Experienced medical billing and coding specialist with expertise in claims processing, revenue cycle management, and healthcare auditing. Proven track record of improving billing efficiency, accuracy, and compliance.
Overview
12
12
years of professional experience
1
1
Certification
Work History
Medical Coding and Billing Specialist
Independent Contractor for Advanced Genetics Lab
07.2024 - Current
Processed claims with 98% accuracy rate.
Improved billing efficiency by 75%.
Developed a comprehensive understanding of ICD-10-CM, CPT, and HCPCS codes to ensure proper use in medical coding assignments.
Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
Optimized revenue generation through diligent monitoring of denied claims, resubmitting corrected information when needed.
Account Manager
Medusind
05.2023 - 02.2024
Assisted in audits, enhancing compliance by 15%.
Increased client satisfaction by building strong relationships and addressing their needs promptly.
Maintained high client retention rate by providing exceptional customer service and anticipating client needs.
Managed a diverse portfolio of accounts, ensuring timely communication and effective problem resolution.
Established clear communication channels between clients and internal teams, ensuring seamless project execution.
Account Manager
Bright Drive Healthcare Solutions
04.2021 - 05.2023
Successfully resolved escalated issues, preventing potential loss of valuable clients while maintaining positive relationships with all parties involved.
Conducted regular account reviews to identify areas for improvement and ensure continued success.
Cultivated long-term relationships with key stakeholders in assigned accounts, fostering trust and loyalty among clients.
Facilitated client meetings to gather feedback and adjust strategies accordingly, ensuring alignment with client objectives.
Conducted quarterly business reviews with major accounts to assess satisfaction and identify areas for improvement.
Merchandiser
Lawrence Merchandising Services
02.2020 - 04.2021
Removed damaged, out-of-code, not-in-set and discontinued items from displays.
Inspected merchandise for quality and arranged proper display location on floor.
Answered customer questions regarding store merchandise, department information, and pricing.
Improved overall store appearance by performing routine maintenance tasks such as cleaning shelves, updating signage, and reporting damaged fixtures for repair or replacement.
Health Services Administrator
Federal Correctional Institution
04.2013 - 09.2016
Assisted with regulatory issues such as compliance.
Oversaw accounting, budgeting, and financial reporting.
Recruited, oriented, and trained healthcare staff members.
Created and implemented organizational policies and procedures.
Monitored status of individuals with chronic health concerns.
Organized and managed contracts directly related to strategic mission of healthcare system.
Evaluated performance metrics to assess effectiveness of healthcare services and recommend improvements where necessary.
Patient Recruitment Coordinator at Yale University School of Medicine Dept of Genetics/Lifton LabPatient Recruitment Coordinator at Yale University School of Medicine Dept of Genetics/Lifton Lab