Stacey Souders CPC
Toms River,NJ
Summary
With a proven track record at Shore Outpatient Surgicenter, I excel in medical billing and collections, showcasing expertise in medical terminology and a keen ability to streamline operations for enhanced efficiency. My leadership in developing billing procedures and guiding teams towards minimizing aging balances demonstrates both my analytical prowess and collaborative spirit. Resourceful Assistant Billing Manager known for high productivity and efficient task completion. Specialize in invoice management, financial reporting, and compliance monitoring. Excel at communication, problem-solving, and time management to meet tight deadlines and ensure accuracy in billing processes.
Overview
24
24
years of professional experience
Work History
Assistant Billing Manager
Shore Outpatient Surgicenter
Lakewood, New Jersey
01.2022 - Current
- Actively maintained current working knowledge of CPT and ICD10 coding principles, government regulation, protocols and third party requirements regarding billing.
- Compiled and coded patient data using standard classification systems.
- Communicated with healthcare personnel, including practitioners to promote accuracy.
- Streamlined day-to-day office processes to meet long-term goals.
- Safeguarded medical records to maintain patient confidentiality.
- Acted as liaison between business department, billers and third party payers in resolving billing and reimbursement accuracy.
- Interpreted medical terminology and pharmacological information to translate information into coding system.
- Assigned patients to diagnosis-related groups using appropriate computer software.
- Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
- Maintained positive working relationship with fellow staff and management.
- Proofread documents carefully to check accuracy and completeness of all paperwork.
- Received, organized and maintained all coding and reimbursement periodicals and updates.
- Maintained updated knowledge of coding requirements, which included continuing education and certification renewal.
- Read through patient health data, histories, physician diagnoses and treatments to gain understanding for coding purposes.
- Assisted in developing training programs for new staff members regarding billing processes.
- Prepared monthly reports on accounts receivable, aging analysis, and revenue performance.
- Provided guidance to junior staff members on handling customer inquiries related to billing issues.
- Provided expert advice on billing optimization strategies, leading to a reduction in outstanding accounts receivables.
Practice Manager
Garden State Eye Center
Lakewood , NJ
09.2011 - 01.2021
- Contacted insurance providers to verify correct insurance information and obtain authorization for proper billing codes.
- Oversaw activities of 7 staff processing $250,000 payments each week.
- Negotiated favorable terms on behalf of the practice when contracting with vendors or third party payers.
- Liaised with patients, insurance companies and billing office personnel to effectively create and post bills, obtain payments and update system information.
- Established, enforced and optimized billing policies and procedures to maximize revenue, streamline operations and minimize aging balances.
- Scheduled patients in Medinformatix system and updated pertinent details related to insurance, payment histories and personal or confidential information.
- Posted surgical charges for 2 providers across ASC facility each week.
- Verified proper coding on more than claims per week, investigating and resolving issues to maintain billing accuracy.
- Executed medical billing including submitting claims to insurance companies and researching and resolving denials and explanation of benefit rejections within billing cycle timeframe.
- Calculated figures such as discounts, percentage allocations and credits.
- Processed and sent monthly invoices to customers on standard billing cycle, including adjustments, credit memos and corrections.
- Entered procedure codes, diagnosis codes and patient information into billing software to facilitate invoicing and account management.
- Monitored past due accounts and pursued collections on outstanding invoices.
- Reconciled codes against services rendered.
- Processed invoice payments and recorded information in account database.
Billing Coordinator
Foster Facial Plastic Surgery and ENT
Toms River, NJ
11.2000 - 09.2010
- Managed daily operations for billing department handling $800,000 per month in payments.
- Kept up to date with details of insurance plans and company requirements.
- Submitted appeals on behalf of patients for denied claims.
- Developed effective invoicing procedures alongside accounting staff and contracts department to maximize effectiveness of billing operations.
- Completed documentation, reports and spreadsheets of financial information.
- Responded to telephone and in person inquiries with friendly demeanor and full knowledge of billing department processes.
- Prepared accounts for financial audits and supported audit process.
- Liaised with patients, insurance companies and billing office personnel to effectively create and post bills, obtain payments and update system information.
- Assisted customers with invoice questions, special invoicing, reporting, corrections and write-offs and resolved customer issues discovered during invoicing and collection process.
- Loaded billing data into systems through data import, scanning or manual keying, to verify complete and accurate client invoices from vendors.
- Posted surgical charges for2 providers across ASC facility each week.
- Oversaw activities of 5 staff processing $100,000 payments each week.
Education
High School Diploma -
Manchester High School
Manchester , NJ06.1985
Some College (No Degree) - Psychology And Computer Literacy
Ocean County College
Toms River, NJCertified Professional Coder -
American Academy Of Professional Coders
Salt Lake City, UT04.2008
Skills
- Monthly and yearly reporting
- Interest calculations
- Expertise in medical anatomy and terminology
- Invoice processing
- Billing dispute resolution
- Claims processing
- Medical billing and collections
- Audit procedures
- Invoicing proficiency
- Fiscal reporting
- Accounts receivable expertise
- Coding proficiency
- Document analysis
- Payments experience
- Staff Management
- Billing Process Oversight
- Staff training and development
Timeline
Assistant Billing Manager
Shore Outpatient Surgicenter
01.2022 - Current
Practice Manager
Garden State Eye Center
09.2011 - 01.2021
Billing Coordinator
Foster Facial Plastic Surgery and ENT
11.2000 - 09.2010
High School Diploma -
Manchester High School
Some College (No Degree) - Psychology And Computer Literacy
Ocean County College
Certified Professional Coder -
American Academy Of Professional Coders
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