AR Medical Billing Team Lead Resume Example
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AR MEDICAL BILLING TEAM LEAD
Professional Summary
AR Medical billing specialist with over 10 years of successful experience in reimbursement and reconciliation of medical supply claims. Recognized consistently for performance excellence and contributions to success in Medical billing DME industry. Strengths in training and managing team members. Billing clean claims and insurance credentialing backed by training and experience in Health Information Management.
Work History
Truteam - AR Medical Billing Team LeadLa Vergne , TN05/2003 - 01/2006
- Developed and executed plans to monitor standard process adherence.
- Identified, researched and resolved billing variances to maintain system accuracy and currency.
- Performed targeted collections on past due accounts aged over 120 days.
- Coordinated with Senior management team in developing project plans for prioritized initiatives.
- Identified and resolved process issues to encourage smoother procedures, more efficient workflow and overall business growth.
- Developed and executed targeted relationship and account development strategy.
- Supervised production planning while using appropriate tools and analysis for smooth production output.
- Determined and recommended methods to address improvement opportunities.
- Created and managed knowledge base to offer staff and customers immediate informational access to products, services and organization.
- Liaised with team leaders to organize and perform 90 day quality standard training for new and existing staff.
- Worked with insurance carries and customers to understand requirements and provide exceptional service.
- Resolved conflicts and negotiated agreements between parties in order to reach win-win solutions to disagreements and clarify misunderstandings.
- Operated with high integrity, built trust, and earned sustained credibility with internal and external clientele.
- Developed team communications and information for training and meetings.
- Utilized talents and expertise to create and implement training material, classes and new strategies for overall team growth.
Artesia General Hospital - AR SpecialistArtesia , NM05/2009 - 09/2013
- Managed efficient cash flow reporting, posted cash receipts and analyzed chargebacks, independently addressing and resolving issues.
- Identified, researched and resolved billing variances to maintain system accuracy and currency.
- Worked with Posting Team Lead and assisted posting to properly apply customer remittances.
- Contacted clients with past due accounts to formulate payment plans and discuss restructuring options.
- Handled high volume of in-bound calls pertaining to reconciliation of delinquent accounts.
- Performed targeted collections on past due accounts aged over 120 days.
- Coordinated with Management team in developing project plans for prioritized initiatives.
- Identified and resolved process issues to encourage smoother procedures, more efficient workflow and overall business growth.
Nations Health - AR Reconciliation Manager City , STATE12/2014 - 06/2015
- Established and maintained productive working relationships with staff to resolve operational difficulties and to promote interdisciplinary, collaborative approach to customer service provision.
- Coordinated with insurance providers to verify customer's policy benefits in relation to Medical supply claims.
- Created documents in accordance with payer guidelines and submitted to appropriate parties.
- Updated personnel handbooks and individual records to keep filed accurate and detailed.
- Assessed financial statements and credit reports to evaluate refund/reimbursement performance, develop targeted improvements and implement changes resulting in improved refund strategy.
- Evaluated production levels, quality standards and maintenance actions to identify and address operational problems and maintain targets.
- Oversaw 30 subordinates to ensure efficiency I'm Refunds, Posting and Insurance verification.
- Conducted training sessions to educate employees on best practices and procedures to increase profitability.
- Utilized talents and expertise to complete on-time and accurate monthly closing processes, journal entries and accruals.
Liberty Medical - Billing SpecialistCity , STATE09/2017 - Current
- Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
- Handled high volume of in-bound calls pertaining to reconciliation of delinquent accounts.
- Performed targeted collections on past due accounts aged over 90 days.
- Identified, researched and resolved billing variances to maintain system accuracy and currency.
- Contacted clients with past due accounts to formulate payment plans and discuss restructuring options.
- Generated and submitted invoices based upon established accounts receivable schedules and terms.
Skills
- Cross-functional team leadership in Billing, Posting and Insurance Verification
- Hiring and onboarding team members
- Medical Billing “clean claim” initiative training
- Six Sigma Yellow Belt
- Medical billing and coding
- Team leadership and coaching and supervision
- Medical supply payment posting to reconcile accounts.
- Experienced in offsets and recoupments from Medicare and private insurance companies.
- Highly proficient in Excel, word, outlook, powerpoint and Brightree.
- Trained new team members in areas such as reimbursement and reconciliation and delivered critical feedback to enhance and improve performance.
- Created training material for future employee onboarding.
Education
05/2004Central HighschoolCityHigh School Diploma
Keiser Career College CityAssociate of Arts: Business Administration And Management
Switches to Indian River State College
Expected in 01/2021IRSC Indian River State CollegeCityAssociate of Arts: Health Information Management
- Continuing education in Health Information, credentialing and management.
- Expected to graduate next year
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Resume Overview
School Attended
- Central Highschool
- Keiser Career College
- IRSC Indian River State College
Job Titles Held:
- AR Medical Billing Team Lead
- AR Specialist
- AR Reconciliation Manager
- Billing Specialist
Degrees
- High School Diploma
Associate of Arts : Business Administration And Management
Associate of Arts : Health Information Management
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