Usha D Britton
84-25 Chapin Parkway,NY
Summary
Dynamic Medical Biller Manager with a proven track record at Bayside Dentistry, enhancing billing accuracy and compliance. Expert in insurance claims processing and customer service, I implemented process improvements that boosted departmental productivity and reduced denial rates. Adept at training staff and fostering positive patient relationships, ensuring exceptional service delivery.
Overview
27
27
years of professional experience
1
1
Certification
Work History
Medical Biller Manager
Bayside Dentistry
New York, NY
01.2020 - Current
- Managed billing processes for dental services, ensuring accuracy and compliance with insurance regulations.
- Oversaw claim submissions to insurance providers, reducing denial rates through thorough documentation review.
- Trained new staff on billing procedures and software usage, enhancing team efficiency and performance.
- Implemented process improvements that streamlined billing workflows, increasing overall productivity in the department.
- Collaborated with dental staff to gather necessary patient information, improving data accuracy for billing purposes.
- Resolved patient inquiries regarding billing statements, fostering positive relationships and enhancing customer satisfaction.
- Conducted regular audits of billing records to identify discrepancies and ensure timely resolution of claims issues.
- Verified patient information and insurance eligibility to minimize claim denials.
- Maintained accurate patient billing records and resolved discrepancies promptly.
- Collaborated with dental team to streamline billing processes and improve cash flow.
- Processed insurance claims efficiently to ensure timely reimbursement for services rendered.
- Assisted patients in understanding insurance benefits, leading to a positive experience during their visit.
- Reviewed patient records, identified medical codes, and created invoices for billing purposes.
- Reviewed patient diagnosis codes to verify accuracy and completeness.
- Streamlined billing processes by implementing efficient procedures to improve accuracy and reduce errors.
- Negotiated with insurance providers to resolve payment disputes, ensuring fair compensation for services rendered.
- Achieved departmental goals by developing and executing strategic plans and performance metrics.
Medical Manager
Emmet Dental/ Jamaica Dental Specialties
Jamaica, NY
01.2015 - 01.2020
- Developed and implemented operational protocols to enhance dental practice efficiency.
- Led training programs for staff on new dental technologies and patient care practices.
- Streamlined patient scheduling process, reducing wait times and improving service delivery.
- Collaborated with cross-functional teams to improve clinical workflows and patient outcomes.
Medical Biller and Coder
Oral & Maxillofacial Surgical
Bayside
01.2012 - 01.2013
- Processed insurance claims accurately to ensure timely reimbursements for surgical procedures.
- Reviewed patient records and procedure codes to maintain compliance with healthcare regulations.
- Collaborated with clinical staff to resolve billing discrepancies and enhance patient satisfaction.
- Trained junior billers on coding updates and best practices for efficiency in workflows.
- Implemented electronic health record systems to streamline data entry and billing processes.
Office Manager
Michael Klein D.D.S
New York, NY
01.2008 - 01.2011
- Streamlined office operations to enhance workflow efficiency and reduce delays.
- Managed scheduling and coordinated meetings for executive leadership team.
- Handled employee payroll & schedule
- Data entry/ faxing,filing, order supplies
- Sterilized instrument with light instruments.
- Trained and mentored junior administrative staff on office procedures and best practices.
Accounts Payable
G.I Dental
Queens Village, NY
01.2006 - 01.2008
- Optimized payment processes, leading to timely and efficient accounts payable cycle.
- Balanced accounts associated with accounts payable process.
- Coordinated with insurance companies to resolve claim denials, improving collection rates significantly.
- Processed medical claims using advanced billing software, ensuring accuracy and compliance with regulations.
- Worked closely with physicians to accurately assign ICD-10 diagnostic codes for optimal reimbursement rates from insurance companies.
- Reduced claim denials through meticulous verification of patient eligibility and coverage benefits prior to claim submission.
- Implemented training sessions for new staff on billing software and procedures.
Medical Biller /Workers' Compensation Claims Adjuster
J.S Medical
Bayside, NY
01.2001 - 01.2006
- Processed and submitted medical claims for timely reimbursement.
- Reviewed patient accounts for accuracy and completeness before billing.
- Analyzed billing errors to implement corrective actions, enhancing efficiency.
- Verified insurance of patients to determine eligibility.
- Communicated with insurance providers to resolve denied claims and resubmitted.
- Managed complex accounts receivable issues, ensuring resolution and compliance.
- Collected payments and applied to patient accounts.
- Reduced claim denials by meticulously reviewing patient insurance information and coding practices.
- Enhanced revenue collections for the medical practice with diligent follow-ups on unpaid claims.
Customer Service Representative
H&R Block Billing
New York, NY
01.1999 - 01.2000
- Resolved customer inquiries regarding billing and tax preparation solutions.
- Provided guidance on H&R Block services, enhancing customer satisfaction and retention.
- Utilized CRM systems to track customer interactions and streamline service delivery.
- Trained new representatives on company policies and effective customer engagement strategies.
- Developed best practices for handling complex billing issues, improving resolution rates.
Education
Graduate Certificate -
Calibar Training Institute
New York, NY12-2000
Graduate Certificate -
H&R Block Preperation Course
New York, NY01-2000
Skills
- Insurance claims
- Medical billing
- Insurance billing
- Electronic claims
- Insurance verification
- HIPAA compliance
- Patient billing
- Billing and collection procedures
- CPT knowledge
- Customer service
- Accounts receivable
- Insurance claims processing
Accomplishments
Reduced aged accounts receivable from 25% to 10% within 6 months.
Increased clean claims from 85% to 95%.
Negotiated with insurance companies to overturn denials, increasing revenue.
Certification
- Medical Biller Training - [Timeframe]
Languages
English
Full Professional
Timeline
Medical Biller Manager
Bayside Dentistry
01.2020 - Current
Medical Manager
Emmet Dental/ Jamaica Dental Specialties
01.2015 - 01.2020
Medical Biller and Coder
Oral & Maxillofacial Surgical
01.2012 - 01.2013
Office Manager
Michael Klein D.D.S
01.2008 - 01.2011
Accounts Payable
G.I Dental
01.2006 - 01.2008
Medical Biller /Workers' Compensation Claims Adjuster
J.S Medical
01.2001 - 01.2006
Customer Service Representative
H&R Block Billing
01.1999 - 01.2000
Graduate Certificate -
Calibar Training Institute
Graduate Certificate -
H&R Block Preperation Course