Medical Billing and Collections Specialist Resume Example

• Guarded against fraud and abuse by verifying all coded data accurately reflected services provided, medical necessity standards, and up to date coding standards were met.
• Resourcefully used (and created) various coding books, procedure manuals and on-line encoders to ensure proper coding on each claim before uploading.
• Trained and mentored new team members on accounts payable systems and policies to build cohesive groups and promote operational performance.
• Assessed processes and procedures, complying with OSHA and HIPAA regulations. Assisted with regulatory issues such as compliance by creating and printing bi-annual quizzes and articles for ongoing staff education. Developed policies and procedures for effective practice management.
• Disbursed all incoming and outgoing petty cash by recording entries and verifying documentation.
• Generated financial statements and reports detailing accounts receivable status, keeping up to date records of all insurance calls and payment expectations, as to not be denied due to "timely filing"
• Improved inter-office relationships through consistent hard work and dedication to each staff members own needs & own responsibility to communicate issues and solutions. Taught staff how to make decisions based on the "all for one" theory.
• Participated & coordinated continuous collections improvement by generating suggestions, creating simple to read "at a glance" reports/ lists in each room to minimize scribing mistakes and lessen the amount of rejections & redeterminations needed to keep our collections at an exceptional standard.
• Maintained energy and enthusiasm in fast-paced environment. :)
• Oversaw fiscal operations, including accounting, budgeting, authorizing expenditures and financial reporting.
• Handled job duties for staff members which were unavailable or out of office.
• Addressed and remedied all patient or team member issues from questions regarding patient accounts, insurance policies to personal issues and the best way to address such issues with Doctor..
• Communicated closely with patients, ensuring medical information was kept private, as well as assuring them they had representation in out office when it came to their insurance companies. I always took responsibility for my own mistakes and made sure the patient never felt the repercussions. I hope I made each of my patients feel as though they were financially safe and supported. I fought for many of our patients so they wouldn't feel neglected not only by their insurance but also by their physicians staff, I hope I made a difference there!
• Consulted with Dr. Lakhani on a weekly basis at the Surgical Center to discuss coding updates or consistent errors that needed rectified. Assisted in business decisions relating to staff duties, delegation of responsibilities for new hires and assigning each a qualified "partner" to train with. Upon request, I researched and advised of any company that may have helped raise our productivity and collections rates.

Here I worked 35-36 hours in the office. Then worked at home via 1 of 3 Laptops for @ home billers. This is when I had the time to sit and clean claims and rectify any coding errors through-out the previous week.