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billing specialist independent contractor resume example with 14+ years of experience

Jessica Claire
  • , , 609 Johnson Ave., 49204, Tulsa, OK 100 Montgomery St. 10th Floor
  • H: (555) 432-1000
  • C:
  • resumesample@example.com
  • Date of Birth:
  • India:
  • :
  • single:
  • :
Professional Summary

Encouraging Revenue Cycle Leader and analytical problem-solver with talents for team building, leading and motivating, as well as excellent customer relations aptitude and relationship-building skills. Proficient in using independent decision-making skills and sound judgment to positively impact company success. Dedicated to applying training, monitoring and morale-building abilities to enhance employee engagement and boost performance.

Skills
  • Staff Management
  • Training and Development
  • Policy and procedure modification
  • Workflow planning
  • Hospital and Physician Financial and Patient accounting Systems, such as Epic, Meditech, and Invison
  • Employee Training Oversight
  • Team Building Leadership
  • Relationship Building
  • Collections Actions
  • Customer Service Management
  • Policy Development and Enforcement
Work History
Billing Specialist (Independent Contractor), 06/2021 - Current
Massachusetts General Hospital Braintree, MA,
  • Processes and adjusts professional and facility claims including, but not limited to, transplant, special handle, negotiations, and MSO according to claims processing guidelines. Maintains confidentiality rules in compliance with HIPPA guidelines.
  • Pends claims as directed by departmental policies and procedures; follows up for resolution and processes pended claims immediately following benefit / payment determination.
  • Researches claims and adjustments; effectively gathers documentation needed to process claims and adjustments. Examines information including, but not limited to, authorizations, benefits, payments and denials.
  • Works claims inventory from assigned queues to ensure all claims are processed within established turnaround time as directed by department policies and procedures. Consistently meets /exceeds productivity standards and accuracy standards for payment, procedural and financial.
  • Performs follow-up and takes necessary actions required to resolve errors and findings assessed by Quality Review Team.
  • Identifies and reviews systematic or procedural problems with Supervisor for timely follow-up and correction.
  • Completes reports / special projects to ensure prompt payment of claims.
Patient Financial Services Supervisor, 01/2017 - 10/2020
East Carolina University Greenville, NC,
  • Supervises, directly or indirectly, 20+ employees assigned, and acts as resource for assigned employees and other staff within and outside of department. Addresses performance, productivity and behavioral related issues with staff, and provides action and results to Director.
  • Established and updated work schedules to account for changing staff levels and expected workloads.
  • Led process improvement and problem-solving efforts to create standard procedures and escalation policy for customer support team.
  • Coached employees through day-to-day work and complex problems.
  • Actively supported service associates by quickly responding to questions via phone and email and finding appropriate solutions to customer issues.
  • Assessed personnel performance and implemented incentives and team-building events to boost morale.
Patient Access Manager, 06/2014 - 07/2016
Massachusetts General Hospital Brookline, MA,
  • Observed all facility rules and regulations regarding patient data to promote confidentiality and integrity.
  • Trained and mentored new employees in registration department, answered questions and provided insight on patient services.
  • Developed highly effective communication, interpersonal and active listening skills, which were used for interacting with people of all different backgrounds and cultures.
  • Improved productivity and teamwork by initiating systems for accountability and development of monthly scorecards(Productivity, POS, (Time & Attendance)
  • Created Team Leader positions for support and growth opportunities allowing for Leadership development tract for Registration department
  • Controlled departmental expenses through accurate staff planning, limiting overtime, waste reduction.
  • Identified and implemented methods to improve service to patients and promote excellence customer service. Increased cash collections by 20%
Patient Financial Services Supervisor, 11/2006 - 11/2013
St. Vincent's Hospital Medical Center City, STATE,
  • Managed and Supervised daily functions of 25 PFS representatives
  • Administered, directed and coordinated activities of Patient Financial Services department
  • Coordinated collections from all government and non-government payers
  • Provided thorough supervision for day-to-day operations of all PFS collectors
  • Review daily, weekly and monthly key metrics to identify trends or areas of focus.
  • Participated in design, implementation, and management of process improvements to improve revenue cycle performance of Ambulatory Billing System
  • Monitored insurance claims by running appropriate reports and contacting insurance companies to resolve claims that are not paid in timely manner
  • Decreased error rate by identifying coding or billing problems to ensure clean claims
  • Conducted training for new employees and perform quality assurance audits on weekly basis
Education
Doctorate of Dental Surgery: , Expected in 2011
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Ajman University - Ajman, UAE,
GPA:
Status -
High School Diploma: , Expected in 2006
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Bloomington High School North - Bloomington, IN
GPA:
Status -

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Resume Overview

School Attended

  • Ajman University
  • Bloomington High School North

Job Titles Held:

  • Billing Specialist (Independent Contractor)
  • Patient Financial Services Supervisor
  • Patient Access Manager
  • Patient Financial Services Supervisor

Degrees

  • Doctorate of Dental Surgery
  • High School Diploma

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