Stephanie Baker
Summary
Dedicated medical professional with extensive experience in office management, account and data management, and medical sales. Proven ability to build strong relationships and drive revenue through effective problem-solving and adaptability. Achievements include improved client relationships, streamlined operations, and enhanced profitability. Eager to collaborate with like-minded professionals in the medical field.
Overview
25
25
years of professional experience
Work History
Clinical Account Manager
Atlas Medical Solutions
Bethesda
03.2023 - Current
- Identify and qualify potential healthcare providers within an assigned territory
- Establish and maintain strong relationships with key decision-makers
- Provide exceptional customer service and support to ensure customer satisfaction and loyalty
- Manage territories of 80+ accounts across the U.S, generating consistent sales growth by effectively presenting and promoting advanced wound care products
- Schedule and conduct sales calls and Zoom meetings with surgeons, providers, nurses, and wound care specialists
- Maintain accurate customer data and sales pipeline
- Present product and clinical data to demonstrate the value proposition of advanced wound care products
- Develop and implement sales strategies to achieve sales targets
- Manage customer accounts, ensuring timely order fulfillment and customer satisfaction
- Identify opportunities to differentiate products and expand market share
- Proven ability to close deals, manage sales pipeline, and achieve sales targets
- Collect and submit necessary documentation (usage forms, intake forms, authorizations, coding) to ensure physicians are correctly reimbursed
Billing/Coding Manager
Liberty Medical Center
Liberty
02.2022 - 09.2023
- Manage revenue cycle operational processes to ensure the timely and accurate submission of billing and collection of payments
- Recommend changes in billing and accounts receivable policies, procedures, methods, and guidelines as appropriate
- Review Month End, Flag, Daily Unbilled, Expected Reimbursement, or HCFA electronic reports
- Review/resolve accounts with payment discrepancies for insurance carriers
- Receive and Review patient chart notes to verify that medical codes are verified, accurate, assigned correctly, and sequenced appropriately as per government and insurance policies
- Make necessary updates for compliance with medical coding guidelines and policies
- Audit AR and coding reports to ensure high-level reimbursement
- Implement procedures, choose strategies, and evaluate methods that effectively provide correct results
- Communicate and resolve billing, payment, and insurance issues with patients
- Maintenance of practice EHR system
Medical Sales Account Representative
Atlas Medical Solutions
Bethesda
03.2020 - 10.2021
- Provide operational support and marketing services to assigned geographical regions
- Identify optimum venues for the promotion of medical devices and products to healthcare providers (target groups)
- Established and maintained relationships with provider offices and clinics
- Responsible for cold calling on our products to ensure new accounts with/ our target locations
- Set up and establish meetings to present our devices and products
- Participate in Zoom medical device sale presentations
- Collect and submit necessary documentation (usage forms, intake forms, authorizations, coding) to ensure physicians were correctly reimbursed for our products
- Rounded with physicians to assist with the application of our products
Billing Specialist/Analyst (Team Lead)
RMC
Springfield
07.2017 - 01.2020
- Establish and maintain professional relationships with insurance companies and hospitals
- Serve as a billing representative in worker's compensation negotiations
- Responsible for all high-dollar worker's compensation patient accounts
- Serve as a team lead to ensure that collections, follow-up and appeals to insurance companies increased collectible income for hospitals
- Assist project manager by running all team audit and age account reports
- Investigate, evaluate, and settle insurance claims
- Responsible for Medicare, Medicaid, Commercial and Worker's Compensation audit reports by investigating patient accounts for additional reimbursement
- Responsible for recovery projects for write-offs and/or adjustments
Account Management
GWPSA
Falls Church
04.2014 - 01.2017
- Responsible for maximizing revenue and ensuring compliance through contract negotiation, contract payment, and analysis of contract and payer performance
- Establish and maintain professional relationships with insurance companies, legal offices, and account executives
- Coordinated, analyzed, and negotiated all payer agreements with various health payers, including HMO, MCO, Commercial, Medicaid, and Medicare products
- Collaborated with the legal department to resolve outstanding workers' compensation accounts and underpaid claims
- Serve as a liaison between medical providers, employees, legal professionals, and health insurance companies
- Communicate with insured and uninsured regarding litigated cases; make recommendations regarding proposed strategies for claim resolution
- Assemble appropriate medical and account information for cases pending litigation or mediation
- Participated in mediations, negations, and arbitrations for the organization
- Develop and maintain internal systems for data collection and entry, financial analysis, and report generation
- Work with patients to establish payment plans for past-due accounts in accordance with provider policies
- Investigate, evaluate, and settle insurance claims to determine whether the insurance policy covers the appropriate level of reimbursement
- Compose letters of medical necessity and appeal letters for insurance plans outside the physician’s networks
Account Receivable & Billing Analyst
Alexandria Associates in Dermatology
Alexandria
03.2011 - 03.2014
- Monitor insurance claims and patient delinquency to obtain reimbursement
- Maintain accounts receivable days at the established ASD goal
- Responsible for monthly review and turnover of aged accounts to outside agencies
- Allocate adjustments and payments to patient accounts
- Review medical billings of test procedures and hospital stays
- Identify inaccuracies of paid claims and resolve reimbursement issues
- Review and correct ICD-9 and diagnosis coding to ensure proper billing for cosmetic and medical services
Reimbursement Analyst
Sparks – Parexel
Centreville
01.2010 - 02.2011
- National liaison between providers and health plans
- Review and research insurance health plans, prescription benefit packages and other contracts
- Responsible for benefit verification to ensure accurate prescription reimbursement from health plans
- Coordinate and communicate with doctors to ensure appropriate submission of prior authorization and appeals for prescription drug coverage to health care plans
- Render exceptional service and meet volume deadlines and timetables
Patient /Financial Account Rep III
INOVA Juniper Program
Springfield
01.2005 - 12.2009
- Allocated expenses and budgets for federal grants
- Allocated all available funds to meet federal funding objectives and qualified applicant's financial needs
- Prepared financial reports to the director of each grant and the amount of grant distributions
- Researched issues/problems with financial reports to guarantee that expenses were allocated correctly
- Made appropriate financial re-classifications and adjustments to account general ledger reports
- Analyzed and audited monthly expense reports
- Reconciled vendor statements researched and corrected discrepancies
- Maintained files and documents in accordance with company policy and accepted accounting practices
Billing Administration Manager
MedStar Health: WHC-PHO
Washington
01.2000 - 12.2004
- Oversaw billing processes, including charge entries, payments, reimbursements, and referrals
- Managed and audited global billing and claims payment of UB92 and HCFA 1500 claims to multiple managed care payers
- Assisted in implementing and maintaining managed care agreements, ensured compliance with state, federal, and insurance regulations
- Calculated, prepared, and issued bills, invoices, account statements, and financial reports according to established procedures
- Responsible for the completion of global audit projects
Education
Business - Healthcare Administration
University of Minnesota
Minneapolis, MN01.2000
Skills
- Client Relationship Development
- Professional Networking
- Claims Collection Management
- Accounts Receivable and Payable Expertise
- Medical Account Auditing
- Proficient in Healthcare Billing Systems
- Skilled in Windows and Office Applications
- Salesforce Application Knowledge
- Clinical Accounting Proficiency
- Project Supervision
- Strategic Problem Resolution
- Strong Interpersonal Skills
- Presentation and communication
- Negotiation and contract management
Accomplishments
- Leader/organizer for Employee satisfaction survey/Career Development
- Implemented a new policy and procedure manual for WHC-PHO
- Increased practice revenue by $1M
- Increased medical device sales for healthcare clients.
- Healthcare Coding
Completed Seminars
- Leadership and Organizational Development
- Advanced Clinical Update: Managing Medical Outcomes
- Manager’s Customer Service Training
- HIPPA Certification
Timeline
Clinical Account Manager
Atlas Medical Solutions
03.2023 - Current
Billing/Coding Manager
Liberty Medical Center
02.2022 - 09.2023
Medical Sales Account Representative
Atlas Medical Solutions
03.2020 - 10.2021
Billing Specialist/Analyst (Team Lead)
RMC
07.2017 - 01.2020
Account Management
GWPSA
04.2014 - 01.2017
Account Receivable & Billing Analyst
Alexandria Associates in Dermatology
03.2011 - 03.2014
Reimbursement Analyst
Sparks – Parexel
01.2010 - 02.2011
Patient /Financial Account Rep III
INOVA Juniper Program
01.2005 - 12.2009
Billing Administration Manager
MedStar Health: WHC-PHO
01.2000 - 12.2004
Business - Healthcare Administration
University of Minnesota
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