Billing/Collections Supervisor Resume Example Company Name

BILLING/COLLECTIONS SUPERVISOR

Professional Summary

Detail-oriented and patient focused Enrollment/Billing Representative offering over 15 years' experience in related roles. Exceptional abilities in billing and claims accuracy, problem-solving and prioritizing simultaneous tasks. Leverages resourcefulness, critical thinking skills and superior work ethic for top job performance.

Core Qualifications

Accounts Receivable Management
Counseling, care for patients and, social services resource
Complex problem resolution, Troubleshooting

Ability to Communicate Effectively , Oral and in Writing
Intermediate Excel, Word and, Outlook
Detail oriented and strong organizational skills

Experience

Company NameJuly 2001 to November 2013Billing/Collections Supervisor
City, State

Communication, collaboration and Customer Service functions: communicate, clarify and train organizational changes and updates.
Work with Managed care team,providers, vendors, clients, and patients to resolve complex insurance reimbursement issues including contract, pricing, coding and product.
Routinely reviewed and updated departmental policies, procedures and programs.
Designated departmental subject matter expert. Member of Accredo Presidential Committee of Excellence.
Project leader assigned to train the reimbursement team to assist with pharmacy scheduling of Medco specialty patients.
Department Liaison to IT and UAT team for reimbursement system updates and conversions.
Work stream functions: Work with peers and other departments to improve efficiency; develop processes to improve quality and customer service.
As designated department SME worked with Directors, training department and QA to review, update and implement SOP changes as needed.
Member of project team assigned to align SOP of 3 divisions, assisted with training and on-boarding of back office team.
Finance functions: Analyzed multi million dollar AR, recommended and implemented strategies to meet or exceed departmental goals.
HR functions: staff of 25 ; performance, disciplinary, payroll and career planning management. Departmental Liaison for Workday/Taleo on boarding team. Expert understanding of Kronos payroll system. Utilized monthly team and individual meetings to build moral, solicit feedback and communicate new directives.
Managed various patient assistance programs that allowed patients to start or continue therapy.

Company NameDecember 1999 to June 2001Billing Analyst
City, State

Analyzed, researched and compiled utilization data for internal and external client reporting.
Completed monthly QA audits and provided feedback via trend reporting.
Identified process improvements in the day-to-day functioning of the department.
Closely collaborated with management teams to develop process and policy improvements.
Responsible for training and development of staff.
Interpreted and communicated new or revised contract, State Medicaid, Medicare and CMS policies to staff.
Facilitated an on-going assessment of patient/family needs for patients participating in an internal assistance program.

Company NameOctober 1997 to November 1999Patient Billing Representative
City, State

Verified patient insurance benefits to insure payment prior to dispensing.
Obtained prior authorizations, coordinated with physicians, payers and members of the clinical care department.
Negotiated payment plans with patients.
Solicited payers to include our organization in their network via contract or, agree to a negotiated rate agreement.
Completed HCFA-1500, universal claim forms or special reimbursement forms for submission to payers.
Processed claims electronically through appropriate clearinghouse.
Reviewed explanation of benefits and payment vouchers, compared them to verified benefits and calculated to determine that correct payment was received and posted correctly.
Submitted claims to secondary payers for coordination of benefits.
Followed up with payer when payments did not match benefits or were not received timely.
Reviewed contract documents to verify billing compliance.
Wrote and submitted payment appeals.
Negotiate payment settlements to close out delinquent accounts.
Completed quarterly review of accounts to identify and resolve outstanding A/R.

Continuing Education

Southwest Tennessee Community College 2018CE Certificate: CBCS Medical Billing and Coding City, State

Coursera: University of California2015CE Specialization Certificate: Project Management Principles and Practices City, State

Coursera -Macquarie UniversityCE Specialization Certificate: Excel Skills for Business SpecializationCity, AulstraliaIn process

Certifications

Certified Pharmacy Technician (CPhT) 2001-Present

Education

Nazareth College of Rochester1982Bachelor of Arts: Social Sciences and Business Administration City, State

Malcolm X Shabazz HS1977High School DiplomaCity, State

Resume Overview

School Attended

Southwest Tennessee Community College
Coursera: University of California
Coursera -Macquarie University
Nazareth College of Rochester
Malcolm X Shabazz HS

Job Titles Held:

Billing/Collections Supervisor
Billing Analyst
Patient Billing Representative

Degrees

CE Certificate : CBCS Medical Billing and Coding
CE Specialization Certificate : Project Management Principles and Practices
CE Specialization Certificate : Excel Skills for Business Specialization
Bachelor of Arts : Social Sciences and Business Administration
High School Diploma

Billing/Collections Supervisor Resume Example

Resume Score: 80%

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