➢Lead comprehensive operations within the billing department, optimizing efficiency and accuracy across medical coding, claims submissions, payment posting, and accounts receivable follow-up.➢ Serve as the go-to resource and expert for all billing processes, providing invaluable guidance and support to team members to ensure seamless operations.➢Employ advanced analytical skills to meticulously analyze billing and claims data, ensuring precision in claim submissions and swift resolution… Show more ➢Lead comprehensive operations within the billing department, optimizing efficiency and accuracy across medical coding, claims submissions, payment posting, and accounts receivable follow-up.➢ Serve as the go-to resource and expert for all billing processes, providing invaluable guidance and support to team members to ensure seamless operations.➢Employ advanced analytical skills to meticulously analyze billing and claims data, ensuring precision in claim submissions and swift resolution of any discrepancies.➢ Foster strong cross-departmental collaboration, facilitating the collection of essential patient information and streamlining billing processes for enhanced efficiency.➢ Prepare and meticulously review accounts receivable and financial reports, guaranteeing accuracy and compliance with regulatory standards.➢Drive operational excellence through regular audits aimed at enhancing billing and collections efficiency, contributing to sustained financial health.➢Ensure strict adherence to Federal, State, and payer regulations, actively participating in policy development and implementation to maintain compliance standards. Show less

Contract: ➢Specialized in professional billing denials, adept at swiftly identifying and resolving complex issues to optimize revenue flow.➢Proficiently collect and oversee accounts, ensuring accuracy and timeliness in financial transactions to maintain fiscal health.➢Proactively engage with insurance companies, diligently following up to expedite reimbursement and resolve outstanding claims promptly.➢ Skillfully reconcile accounts to uphold financial integrity and compliance… Show more Contract: ➢Specialized in professional billing denials, adept at swiftly identifying and resolving complex issues to optimize revenue flow.➢Proficiently collect and oversee accounts, ensuring accuracy and timeliness in financial transactions to maintain fiscal health.➢Proactively engage with insurance companies, diligently following up to expedite reimbursement and resolve outstanding claims promptly.➢ Skillfully reconcile accounts to uphold financial integrity and compliance standards, mitigating discrepancies and ensuring accuracy.➢ File corrected claims and initiate appeals when necessary, leveraging extensive billing knowledge to maximize reimbursement.➢Conduct thorough follow-up on denials, prioritizing rapid reprocessing and payment resolutions to minimize revenue loss.➢ Spearhead efforts to enhance operational efficiency, optimize reimbursement, and mitigate denials impact through strategic education and reporting initiatives. Show less

➢Answering calls and routing to appropriate team members➢Collecting and entering patient information➢Verifying insurance➢Collecting Copays, deductibles, or cash payments from patients➢creating claims and submission of claims➢Collected up to $10,000 of delinquent account payments in the first quarter of 2021➢Managed delinquent accounts initiating collection procedures as required and worked with customersto establish patient payment plans➢Met and exceeded… Show more ➢Answering calls and routing to appropriate team members➢Collecting and entering patient information➢Verifying insurance➢Collecting Copays, deductibles, or cash payments from patients➢creating claims and submission of claims➢Collected up to $10,000 of delinquent account payments in the first quarter of 2021➢Managed delinquent accounts initiating collection procedures as required and worked with customersto establish patient payment plans➢Met and exceeded daily/weekly productivity requirements according to the Company's policies andprocedures.➢Reviewed correspondence about denied bills and choose the appropriate course of action toresolve issues leading to denial according to the established state-specific guidelines and the Company'spolicies and procedures.➢Analyzed and interpreted accounts/cases regarding charges, payments, and balances according tothe established state-specific guidelines and the Company's policies and procedures.➢Managed bill/claim follow-up by phone, payer website, clearing house, and/or email for aged accountbalances as necessary.➢Updated patient/carrier/employer account files as needed according to the Company's policies andprocedures. Show less

Retrieved faxes from Community Fax Folders➢ Created Templates to start the process of CHC Providers obtaining authorization➢ Ensuring accurate data entry in the Utilization Module➢ Answered inbound Provider Service Calls➢ Assist with requested services/treatments that do not require clinical decision making➢ Handled entry of all notifications of admission, transfers, and changes made to authorizations➢ Assisted with the data entry of requests for home health and durable… Show more Retrieved faxes from Community Fax Folders➢ Created Templates to start the process of CHC Providers obtaining authorization➢ Ensuring accurate data entry in the Utilization Module➢ Answered inbound Provider Service Calls➢ Assist with requested services/treatments that do not require clinical decision making➢ Handled entry of all notifications of admission, transfers, and changes made to authorizations➢ Assisted with the data entry of requests for home health and durable medical equipment.➢ Use of analytical and professional skills on the phone to Assist Providers with any➢ Prepared documents with key information necessary for clinical staff and Medical Directors.➢ Support regulatory timelines and CHC guidelines Show less

➢ HIV Case Registry coordinator – researching, tracking, documenting and reporting HIV Cases➢ Delivery of DOH Case report forms and Monthly Viral Load/CD4 summaries to the DC DOH➢ Develop and Implement Policies and Procedures for Administrative Assistant Research functions➢ Back-up for front desk- Primary clinic responsibility coverage of phones, walk-ins (urgent care)➢ Running clinic for 8 doctors per day and scheduling follow-up appointments➢ Scheduling consults and… Show more ➢ HIV Case Registry coordinator – researching, tracking, documenting and reporting HIV Cases➢ Delivery of DOH Case report forms and Monthly Viral Load/CD4 summaries to the DC DOH➢ Develop and Implement Policies and Procedures for Administrative Assistant Research functions➢ Back-up for front desk- Primary clinic responsibility coverage of phones, walk-ins (urgent care)➢ Running clinic for 8 doctors per day and scheduling follow-up appointments➢ Scheduling consults and scheduling transportation for patients➢ Creating work orders for the Infectious Disease/Research wing➢ Scanning of medical records for Clinic➢ Tracking and posting of Online Infectious Disease On-call schedule for Hospital Show less

(4 years 4 months)➢ Administrative duties (Answering phones, scheduling appointments, maintaining medical records,patient processing, ordering supplies, scanning patient documents into EHR systems)➢ Maintained Accts Payable Documents and accounts➢ Verify Insurance, retrieve authorizations for office visits or surgery procedures➢ Surgery scheduling and posting➢Claim creation, submission and follow-up of Medicare DME➢ Accounts Receivable, Accounts Payable, and payment… Show more (4 years 4 months)➢ Administrative duties (Answering phones, scheduling appointments, maintaining medical records,patient processing, ordering supplies, scanning patient documents into EHR systems)➢ Maintained Accts Payable Documents and accounts➢ Verify Insurance, retrieve authorizations for office visits or surgery procedures➢ Surgery scheduling and posting➢Claim creation, submission and follow-up of Medicare DME➢ Accounts Receivable, Accounts Payable, and payment posting➢ Medical Records clerk - prepared medical records and sent them to request facilities➢ All Back office Duties (rooming patients, vitals, etc.)➢Implemented an efficient organizational system of records, which resulted in fewer lost items andmade for a smoother-running clinic. Show less

➢ Taking vital signs and medical histories performing blood draws, giving injections, performing various diagnostic procedures and ancillary testing (EKG’s, urinalysis, ABI’s, and EAD’s)➢ Administrative duties (Answering of phones, scheduling appointments, maintaining medical records, patient processing, and doctors bookkeeping, computer troubleshooting, sending correspondence from doctor, ordering supplies, opening and distributing mail, preparing insurance checks received for next day… Show more ➢ Taking vital signs and medical histories performing blood draws, giving injections, performing various diagnostic procedures and ancillary testing (EKG’s, urinalysis, ABI’s, and EAD’s)➢ Administrative duties (Answering of phones, scheduling appointments, maintaining medical records, patient processing, and doctors bookkeeping, computer troubleshooting, sending correspondence from doctor, ordering supplies, opening and distributing mail, preparing insurance checks received for next day deposit)➢ Use of QuickBooks for Accounts Payable and Receivable➢ Payment Posting➢ Created referrals per doctor’s orders for patients from family practice to specialist office and imaging facilities and maintaining logs for referrals➢ Implemented and transferred Patient database system from CMEDS to E-Clinical Works➢ Helped implement practices quality assurance and control program and improved patient care/satisfaction➢ Retrieved authorizations from Insurance companies➢ Met with vendors for referrals to their companies Show less