Experienced Office Manager and Healthcare Billing and Coding with 17 years of experience optimizing productivity, efficiency, and service quality across various environments. Highly dependable, ethical, and reliable support specialist and leader that blends advanced organizational, technical, and business acumen. Works effectively with cross-functional teams in ensuring operational and service excellence.
Skills
Understanding Of Medical Terminology
Medical Office Administration
Office And Staff Streamlining
Medical Billing And Coding
Office Supplies And Inventory
Fluency in Spanish
Microsoft Office
Work History
Medical Office Manager/Medical Biller and Coder, 05/2014 to 07/2017 Cintas Corporation – Monroe, LA,
Managed supervisor itinerary and appointments and streamlined scheduling procedures.
Developed policies and procedures for effective practice management.
Developed and maintained electronic record management systems to analyze and process data.
Oversaw fiscal operations, including accounting, budgeting, authorizing expenditures, and financial reporting.
Helped employees with day-to-day work and complex problems by applying motivational and analytical strategies.
Prepared daily reports to assist business leaders with key decision making and strategic operational planning.
Optimized organizational systems for payment collections, AP/AR, deposits, and recordkeeping.
Completed bi-weekly payroll for 12 employees.
Submitted electronic and paper claims to insurance companies including Medicare and Medicaid to collect medical payments.
Reviewed medical records to select appropriate coding sequences.
Maintained current accounts through aged revenue reporting.
Assisted patients by determining financial assistance available and setting up payment plans.
Implemented new coding procedures that reduced mistakes and simplified processes.
Orchestrated day-to-day operations of the billing department, including medical coding, payment posting, accounts receivables, and collections.
Reviewed outgoing bills for eligibility and accurateness.
Analyzed medical records to satisfy insurance company mandates.
Set up and maintained a new electronic billing system.
Confirmed backup and proper storage of sensitive information in event of data breach or outage.
Filed and updated patient information and medical records.
Prepared statements for patients and verified correct diagnostic coding.
Analyzed complex Explanation of Benefits forms to verify the correct billing of insurance carriers.
Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
Communicated with insurance providers to resolve any denied claims and resubmit.
Prepared accounts with past due balances of more than 120 days and transferred those cases to a collection agency.
Medical Biller and Coder, 01/2013 to 05/2013 Primary Care Physicians Of Central Connecticut – City, STATE,
Scheduled patients in Medical Manager System.
Collected payments and applied them to patient accounts.
Reviewed patient records, identified medical codes, and created invoices for billing purposes.
Submitted electronic and paper claims to insurance companies including Medicare and Medicaid to collect medical payments.
Researched and followed up on denied insurance claims.
Processed insurance company denials by auditing patient files, researching procedures, and diagnostic codes to determine proper reimbursement.
Confirmed backup and proper storage of sensitive information in event of data breach or outage.
Maintained current accounts through aged revenue reporting.
Communicated with insurance providers to resolve any denied claims and resubmit.
Assisted patients by determining financial assistance available and setting up payment plans.
Accounts Receivable Manager, 01/2010 to 01/2011 Pro Health Physicians -Central Billing Office – City, STATE,
Input demographic for patients.
Verified patient benefits and updated system with proper information.
Pre-certification procedures with insurance companies.
Code and billed claims to insurance companies.
Optimized organizational systems for payment collections, AP/AR, deposits, and recordkeeping.
Post patient payments by recording cash, checks, and credit card transactions.
Resolved valid or authorized deductions by entering adjusting entries.
Completed daily process adjustments to maintain accuracy.
Generated invoices upon receipt of billing information and tracked collection progress.
Streamlined bookkeeping procedures to increase efficiency and productivity.
Education
Certificate: Medical Billing And Coding, Expected in 2003 Brandford Hall Career Institute - Windsor, CT, GPA:
Certificate: Administrative Office, Expected in 1997 Connecticut Puerto Rican Forum - Hartford, CT, GPA:
High School Diploma: , Expected in 1996 Bulkeley High School - Hartford, CT GPA:
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