Theresa DeMaria
Holbrook
Summary
Medical billing professional with strong track record in managing billing operations, ensuring compliance, and optimizing revenue cycles. Adept at team collaboration, driving process improvements, and fostering reliable, adaptable work environment. Expertise in coding systems, claim processing, and resolving billing discrepancies. Known for results-driven approach and effective problem-solving skills.
Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
30
30
years of professional experience
Work History
Medical Billing Manager
We Care Physical Therapy
04.2003 - 03.2020
- Assisted in processing medical billing claims to ensure accurate submissions.
- Collaborated with healthcare providers to resolve billing discrepancies and improve accuracy.
- Maintained up-to-date knowledge of insurance policies and regulations affecting billing processes.
- Participated in training sessions on industry best practices for medical billing procedures.
- Engaged with patients to explain billing statements and address inquiries effectively.
- Reviewed billing problems, researched issues, and resolved concerns.
- Worked with customers to develop payment plans and bring accounts current.
- Increased patient satisfaction by addressing billing inquiries promptly and professionally.
- Developed strong relationships with insurance companies through effective communication and negotiation skills, enhancing payment turnaround times.
- Managed a team of dedicated medical billers, focusing on professional development opportunities and maintaining a positive work environment conducive to high levels of productivity.
- Streamlined claim appeals process by creating clear documentation guidelines and templates for staff use.
- Trained team members on best practices in medical billing, ensuring consistent high-quality work across the department.
- Developed policies and procedures for the medical billing department, establishing a strong foundation that supported growth and operational success within the organization.
- Optimized cash flow by regularly reviewing aging account balances and implementing tactics for timely collections from patients or insurers.
- Managed monthly billing process to complete billings and returns to meet company revenue recognition policies.
Medical Billing Manager
First Choice Medical Care
11.1989 - 05.2019
- Facilitated cross-departmental collaboration between clinical teams as well as finance and administrative staff to ensure seamless integration of billing-related tasks into daily workflows.
- Trained and mentored staff on procedures, compliance requirements, and collections techniques.
- Assisted in processing medical billing claims to ensure accurate submissions.
- Evaluated and negotiated contracts to procure favorable financial terms.
- Maintained up-to-date knowledge of insurance policies and regulations affecting billing processes.
- Collaborated with healthcare providers to resolve billing discrepancies and improve accuracy.
- Documented patient accounts and tracked outstanding balances for timely follow-up.
- Engaged with patients to explain billing statements and address inquiries effectively.
- Reviewed billing problems, researched issues, and resolved concerns.
- Managed a team of dedicated medical billers, focusing on professional development opportunities and maintaining a positive work environment conducive to high levels of productivity.
Education
No Degree - Medical Assisting And Office Procedures
Mandel School For Medical Assisting
Hempstead, NY06-1972
Skills
- Claims processing proficiency
- Effective communication
- Patient confidentiality practices
- Team leadership qualities
- Staff training and development
- Continuous improvement mindset
- Accounts receivable management
- Revenue cycle management
- Conflict resolution strategies
- CPT coding
- Denial management strategies
- Payment posting
- ICD-10
- Collections process handling
- Healthcare reimbursement principles
- Claims processing
- Collections experience
- Training and mentoring
- Insurance verification
- Collections
- Invoice processing
- Staff training
- Customer service
- Problem-solving
- Attention to detail
- Problem-solving abilities
- Multitasking
- Excellent communication
- Organizational skills
- Decision-making
- Recruitment and hiring
- Medicare and regulations
Timeline
Medical Billing Manager
We Care Physical Therapy
04.2003 - 03.2020
Medical Billing Manager
First Choice Medical Care
11.1989 - 05.2019
No Degree - Medical Assisting And Office Procedures
Mandel School For Medical Assisting
Similar Profiles
Alissa DaviesAlissa Davies
Clinic Director at We Care Physical TherapyClinic Director at We Care Physical Therapy
Sthefania Cardenas GonzalezSthefania Cardenas Gonzalez
Front Desk Receptionist at Therapy Care Physical TherapyFront Desk Receptionist at Therapy Care Physical Therapy
Ravina JadhavRavina Jadhav
Assistant Administrator at Therapy care Physical TherapyAssistant Administrator at Therapy care Physical Therapy
Sherretta WilliamsSherretta Williams
Medical Massage Therapist at Village Chiropractic Center and Medical Massage RxMedical Massage Therapist at Village Chiropractic Center and Medical Massage Rx
Rachael MiltonRachael Milton
Nurse Supervisor – Cardiothoracic ICU/CTICR at Stony Brook University HospitalNurse Supervisor – Cardiothoracic ICU/CTICR at Stony Brook University Hospital