Sommer Baker

Medical Billing Manager

Compassionate Doctors Medical Group

04.2004 - 08.2020

Company Overview: Billing Manager for multi-speciality clinic with emphasis on Cardiology.
Managed a team of medical billers to ensure timely and accurate processing of claims, resulting in a decrease in average accounts receivable days by 20%.
Implemented new billing software to streamline processes and improve efficiency, leading to a 15% increase in collections within the first six months.
Conducted regular audits of coding and billing practices to identify errors and discrepancies, reducing claim denials by 25% and increasing revenue by 10%.
Collaborated with healthcare providers and insurance companies to resolve complex billing issues and negotiate favorable payment terms, resulting in improved cash flow and client satisfaction.
Reviewed billing problems, researched issues, and resolved concerns.
Worked with customers to develop payment plans and bring accounts current.
Reduced denied claims through diligent review, correction, and resubmission of errors.
Developed strong relationships with insurance companies through effective communication and negotiation skills, enhancing payment turnaround times.
Streamlined claim appeals process by creating clear documentation guidelines and templates for staff use.
Enhanced revenue cycle management by overseeing timely and accurate claims submission.
Maintained up-to-date knowledge of regulatory changes impacting medical billing practices to ensure ongoing compliance within the organization.
Collaborated with providers and staff to ensure accurate coding for billing purposes.
Optimized cash flow by regularly reviewing aging account balances and implementing tactics for timely collections from patients or insurers.
Analyzed reports to identify areas for improvement in the overall billing process, leading to increased revenue collection rates.
Managed monthly billing process to complete billings and returns to meet company revenue recognition policies.
Improved medical billing processes by streamlining workflows and implementing efficient systems.
Monitored compliance with industry regulations to mitigate risks associated with audits and penalties.
Implemented new software systems for better tracking of accounts receivable and payable balances.
Trained and mentored staff on procedures, compliance requirements, and collections techniques.
Conducted performance reviews and implemented improvement plans.
Performed testing for billing modules, enhancing new functionality and process improvements.
Established and checked coding procedures, monitored reports and updated internal files.
Utilized financial software to prepare consolidated financial statements.
Prepared internal and regulatory financial reports, balance sheets and income statements.
Checked payroll, vendor payments, commissions and other accounting disbursements for accuracy and compliance.
Designed and maintained financial models to identify and measure risks.