professional with over 15 years in Billing/Operations Management, assertive and
enthusiastic, with extensive knowledge of process optimization and an
unsurpassed worth ethic. A results- oriented business professional with proven
abilities in planning, managing projects, improving efficiency of operations,
team building and detailing project information to determine effective
processes for operations. Adept communicator and analytical thinker with proven
ability to develop and supervise cross-functional teams in fast-paced
Leadership and team building
Billing Manager, 05/2017 to CurrentMedical Billing Management － Wilmington, DE
Expertly planned, coordinated, organized and directed all operations of the agency.
Set-up practice management software for submission of electronic claims
Established HIPAA compliance program
Responsible for receivables, cash collection and revenue reporting
Trained employees on organizational policies and procedures
Implemented an information system for provision of seamless medical billing services
Monitor revenue production by statistically evaluating reports and identify potential issues
Billing Manager, 01/2015 to 04/2017Christiana Spine Center, PA /Christiana Spine Ambulatory Surgery Center － Newark, DE
Complete set up of revenue cycle management process for two practices, professional and institutional billing.
Analyze trends impacting charges, coding collection and accounts receivable and take appropriate action to realign staff and revise policies and procedures.
Prepared and analyze weekly and monthly financial reports.
Auditing procedures to monitor and improve efficiency of billing and collection operations.
Manage/Train/Coach 8 employees for 3 locations.
Responsible for hiring, disciplining, and performance reviews.
Organizing work flows.
Obtaining metrics on staff productivity.
Extensive knowledge of CPT, HCPCS, and ICD-10 Coding reimbursement guidelines.
E/M Compliance Audit program instituted/staff trained and educated on.
Extensive knowledge of prior authorizations, charge capture, CPT/ICD-10 coding and denial management.
Accurately assign ICD 10-CM and/or CPT codes per medical records for Physical Medicine and Rehabilitation, Orthopedic, Diagnostic/Interventional Radiology and Ambulatory Surgery Center.
Complete implementation of EHR/Practice Management System.
AR Supervisor, 03/2013 to 01/2015Regional Medical Management Services Delaware Orthopaedic Specialists － Wilmington, DE
Managed 10 employees for 5 office locations.
Organized work flows.
Ensured timely collection of payments.
Working outstanding AR/denials.
Accurately assign ICD 10-CM and/or CPT codes per medical records for Orthopedic specialty.
Applying accounts receivable.
Monthly payment analysis for payments received against contracted rates.
Generating Monthly reports/meetings.
Generating monthly closes/reconciling reports.
Conducting interviews for new hires.
Increased revenue $500k/month.
Billing Manager/Office Manager, 12/2006 to 09/2012Burke Dermatology － Newark, DE.
Abstracting ICD/CPT coding from medical records for Dermatology.
Applied all accounts receivable.
Collecting on past due accounts and set up payment arrangements.
Generating secondary claims and handled billing issues.