Qualified Regulatory accounts representative committed to data integrity and accurate payment processing. Extensive experience with complex health care database systems. Adaptable familiar with a host of database systems. Expertise in identifying errors while proofreading data already entered into the system. Productive driven to accomplish data entry tasks on time or ahead of schedule. Extensive training in Epic. Endeavor, Provider One Results-oriented data entry professional with 32 years managing clerical, communication and project management tasks in corporate environments, accomplished at transposing large amounts of data with accuracy and speed. Highly organized and detail- oriented.
specialist Audit reporting Customer relations , proficiency Accounts payable specialist Account reconciliation Internal and external auditing Invoice coding familiarity Exceptional organization 75 WPM typing speed Superior attention to detail Strong inter personal skills Advanced computer proficiency . Requires minimal supervision . Exceptional communicator Creative thinker Expertise in invoice and payment transactions Expertise in invoice and payment transactions Analytical reasoning Diagnostic tools familiarity
I am looking for an independent and challenging position utilizing my education and experience, I am very detailed oriented. I have the ability to handle multiple priorities while remaining calm , focused and committed to excellence. I always utilized professional judgement and skill, I exhibits high standards and follows through in the work settling .
Knowledge of medical billing/collection practices
Ability to deal courteously with payer representatives and patients.
Knowledge of medical terminology
Excellent verbal, written, math, and problem solving skills
Ability to organize and prioritize effectively
Reduced invoice over payments by 52%. Produced 32% more account reporting data than required by taking on additional duties. Reduced the open invoice cycle time from 180 days to 92 days by developing new dispute reporting procedures. Researched and resolved billing problems that had been previously missed. 32 % cost reduction by eliminating redundant processes.Formally recognized for excellence achieved in financial analysis, budgeting and forecasting. .
Reguratory Accounts Specialist March 2006 to December 2015The Poly Clinic - Seattle, Wa
Regulatory Accounts specialist ensure reimbursement compliances with all health care receivables for commercial, non commercial or regulatory accounts and/or for follow up or denials for patient accounts. Extract, review and interpret billing statements, charge information, private or government insurance benefits, and other related information from multiple billing and documentation servers for the Poly Clinic, while resolving account balances. + Ensure appropriate use of adjustment codes and activity codes to allow for appropriate workflow and trending. + Proactively identify opportunities to improve business results and/or to alert business units of trends, anomalies or health plan rules and decisions that need attention. + Escalate unresolved issues appropriately and recommend solutions to minimize future problems.
I worked over 1100 accounts for my payer HCA .
I access Provider one Portal to corrected claims to maximum reimbursement.
I use Provider one Portal to resubmit the Correction.
Medical coer 1 October 2001 to March 2002Kalispell Regional Medical Center - Kalispell, MT
Review medical records contains to insure appropriate documentation per CMS guidelines.
Research to be familiarization with the regulation and stands for correct coding.
Investigate past records to confirm disease process, run inter-reports to capture all charges interacts with hospital admitting departments, patient care coordinate business office, and facilities physicians in review of patients charges.
I have Maintained adequate controls insure against duplications charges and to guarantee that all service have been accounted for Maximum Reimbursement .
Professional Fee coordinator August 1989 to June 2001University of Washington Physicians - Seattle, WA
Responsible for the coordination of professional fees provided for a large medical and surgical group practice.
I have an extensive working knowledge of CPT/ ICD-9 CM coding, utilization of patient medical record abstraction and chart documentation audit reviews.
Work closely and advised department administration with various clinical on reimbursement projects including design and creation of CPT/ICD-9 coding fee sheets to enhance procedural reimbursement.
Provide educational support to physicians and department staff on compliance guidelines and regulatory statutes.
Demonstrate excellent computer skills and daily usage of network billing systems and standard business application suck as word and excel, various data control and data entry operation position skill level 75 wpm.
BBA : business management, 1983Seattle Occuputional Institute Center - Seattle, WAbusiness management Education and prepared to be a business professionals to keep pace with a professional- focused to ensuring I had a critical information, technologies, and tools that drive a comprehensive understanding of core business pedagogy that reflects current and emerging business trends. Additionally have I have the opportunity to focus my specialization in key arenas including business analysis, management, and government, and nonprofit sectors. I have learn how to collaborate with a global community online and interact with highly experienced professors, many who have management experience in government agencies considered practitioners based on their breadth of experience in business management and organizational leadership. I am actively involved online through affiliated organizations such as the AAPC Society, Society for Human Resource Managers.
billing systems, business analysis, business management, CMS, CPT, data entry, Documentation, focus, government, Human Resource, ICD-9, ICD -9, leadership, Review medical records, access, excel, office, word, network, organizational, patient care, coding, Research, web pages