Enthusiastic individual with superior skills in working in both team-based and independent capacities. Bringing strong work ethic and excellent organizational skills to any setting. Excited to begin new challenge with successful team.
Skills
Healthcare billing proficiency
Revenue collection report preparation
Preparing payroll
Healthcare management
Customer care experience
Medical billing and collections
Maintaining detailed records
Account verification and reconciliation
Organization
Customer service
Balancing daily deposits
Adjustments and research functions
Experience
Revenue Cycle Specialist, 08/2020 to Current Virta Health Corp – Portland, OR,
Identified and corrected payment problems involving patients or third-party payers.
Produced accounting reports and provided targeted recommendations for improving revenue standing.
Completed account reconciliations.
Detailed key revenue cycle information into thorough presentations to deliver to executives and management team.
Boosted job efficiency by working closely with other analysts so that tasks and processes could be streamlined and duplication was avoided.
Participated in revenue cycle processes, coordinating work of team members focused on maximizing profitability and increasing revenue.
Monitored revenue status and created detailed reports for senior management.
Managed billing and collection processes as part of five-member team.
Delivered details on revenue cycles in layman's terms, enabling audiences to absorb information.
Managed financial and statistical data analysis for annual revenue-producing business to provide detail on KPIs.
Presented regular status updates, including workflow recommendations to senior management.
Created in-depth spreadsheets, which detailed trends and forecasts for revenue, profitability and expenses.
Handled all electronic and manual payments and adjustments, ensuring that data was accurately posted.
Posted payments and sent reviews and denials.
Downloaded, printed and batched electronic funds transfers and remits.
Received payments from insurance providers, including Medicare, and completed immediate processing.
Reviewed overpayments and processed refunds to be sent to patients and insurance companies.
Reviewed refund requests and forwarded information to analyst.
A/R Billing Supervisor , 09/2008 to 04/2020 Center For Oral & Maxillofacial Surgery At St Luke – City, STATE,
Improved operations by working with team members and customers to find workable solutions.
Maintained updated knowledge with ICD-10, CPT, and CDT.
Completed contracy negotiations resulting in higher revenu.
Improved profit margins by streamlining operations and workflow and negotiating competitive vendor contracts.
Created agendas and communication materials for team meetings.
Performed site evaluations, customer surveys and team audits.
Provided excellent service and attention to customers when face-to-face or through phone conversations.
Handled all delegated tasks, including A/R and Audits.
Oversaw all facets of staff and client training objectives to install knowledge of federal, state and local regulations and requirements.
Evaluated staff performance at multiple facilities and made recommendations for training improvement.
Liaised between employees and senior leadership to address inquiries, complete contract processing and foster problem resolution.
Worked with HR management to devise and update policies based on changing industry and social trends.
Automated office operations, including record tracking and data communications.
Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
Maximized efficiency, reduced delinquency and increased accuracy of billing department by developing and implementing system and process improvements.
Evaluated accuracy and compliance of all documentation and reports.
Resolved variances in accounts and reconciled with bank statements.
Processed and sent invoices, adjustments and credit memos to customers.
Contacted insurance providers to verify insurance information and obtain billing authorization.
Submitted claims to insurance companies and researched and resolved denials and explanations of benefit rejections.
Established, enforced and optimized billing procedures to streamline operations and minimize aging balances.
Calculated discounts, percentage allocations and credits.
Liaised with patients, insurance companies and billing personnel to create and post bills, obtain payments and update system.
Contacted vendors to follow up on late invoices.
Scheduled patients and updated insurance, payment history and personal information.
Resolved account variances and reconciled bank statement histories.
Reviewed and analyzed contracts to resolve billing issues with vendors and carriers.
Revised orders, finalized invoices and created billing logs.
Generated invoices, processed payments and prepared deposits and part of financial operations oversight.
Reviewed and submitted workers' compensation claims.
Posted surgical charges for providers across facilities.
Assistant Office Manager Billing and Insurance , 10/1999 to 09/2008 Lehigh Oral & Maxillofacial Surgery – City, STATE,
Worked closely with team members to deliver project requirements, develop solutions and meet deadlines.
Recognized by management for providing exceptional customer service.
Maintained updated knowledge with CPT, ICD-10, and CDT coding and policies.
Improved profit margins by streamlining operations and workflow and negotiating competitive vendor contracts.
Reduced financial discrepancies by accurately resolving billing issues while processing applications and cancellations.
Engaged customers and provided high level of service by carefully explaining details about documents.
Skillfully and patiently explained coverage options to potential policyholders, answering any questions or concerns.
Improved operations by working with team members and customers to find workable solutions.
Collaborated with carriers to resolve discrepancies in insurance payments.
Resolved routine and complex issues by performing detailed research.
Managed denials, late payments, extensions and other special circumstances by following up with relevant parties.
Coached and counseled employees to enhance performance and eliminate process lags.
Evaluated and identified ineffective workflow processes, implements solutions to improve productivity and personnel performance.
Elevated productivity initiatives and managed presidential calendar, including coordinating itinerary and scheduling appointments.
Automated office operations, managing client correspondence, record tracking and data communications in database and case management software.
Maintained clean and presentable front office for maximum appeal to customers and potential clients.
Enforced company policies and procedures to strengthen operational standards across departments.
Set up and maintained physical and electronic filing systems to maintain organizational efficiency.
Created agendas, meeting notes and other documents to enhance collaborative process.
Managed and controlled office supply inventory to secure timely ordering or requisition of depleted or low-level stock.
Coordinated office activities and operations to secure efficiency and compliance with company policies.
Maximized and balanced office schedule for optimal productivity and financial returns.
Bank Representative, 04/1996 to 07/1998 Town And Country Bank – City, STATE,
Researched and resolved customer issues on personal savings, checking and lines of credit accounts.
Offered every customer exceptional service levels by remaining friendly and professional during every transaction.
Fulfilled diverse duties to provide customer service, operate money counters, balance and replenish ATMs, maintain accounts and open new accounts.
Adhered to strict guidelines regarding financial and customer data to avoid breaches and information misuse.
Completed comprehensive tasks by implementing customer service initiatives, audit and restock ATMs and keep records on accounts.
Promoted facility security by monitoring customer behaviors and following established protocols to protect individuals and assets.
Verified amounts and integrity of every check or funds transfer.
Helped customers open and close accounts, apply for loans and make sound financial decisions.
Education and Training
Associate of Science: Accounting And Finance, Expected in 05/1995 University of Southern California - Los Angeles, CA GPA:
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