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billing director resume example with 20+ years of experience

Jessica Claire
, , 609 Johnson Ave., 49204, Tulsa, OK 100 Montgomery St. 10th Floor
Home: (555) 432-1000 - Cell: - resumesample@example.com - : - -
Professional Summary

Experienced billing director with over 27 years in the healthcare industry, managed medical billing process for multi-specialty practices including, but not limited to, family practice, internal medicine, urology, radiation oncology, neurology, cardiology and laboratory. Highly respected leader with a unique ability to create relationships across multiple levels, both internal and external, providing patient and client satisfaction. Gifted in building and leading solid teams to handle high-volume operations with consistency, accuracy, accountability, compliance with regulatory requirements, and exceeding MGMA AR benchmarks.

Skills
  • Flexible and Adaptable
  • Self-motivated professional
  • Excellent work ethic
  • Active Listening
  • Conflict Resolution
  • Customer Service
  • Responsible and loyal
  • Decision Making
Work History
10/2016 to Current
Billing Director Halo Branded Solutions New York City, NY,
  • Managed billing operations for busy urology and radiation oncology practice with 10 locations Central New York, consisting of 30 physicians and 15-20 advanced practice providers.
  • Created accountability protocols, and made adjustments to workforce based on performance, in 40-person billing department during first six months, dramatically improved communication, morale and mutual respect within team.
  • Established and enforced internal controls, workflows and policies for tracking, reconciling and reporting on physician services/revenue.
  • Transformed entire billing department's structure from silos to front to back billing in 2018. Cross trained staff in variety of duties to ease burden during staff shortages, which had positive effect on accountability, work quality and employee engagement. This decision was critical to success of organization during pandemic in 2020.
  • Implemented productivity and accuracy auditing process in July 2020, to ensure all remote staff were performing equal to or better than their onsite statistics pre-pandemic, while maintaining 90% or greater accuracy.
  • Initiated partnership with Millennia (formerly Millennia Patient Services) and led implementation for patient collection process.
  • Consistently exceeded MGMA AR benchmarks, 87% current to 59 days old, 13% outstanding over 60 days.
  • Supported controller, chief operating officer, compliance officer, director of administrative services, and physicians with special projects and additional job duties.
  • Personally maintained MEDENT master files weekly for proper billing and clean claim submission. Countless hours spent programming 85 codes, with correct modifier by payer, for telemedicine implementation in 2020.
  • Recruited, interviewed, hired and coached employees. Implemented open door policy to encourage feedback for process improvements and conflict resolution. Continued focus on team morale and individual achievements.
08/2003 to 10/2016
Medical Billing Manager William Demant Holding A/S San Antonio, TX,
  • Managed physician billing department staff of 32 for large family practice/multispecialty group consisting of 34 locations, 99 providers; specialties included cardiology, internal medicine, endocrinology, OB/GYN, ENT, neurology, geriatric medicine, and laboratory.(2009-2012)
  • Responsible for prompt client start-up process for gastroenterology group and endoscopy suite in financial hardship; within 6 months, practice was profitable. Self-taught SPARCS and POOLS reporting for ASC, due to client demand. (Feb 2013- Oct 2016)
  • In September 2013, took over managing billing team for independent laboratory account. Staff needed structure, teamwork and processes streamlined on HealthPac software. Within two months, teamwork and morale/attitude had improved. Software issues were identified throughout seven months of involvement.
  • Chosen by management to initiate medical billing process for two multispecialty and multi-location clients from 2014-2016, in addition to 5 other accounts I was managing. Specialties included gastroenterology, vascular surgery, general surgery, long term care, internal medicine, psychiatry, physical therapy, urgent care, cardiology, neuroscience and clinical laboratory. Managed staff size of 37, servicing 160 providers.
  • Developed rapport with clients and vendors to cultivate loyalty and satisfaction; weekly meetings with clients to discuss billing issues, review account data, and provide revenue cycle support as needed for physicians and practice administration.
  • Assisted with master files set up in MEDENT software for 80 providers during software implementation; managed ongoing updates as needed for accurate billing.
02/1992 to 12/1994
Receptionist Cape Cod Healthcare Inc. Plymouth, MA,
  • Confirmed appointments, communicated with clients and updated pet and owner records.
  • Responded to inquiries from callers seeking information, and handled emergent calls with compassion.
  • Provided clerical support to company by copying, faxing and filing documents.
  • Greeted incoming visitors and clientele professionally and provided friendly, knowledgeable assistance.
  • Kept reception area clean and neat to give visitors positive first impression.
  • Prepped charts and exam rooms, filled prescriptions, and assisted with animal restraint for minor procedures.
  • Balanced receipts and cash daily.
Education
Expected in 05/1990 to to
Bachelor of Science: Psychobiology
Long Island University - Southampton, NY,
GPA:

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Resume Overview

School Attended

  • Long Island University

Job Titles Held:

  • Billing Director
  • Medical Billing Manager
  • Receptionist

Degrees

  • Bachelor of Science

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