Administer the billing for 5 Orthopaedic surgeons, 1 Nurse practitioner and 4 Physician’s assistants.Maximized reimbursement by ensuring accurate ICD-10 & CPT coding for office visits and surgeries.Assume primary accountability in overseeing the entire facet of medical billing process, such as data entry, claims submissions, follow-up, appeals, check posting and billing for 2 physical therapy groups.Daily financial summary reports, month end reports, procedure analysis & reimbursement reports, payment allocation reports, A/R analysis reports.Resolve claim denials and medical necessity issues, review medical documentation.Provide ongoing training to staff.Credentialing & recredentialing of doctors for insurance companies.Set-up office policies for pre-collection of co-insurance and deductibles for surgeries.Worked from home.Translated management directives into actionable mandates for front-line staff.Guided employees through routine and complex administrative situations with decisive but motivational approach.Boosted revenue, utilizing highly proficient collection methods while adhering to regulatory compliance protocol.Defined and documented office procedures, to provide thorough and comprehensive training for all administrative support staff.Performed billing, collection and reporting functions for Granite Orthopaedics office.Automated office operations, managing client correspondence, payment scheduling, record tracking and data communications.

Maximized reimbursement by ensuring accurate ICD-9, ICD-10 & CPT coding for office visit.Coding all hospital cases.Ensuring proper reimbursement from insurance, medical prior authorization for surgeries, posting checks, daily financial summary reports, month end reports, procedure analysis & reimbursement reports, payment allocation reports, A/R analysis reports.Detailed aging reports with 0% outstanding claims past 30 days and worked with patients on payment plans to get patient aging down.Collections: set-up accounts for collections with our local agency and did follow-up to ensure proper payments.HIPPAResolve claim denials and medical necessity issues, review medical documentation.Provide ongoing training to staff.Credentialing & recredentialing of doctor for Insurance companies.Worked with county auditor in the bad check program for reimbursement and set-up medical liens.Set-up office policies for pre-collection of co-insurance and deductibles for surgeries.Designed excel spreadsheets for check-in/check-out and all paperwork for front office patient information.Worked from home.Performed billing, collection and reporting functions for Yavapai Orthopaedics office generating over $1,000,000 annually.Evaluated and identified ineffective workflow processes, implements solutions to improve productivity and personnel performance.Distributed company correspondence, including memos and updates to reinforce and apprise departments and divisions of corporate objectives and developments.Managed daily operations within Yavapai Orthopaedic office by supporting continuous delivery of excellent services and care.Oversaw training and daily performance of staff.

Maximized reimbursement by ensuring accurate ICD-9 & CPT coding for both office & hospital, posting checks, daily financial summary reports, month end reports, procedure analysis & reimbursement reports, Payment allocation report, A/R analysis reports.Detailed aging reports with 0% of outstanding claims past 60 days, collections: set-up account for collections with our local agency and did follow-up to ensure proper payments, ordering medical supplies, HIPPA, resolve claim denials and medical necessity issues.Review medical documentation, provided ongoing training to staff and implemented office/billing software and trained entire staff.Power Point presentations for Orthopaedic lectures for Celebrex, Bextra & Vioxx.Medical transcription.Designed Access programs for x-ray records.Answering phones, and helping patients with medical questions.Credentialing & recredentialing of doctor for Insurance companies.Performed billing, collection and reporting functions for Coshocton Orthopaedic office generating over $900,000 annually.