revenue cycle coordinator iii resume example with 20+ years of experience
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Hardworking and focused with excellent communication, planning, analytical thinking, problem solving .and prioritization skills. Also, proficient in hospital revenue cycle billing, including registration, charge capture, billing and collections, utilization management, account balance resolution, record management and maintenance and appointment setting. Successful track record in handling complicated assignments and administrative requests. Has a great understanding of insurance payer's billing and collection practices including benefits eligibility, verification, and pre-certification. Understands all facets of Federal, State and Local regulations to be compliant with the day to day processes and changes required by payers.
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- Review receivable daily from unbilled, interim billed, final billed, claims processing and payer requirements to ensure all accounts are accurately processed and/or billed to the appropriate carriers
- Review aged trial balance (ATB) reports and follow up with payers for reimbursement
- Analyze complex accounts
- Adjust account write-offs when collection efforts have exhausted
- Worked with clinical staff to resolve problems, improve operations and provide exceptional customer service
- Guarded against fraud and abuse by verifying coded data accurately reflected services provided
- Processed insurance company denials by auditing patient files, researching procedures and diagnostic codes to determine proper reimbursement
- Participated in workshops and other training opportunities to remain current on billing procedures, regulations and industry updates
- Set project timelines and keep team on task to complete milestones according to schedule
- Conduct meetings with leaders to determine project intent, requirements and budgets
- Negotiate and finalize contracts with new and existing organizations for projects and events
- Determine appropriate budgets and oversee expenses
- Fulfill contractual obligations, including communications, vendor coordination, schedule creation and budget administration
- Plan and execute activities to promote life-skills, academics and spiritual development
- Coordinate schedules and assignments for volunteer staff, maximizing team efficiency and effectiveness
- Delivered top-notch administrative support to office staff, promoting excellence in office operations
- Compiled, formulated and edited letters and correspondence for review and approval
- Prepared agendas, documented minutes and scheduled meetings
- Clerical duties such as screening and answering calls, drafted contracts and budgets, provided information and answered questions for the facility, patients and staff
- Ordered office supplies
- Participated in monthly A/R reviews
- Contacted providers to verify insurance information and patient demographics
- Processed refunds and adjustments
- Worked directly with facility, patients and insurance companies to achieve result
- Contacted providers' offices for missing diagnosis codes, CPT codes, authorizations, referrals, insurance information, payments, and patient demographics
- Processed adjustments, posted payments and refunds according to insurance explanations of benefits
- Contacted insurance payers to request payment, verify member eligibility, and check claim status
- Wrote correspondence in response to patients', clients' and insurance companies' inquiries
- Consoled patients in distress about their bills, illnesses and finances
- Submitted medical claims electronically and manually to primary and secondary insurance payers
- Trained new employees on multiple medical billing programs and data entry software
- Communicated effectively and extensively with other departments to resolve claims issues
University of Maryland University College - Adelphi, MD
- Majored in Business Management
- Minored in Marketing
Certified Patient Account Technician - The American Association of Healthcare Administrative Management (AAHAM)
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Resume Overview
School Attended
- University of Maryland University College
Job Titles Held:
- Revenue Cycle Coordinator III
- Youth Program Director
- Sr. Admin Assist. /Sr. Medical Billing Specialist
- Sr. Medical Billing And Collection Specialist
Degrees
- Bachelor of Science
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