Dedicated Project Manager successful at work flow planning and staff retention strategies. Boosts productivity through innovative management and mentorship. Keen to apply new and emerging project organization techniques to increase overall performance.
Skills
Systems implementation
Performance improvements
Staff training and mentoring
Data review
Processes and procedures
Client relations
Project management
Staff training and motivation
Education and Training
Heald College Salinas, CA, Expected in 06/1999 ā āAssociate of Arts:Business Administration And Management - GPA:
Experience
Pmg Digital Agency - Billing Project Manager Austin, TX, 06/2018 - Current
Defined project plans and timelines, managed workflow and personnel and achieved completion deadlines on or before schedule.
Managed benefit contract pricing, processing, policies and procedures.
Added modifiers, coded narrative diagnosis and verified diagnoses.
Oversaw day-to-day operations of billing department, including medical coding, charge entry, claims and rejections for 8 urgentcare clinics.
Applied HIPAA Privacy and Security Regulations while handling patient information.
Flagged return claims and dealt with insufficient payments.
Reviewed all claims for accurateness and appropriateness.
Effectively coordinated all communications between patients, billing personnel and insurance carriers.
Investigated denials and collaborated with internal team members and third-party representatives to identify solutions.
Maintained accurate and timely charge submissions utilizing electronic charge capture practices, including billing and account receivables (BAR) system and medical billing clearinghouse accounts.
Gathered timesheets to prepare weekly payroll data for processing by payroll coordinator.
Calculated accurate wages, including overtime, salary increases and bonuses.
Managed weekly payroll duties and submitted data to accounting department.
Identified, researched and resolved issues with hours worked.
Efficiently handled any payroll discrepancies with employees.
Analyzed invoice and expense reports, identified variances and researched issues to correct problems and maintain financial compliance.
Reconciled monthly statements and transactions to keep records accurate and current.
Reviewed all invoices for accuracy, subsequently resolving various issues.
Toyoda Gosei North America Corporation - Billings and Collections Supervisor Lebanon, KY, 06/2015 - 06/2018
Fulfilled client requests in accordance with established processes and procedures, providing necessary updates and resolution.
Monitored overdue accounts using computers and automated systems.
Managed lead collection improvement process projects to maximize efforts.
Mentored collection team on successful tactics to increase workflow and productivity.
Modeled credit and collection matter protocols for team to increase performance.
Produced weekly and monthly performance measurement reporting for collection teams.
Attended training in topics such as credit management and civil court practices to maintain up-to-date knowledge.
Translated risk and control processes into day-to-day responsibilities and delegated tasks to collections team.
Identified high priority situations and took appropriate escalation actions to resolve issues.
Archway Marketing - AR Specialist Chicago, IL, 06/2009 - 06/2015
Processed weekly invoicing, including posting and reconciling payments and addressing all aged receivables.
Increased efficiency and reduced expenses by implementing improved accounting procedures.
Oversaw daily collections and accounts receivable activities, developing robust strategies to maximize collections and reduce aged accounts.
Worked closely with delinquent account holders to collect and reconcile accounts through approved channels.
Accepted and processed customer payments and applied toward account balances.
Analyzed loss reports and reviewed with senior management to measure overall portfolio performance.
Investigated billing discrepancies and implemented effective solutions to resolve concerns and prevent future problems.
Methodically resolved active claims by analyzing possible discount violations, PODs, shortages, returns and related advertising.
Worked closely with team members to deliver project requirements, develop solutions and meet deadlines.
Prepared weekly accounts receivable aging report and presented results at meeting to update files and assess impact on financial operations.
Answered inbound calls to provide information, answer questions or discuss payment options.
Posted customer payments by recording cash, checks and credit card transactions.
Maintained current understanding of state and federal accounting procedures to prevent any legal or compliance issues.
Sent copies of invoices and statements to customers to facilitate payment of outstanding invoices.
Reached out to vendors and customers in order to resolve account problems.
Researched customer billing issues and resolved problems to facilitate receipt of overdue monies and promote good customer relationships.
Pinnacle Healthcare - Billing Specialist City, STATE, 06/2007 - 06/2009
Liaised with patients, insurance companies and billing office personnel to effectively create and post bills, obtain payments and update system information.
Contacted insurance providers to verify correct insurance information and obtain authorization for proper billing codes.
Posted multispecialty charges for all providers across our facilities daily.
Loaded billing data into systems through data import, scanning or manual keying, to verify complete and accurate client invoices from vendors.
Expertly assigned charges and payments for medical procedures.
Reviewed medical records to meet insurance company requirements.
Sought clarification from physicians and other urgent care personnel for answers to any needed coding interpretations prior to abstracting records.
Filed and submitted insurance claims.
Reviewed account information to confirm patient and insurance information is accurate and complete.
Performed with precision by entering data accurately and researching to resolve questions.
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