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Billing Support Analyst, Team Lead Resume Example

Resume Score: 80%

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BILLING SUPPORT ANALYST, TEAM LEAD
Summary
Billing Support Analyst Accomplished healthcare professional with over 20 years' experience, more than 10 years dedicated to diverse Leadership, Training, and Management. Significant accomplishments in improving patient quality care, EMR implementation, and coaching medical staff on healthcare business and practices. A self-motivated professional with excellent communication, interpersonal and problem solving skills that builds consensus and promotes teamwork. Selected Achievements Implementation of Systems RCx Charge Entry Billing System Epic Healthcare Systems Project Share Point Systems Project Centricity GM Systems IDX EMR Healthcare System Mysis EMR Healthcare system Conversion of Nextgen Surgery Scheduling Systems Project
Skills
  • Team Leadership
  • Staff Development & Training
  • Policy & Procedure
  • Patient Account Overview
  • Database Creation
  • Integrated Healthcare Systems
  • Onboarding Implementation
  • Appeals
  • Referral and Authorization
  • Billing, Policies
  • Blood pressure, Processes
  • Book, Coding
  • Business plans, Protocols
  • Oral, Quality assurance
  • CPT, Quality Improvement
  • Data collection, QA
  • Database Creation, Radiology
  • Diagnosis, Receptionist
  • Direction, Recording
  • EKG's, Recruitment
  • EKG, Reporting
  • Staff Development & Training, Research
  • Financial reports, Safety
  • Functional, Scheduling
  • Immunizations, Statistical analysis
  • Injections, Strategic
  • Insurance, Trainer
  • Inventory, X-ray
  • Lab Testing
  • Team Leadership
  • Meetings
  • Mentor
  • Office
  • Nursing
  • Operations Management
  • Patient care
  • Prepare patient
  • Patient preparation
  • Philosophy
  • Phlebotomy
Experience
NORTHSIDE HOSPITAL | Atlanta, GABilling Support Analyst, Team Lead05/2015 - Current
  • Promoted to leadership position in recognition of strong work ethic and demonstrated ability to provide exceptional customer service.
  • Assessed, motivated, trained and empowered team members to perform in manner that builds customer satisfaction, collaboration and loyalty, leading to retention, growth, productivity and efficiency.
  • Developed and implemented policies, procedures and process improvement initiatives to improve retention rates and increase customer satisfaction.
  • Documented daily production levels, materials use and special incidents to keep management informed of all activities.
  • Addressed employee and production issues to determine and implement optimal resolutions, preventing wasted resources and maintaining schedules.
  • Maintained composure and level-headed mentality during challenging situations to best resolve situations and serve business needs.
  • Coordinated with internal departments to maximize operational efficiency across production and administrative areas.
  • Kept work flowing smoothly in and out of Revenue Cycle department by working closely with patient access, Appeals, payment posting and other personnel to coordinate movements.
  • Supervised team of [Number] employees working with [Type] equipment, maintaining safety and cultivating productive atmosphere.
  • Developed open and professional relationships with team members, enabling more effective issue resolution.
  • Interviewed, hired and trained new quality customer service representatives.
  • Evaluated employee performance, identified areas of improvement and communicated plans to employees.
  • Created training manuals targeted at resolving simple and difficult customer issues.
  • Met with stakeholders, contractor product teams and customers throughout entire system development life cycle resulting in [Result].
  • Led [Type] working groups to develop mitigation strategies and prepare standard operating procedures for [Type] system operations.
PIEDMONT HEALTHCARE | Atlanta, GAPatient Financial Representative01/2013 - 05/2015
  • Lead trainer and onboarding of Epic Healthcare System with performance of QA processes in revenue cycle.
  • Collaboratively work and support cross-functional project teams.
  • Prepare and verify Pre-registration, Pre-Certification, and Prior Authorization approvals for new and established patients.
  • Coordinate collection processes, create training documents and recommend advice for collection improvement.
  • Proficiently use all internal/external systems and processes applicable for daily job functions.
  • Conduct departmental Quality Improvement and Safety Improvement programs.
  • Accessed patient information through variety of office software applications, maintaining strict confidentiality to remain compliant with HIPAA regulations.
  • Checked claims for errors, corrected issues and mailed out in a timely manner.
  • Ran statements each month to review outstanding balances and identify accounts in need of collection processing.
  • Recognized by management for providing exceptional customer service.
  • Improved operations by working with team members and customers to find workable solutions.
SAINT JOSEPH'S HOSPITAL | Atlanta, GACertified Medical Assistant01/2011 - 11/2012
  • Coordinate the chief physician's daily activities and patient schedule.
  • Document patient medical history, prepare patient for visit by recording weight, height, vitals, and blood pressure.
  • Schedule surgical or radiology procedures which are ordered by doctor.
  • Administer IM/SQ (oral) vaccinations, immunizations, and medications.
  • Review abnormal lab findings and advance to physician for review and recommendation.
  • Obtain, enter and track new and existing referral authorizations.
  • Assign CPT Codes and diagnosis based on physician billing and transcriptions.
  • Order and Inventory Office/Medical Supplies, Medication/Medication Log book.
  • Perform X-ray, Treadmill testing, EKG's, Lab draws, and Hearing exam.
  • Adhered to quality assurance guidelines by reviewing demographics and insurance data for accuracy, coding procedures, appointment scheduling, and patient interaction.
THE POLYCLINIC | Seattle, WABack Office Coordinator/Certified Medical Assistant05/1999 - 06/2010
  • Manage and direct the day-to-day operations to drive healthcare goals; oversee medical assistants, receptionist, and patient care.
  • Collaborate with physicians and upper management to develop strategic business plans and establish daily operational objectives to meet practice mission and philosophy.
  • Oversight of patient accounts, contact insurance companies regarding denials and appeals, correct posting errors, distribute and discuss updated insurance policy guidelines.
  • Verify end of day charge posting, balancing, and daily reports.
  • Perform and facilitate all front and back office nursing duties (vitals, injections, phlebotomy, lab testing, check-in, insurance verification, etc.).
  • Enforce compliance with clinical policies and federal regulations, including HIPPA guidelines.
  • Coordinate and execute all physician and hospital billing.
  • Perform patient preparation and assist physicians in surgical outpatient procedures and physical examinations.
  • Mentor and train new physicians and staff on equipment devices (Treadmill, EKG, X-ray, Lab Testing Machines, Holter Monitor, etc..) and practice protocols.
  • Ensure appropriate levels of medical supplies and equipment are in inventory to meet patient care needs.
Education and Training
UNIVERSITY OF PHOENIX ATLANTA CAMPUS | Atlanta, GABachelor of Science in Business Management2019
AMERICAN COLLEGE MEDICAL INSTITUE | Tukwila, WACertified Medical Assistant Certificate (CMA)1999
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Resume Overview

Companies Worked For:

  • NORTHSIDE HOSPITAL
  • PIEDMONT HEALTHCARE
  • SAINT JOSEPH'S HOSPITAL
  • THE POLYCLINIC

School Attended

  • UNIVERSITY OF PHOENIX ATLANTA CAMPUS
  • AMERICAN COLLEGE MEDICAL INSTITUE

Job Titles Held:

  • Billing Support Analyst, Team Lead
  • Patient Financial Representative
  • Certified Medical Assistant
  • Back Office Coordinator/Certified Medical Assistant

Degrees

  • Bachelor of Science in Business Management
    Certified Medical Assistant Certificate (CMA)

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