• Established, enforced and optimized billing procedures to streamline operations and minimize aging balances.• Motivates staff to achieve the highest levels to meet the organization goals for customer service, operational and financial performance.• Monitors timelines of claims paid/settled, and reviews documentation in appropriate system.• Reviews and tracks trends of the billing process and makes recommendations for problem and issue… Show more • Established, enforced and optimized billing procedures to streamline operations and minimize aging balances.• Motivates staff to achieve the highest levels to meet the organization goals for customer service, operational and financial performance.• Monitors timelines of claims paid/settled, and reviews documentation in appropriate system.• Reviews and tracks trends of the billing process and makes recommendations for problem and issue resolutions based upon colleague findings, reports findings to the Director of Billing.• Evaluates potential new colleagues and make recommendations for hiring.• Assists with the identification of training needs and coordinates with the department trainer to develop and conduct training programs.• Stay updated on Payer updates and changes to policies. Show less

• Managed all aspects of multi-physician medical practice and office operations from physician-employee-patient scheduling, financial accounting activities, billing, insurance, physician contracting with insurance companies-independent physician associations-hospitals, creating/operating budgets, purchasing, marketing, payroll, Implement policy and procedures for practice• Efficiently work with physicians assuring timely and complete communication• Acted as a liaison between the… Show more • Managed all aspects of multi-physician medical practice and office operations from physician-employee-patient scheduling, financial accounting activities, billing, insurance, physician contracting with insurance companies-independent physician associations-hospitals, creating/operating budgets, purchasing, marketing, payroll, Implement policy and procedures for practice• Efficiently work with physicians assuring timely and complete communication• Acted as a liaison between the physician, employee, and patient in a clinical setting and business setting• Implemented and ensured state and corporate regulatory policies and procedures into daily office practices, informing and training staff members (e.g., HIPAA, OSHA,)• Optimized patient/physician /employee scheduling and time to best increase profits and accounts receivables• Managed Daily Close to include overseeing patient demographics, charges, insurance payments, and patient payments• Conducted employee staff meetings and performance evaluations in effort to increase productivity• Implemented and managed employee healthcare benefits and 401K with accountants and financial advisors• Managed payroll system to track employee work hours, trends and scheduling• Medicaid/Medicare experience.• Proficient in QuickBooks, Excel, Word, Power Point, pdf file conversion, CPT, ICD-10 insurance billing Show less

• Follow Up Insurance Claims OB/GYN, Maternal Fetal Medicine, Otolaryngology & Ophthalmology Responsibilities include:• Maintains work assignments, approves leave requests and schedules the workdays for staff as well as approve all payroll• Management of workflow by monitoring the amount and quality of work being performed and distributing responsibilities accordingly• Responsible for understanding and performing all aspects of the billing position; which includes, insurance… Show more • Follow Up Insurance Claims OB/GYN, Maternal Fetal Medicine, Otolaryngology & Ophthalmology Responsibilities include:• Maintains work assignments, approves leave requests and schedules the workdays for staff as well as approve all payroll• Management of workflow by monitoring the amount and quality of work being performed and distributing responsibilities accordingly• Responsible for understanding and performing all aspects of the billing position; which includes, insurance follow-up, collections, refunds, denials, and charge & payment posting• Analyze aged trial balance reports, pending claim reports and other practice management reports to process re-billing of unpaid claims• Reviews all EOB's for denials and irregularities, institutes appropriate actions and reprocess claims• Works with patients and employees regarding financial resources, eligibility for coverage, status and basis of charges, payment requirements, payment plans, collections and related matters by telephone or mail• Research and train staff on new government regulations, payer procedures and guidelines, and physician coding updates• Work with the Medical Present Value staff to ensure that reimbursements match the payer contracts• Attend regular compliance and billing training seminars and assist in cross training of employees• Establish and maintain systems to ensure departments meet financial and operational goalsPatient Accounts Representative II 02/2006 to 02/2007 • Responsible for performing all aspects of the billing process; which includes, insurance follow up, collections, refunds, denials, and charge and payment postings• Evaluates and processes bad debt accounts; performs collection and follow-up activities; refers uncollectible accounts to collection services• Reconciles accounts; adjusts balances to reflect denials, adjustments, payments, and other modifications to balances• Attends regular compliance and billing training seminars. Show less

• Accountable for the total management and operation of a ten person OB/GYN practice• Responsibilities include:• Medical billing including electronic billing, significant and frequent interaction with many insurance companies• Medicare/Medicaid billing and reconciliation of insurance and patient payments• Negotiating HMO contracts with Insurance companies• Precertification of procedures with Insurance companies• Payroll processing including determination of Federal… Show more • Accountable for the total management and operation of a ten person OB/GYN practice• Responsibilities include:• Medical billing including electronic billing, significant and frequent interaction with many insurance companies• Medicare/Medicaid billing and reconciliation of insurance and patient payments• Negotiating HMO contracts with Insurance companies• Precertification of procedures with Insurance companies• Payroll processing including determination of Federal, State and Local taxes• Credentialing of physician with hospitals and insurance companies• Surgery scheduling• Human resource duties including management of employees, discipline, hiring, vacation scheduling, and HIPAA Compliance Officer• Medical Assistant duties including phlebotomy when needed• Medical Manager Software Show less