Associate Director Of Revenue And Compliance Operations
Current• Managed a team comprising of billing, authorization, and coding specialists to guarantee the accurate coding of medical procedures and diagnoses. Ensured timely submission of insurance claims for optimal reimbursement.• Took part in a compliance committee as the Head of Compliance - that carried out monthly audits of medical records and claims to establish rigorously enforced medical practices that comply with federal and state practice act laws, as well as standardizing billing practices compliant with insurance carrier policies.• Monitored and scrutinized revenue trends, pinpointed discrepancies, and instituted improvement strategies. Produced periodic financial reports, which were presented to the executive team.• Monitored the status of insurance claims and addressed denials or rejections without delay. Followed up systematically on outstanding claims and appeals.• Supervised the patient billing process, including issuing statements and payment plans. Attended to patient queries concerning billing and assisted in resolving billing disputes ad escalations.• Maintained a current understanding of healthcare regulations, insurance policies, and coding guidelines, ensuring compliance with all relevant laws and regulations concerning the clinic's billing practices.• Worked with the clinic's leadership team to craft and execute revenue enhancement strategies. Identified opportunities to optimize revenue streams and minimize operational costs.• Provided training and guidance to staff on billing and coding best practices, creating a culture of ongoing learning and professional development within the revenue cycle team.