Clinical Manager resume example

Team Manager-Promotion / 11/2020-Present

• Communicates verification and authorization status updates with billing department to facilitate decision-making for patient admissions and insurance coverage.
• Maintains updated knowledge of all Payer Services including, Medicare, Medicaid, Blue Cross, NASCO, Non-Governmental, and commercial payers regulations and standards.
• Performs detailed analytical research to identify cause and effects results to best determine proper plan of action.
• Submits claim submissions utilizing Nthrive billing system on UB-04.

Revenue Control Specialist-Promotion / 11/2017- 11/2020

• Entered and generated receivable reports for review of the daily income statistics to determine areas of future fiscal improvement.
• Maintained weekly performance benchmarks for incoming charge adjustments.
• Prioritized work tasks to ensure project milestones and deadlines were met effectively.
• Processed all charge transfer requests in a timely manner, while consistently working with the hospital ancillary departments to maintain revenue fluctuation controls.

Medical Collections Manager-Promotion / Medstar Health / Baltimore, MD / 11/2014-11/2016

• Coordinated transfer of billing documentation (referrals, progress notes, letters of guarantee, etc.)
• Ensured entire team followed protocols for complete, accurate, and timely input of documented physician charges in GE IDX billing system.
• Trained and assisted with supervision of staff to assure efficient and precise record and request processing.