Medical Billing and Collection Executive Feb 2024 – Present– Team Leadership: Supervise, mentor, and manage billing and collection staff, including setting performance goals, providing training, and conducting performance evaluations.– Process Oversight: Implement best practices and standard operating procedures.– Quality Assurance: Conduct audits and address any discrepancies or errors.– Reporting and Analysis: Prepare and analyze reports on billing and collection performance, including aging reports, accounts receivable, and collection rates. Use data to identify trends, areas for improvement, and make strategic recommendations.– Conflict Resolution: Address and resolve complex billing and collection issues or disputes escalated by staff.– Compliance Management: Ensure all billing and collection practices adhere to legal and regulatory requirements, such as HIPAA, and stay updated on changes in relevant laws and standards.– Insurance Collaboration: Manage relationships with insurance companies and other payers. Resolve issues related to claim denials, underpayments, or disputes, and negotiate terms when necessary.– Customer Service Oversight: Address escalated patient and client concerns with professionalism and empathy.– Strategic Planning: Collaborate with management to develop and implement strategies for improving billing and collection operations. Contribute to long-term planning and goal setting.

AR Team Lead Feb 2023 – Jan 2024– Team Leadership and Management: Supervise and manage the AR team, including assigning tasks, setting performance goals, providing training, and conducting performance reviews. Foster a collaborative and productive work environment.– Accounts Receivable Oversight: Oversee the management of patient and insurance accounts, ensuring accurate and timely billing and collection of payments.– Claims Management: Monitor and manage the processing of insurance claims, including submission, follow-up, and resolution of denials and rejections.– Payment Collection: Implement and manage strategies for collecting outstanding payments from patients and insurance companies.– Aging and Reconciliation: Reconcile AR accounts to ensure accuracy and resolve any discrepancies– Reporting and Analysis: Prepare and analyze AR reports, including aging reports, collection metrics, and financial summaries.– Customer Service: Address and resolve patient and payer inquiries or complaints related to billing and payments.

Biller and Collector Jun 2020 – Feb 2023– Insurance Verification and Eligibility: Verify patient insurance coverage and benefits prior to services being rendered. Confirm eligibility, coverage limits, and patient responsibilities to avoid billing errors and ensure accurate claim submissions.– Reconciliation: Reconcile billing, billed amounts and resolve any issues that arise.– Follow-Up and Denial Management: Monitor and follow up on unpaid or denied claims. Investigate and address the reasons for claim denials or rejections, resubmit corrected claims, and work with insurance companies to resolve payment issues and ensure proper reimbursement.