Seasoned Billing Manager of a high volume medical practice. Responsible for overseeing 4 Million in monthly charges. Experienced in all aspects of billing, coding, collections, and team management. Offering an organized and quality-oriented mindset along with 11 years of experience in administrative, customer service, and leadership positions. Eager to leverage abilities and experience in dynamic new position with room for growth and advancement.
Overview
11
11
years of professional experience
Work History
Medical Billing Manager
Community Orthopedic Medical Group
Mission Viejo
03.2013 - Current
Manage a team handling more than $4,000,000.00 in monthly charges for physicians billing in office, facility and MRI
Manage the operations of the external billing service and authorization teams
Prepare and analyzes monthly financial reports for month end close and provider distribution
Develop improved operating procedures to increase billing accuracy and cash flow
Defined and documented office procedures, using updated SOPs to provide thorough and comprehensive training for all administrative support staff
Analyze trends that impact charges, coding, collections, and accounts receivable and take appropriate action to realign staff and revise policies and procedures
Maintain provider credentials and credential new providers
EFT/ERA enrollment
Audit accounts for monthly refunds
Negotiate insurance contracts and other vendor contracts
Implement practice workflow for both front desk and back office to enure documentation/ billing form accuracy meets Medicare guidelines.
Created reports outlining trends in revenue cycle management, such as denials and rejections.
Collaborated with IT department on software upgrades or system enhancements that would improve overall efficiency.
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.
Managed and reviewed medical billing staff to ensure accuracy of patient accounts.
Completed month-end and year-end closings, kept records audit-ready and monitored timely recording of accounting transactions.
Education
Administrative Medical Assistant Certification -
Saddleback College
Skills
Insurance contracting, billing, claims
MS Office/ Excel
NextGen EHR/EMR/ PM
CPT/ ICD
Financial reporting
Project leadership
Patient dispute resolution
AR follow up on all payers, including denials for HMO, Medicare, Work Comp
Timeline
Medical Billing Manager
Community Orthopedic Medical Group
03.2013 - Current
Administrative Medical Assistant Certification -
Saddleback College
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