated medical, clerical or maintenance personnel.
- Managed and reviewed medical billing staff to ensure accuracy of patient accounts.
- Conducted audits on claims submitted by medical billing staff, ensuring compliance with all applicable laws and regulations.
- Resolved issues related to denied or rejected payments from insurance companies.
- Created reports outlining trends in revenue cycle management, such as denials and rejections.
- Worked closely with clinical staff to ensure timely submission of claims and accurate coding practices.
- Monitored accounts receivable aging reports and worked proactively to reduce outstanding balances due from patients or insurers.
- Maintained detailed records of all payments received from patients or third-party payers.
- Prepared monthly financial statements detailing revenue generated by practice locations.
- Developed strategies for improving collections performance across multiple sites.
- Oversaw daily activities related to the processing of electronic claims submissions.
- Coordinated efforts between departments regarding patient follow up activities associated with denials or rejections.
- Resolved billing issues by applying knowledge and completing in-depth research.
- Developed improved standard operating procedures to increase billing accuracy and cash flow.
- Helped customers to bring accounts into good standing by implementing payment plans.
- Managed billing calendar and scheduled claims for payments.
- Developed and maintained a comprehensive billing system database for accurate record-keeping and reporting.
- Analyzed billing processes and recommended improvements to minimize cycle time and enhance customer satisfaction.
- Oversaw the preparation of monthly billing reports and analysis to track billing efficiency and accuracy.
- Provided expert advice on billing optimization strategies, leading to a reduction in outstanding accounts receivables.
- Managed the setup and billing of complex client accounts, ensuring compliance with contractual agreements.
- Conducted regular audits of billing activities to ensure compliance with company policies and regulatory standards.
- Managed and supervised billing department staff, including training, evaluation, and workflow distribution.
- Completed month-end and year-end closings, kept records audit-ready and monitored timely recording of accounting transactions.
Education
Associate of Science - Medical Management And Medical Terminology
Maple Woods Community College
Kansas City, MO05-1996
High School Diploma -
West Platte High School
Weston, MO05-1993
Skills
- Organized
- Computer Skills
- Conflict Resolution
- Decision-Making
- Attention to Detail
- Interpersonal Communication
- Calm Under Pressure
- Organization and Time Management
- Analytical and Critical Thinking
- Excellent Communication
- Research
- Collaboration
- Remote Office Availability
Timeline
Medical Billing and Coding Manager
Northwest Health Services
06.2019 - Current
Associate of Science - Medical Management And Medical Terminology
Maple Woods Community College
High School Diploma -
West Platte High School
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