Motivated manager and coordinator with Bachelor of Science in Electrical Engineering seeking entry-level position in automotive.
Highly successful billing and office manager proficient at executing financial administration, reporting, and scheduling functions. Strong detailed organizationl, written and interpersonal communication abilities with expertise in directing teams of professionals in high-volume settings.
Excellent attention to detail and organization
Experience using Microsoft Word, Excel, Publisher, Outlook
Proven track record with over 20 years of practice management and billing experience
Hands-on experience with group practice & individual provider credentialing, contracting and EDI enrollmen
Astute with all versions of Lytec Medical, PC-ACE, BCBS internet claims tool, Ability and Navinet billing systems
Responsible for all billing functions from intake of patient to discharge and account paid out.
Daily charge entry, submission and reimbursement of ~1K claims per month generating ~$1M in annual revenue.
Process patient statements and manage collection of accounts.
Resolve claim rejection issues, appeal denied claims, answer patient account inquiries.
Manage records requests from subpoenas, attorneys, insurances and patients.
Manage documentation between therapists and physicians.
Implements agreements with Payer Networks. Responsible for quarterly and annual re-certifications and upgrades.
Develop and customize Excel spreadsheets and reports to track A/R, aging, referrals and authorizations.
Implemented EDI processes decreasing payer cycle from an average of 45 days down to 7 to 14 days.
Converted practice from paper-based documentation to electronic medical records (EMR) system.
Install, manage and maintain computer software/hardware. Monitor network security and data backups.
Maintain office supplies.
Training and oversight of front office staff with scheduling, insurance eligibility, and scanning and attaching documents to the electronic medical records system.
Responsible for scheduling, insurance verification and communication between therapists, patients, and billing office.
Managed patient retention.
Maintained and managed all medical records.
Transcribed medical records and communication documents between therapist and physician.
Answered calls from ~1K accounts such as physicians offices and physicians on-call for emergencies, service repair, law offices, executives, celebrities homes, etc.
Managed communication of messages.
Followed instructions regarding when to contact and relay messages.
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