LiveCareer-Resume

revenue service billing manager resume example with 18+ years of experience

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Jessica Claire
, , 100 Montgomery St. 10th Floor (555) 432-1000, resumesample@example.com
Professional Summary

Detail-oriented professional with a focus on deadlines and the assurance that all medical billing is handled efficiently and without errors. Confident Medical Biller knowledgeable in data confidentiality and privacy practices when reviewing patient information. Veteran Billing Manager focused on team efficiency and producing high-quality work. Excellent collaborator and relationship-builder familiar with compliance and documentation requirements. Enthusiastic about taking billing operations to the next level through proactive leadership and skilled problem solving.

Skills
  • Medical coding knowledge
  • Records Maintenance
  • Data analysis
  • Patient account analysis
  • Medicare and Medicaid process
  • Medical claims submission
  • Accounts receivable management
  • Dermatology billing knowledge
  • Staff Management
  • Policy and procedure modification
  • Payroll and budgeting
  • Documentation and control
  • Workflow planning
  • Credit and collections
  • Team Leadership
  • Training and Development
  • Billing Systems
  • Performance Appraisals
Work History
11/2005 to Current Revenue Service Billing Manager Teampraxis | Usa Enterprise Sales Executive Datahouse Usa, HI,
  • Conducted performance reviews and implemented improvement plans.
  • Trained and mentored staff on procedures, compliance requirements and collections techniques.
  • Directed operations in busy 34-person billing group managing $30,000,000 in monthly funds.
  • Created new standard operating procedures improving billing accuracy and cash flow.
  • Established and enforced internal controls, workflows and policies for tracking, reconciling and reporting on accounting activities.
  • Validated existing accounting management and reporting systems to assess quality and conformance, identify problems and implement corrective actions.
  • Reviewed historical records, current operational data and forecasting information to identify and capitalize on system enhancement opportunities.
  • Performed routine closings, maintained clean, accurate and accessible records and kept close eye on transaction updates throughout each quarter.
  • Devoted special emphasis to punctuality and worked to maintain outstanding attendance record, consistently arriving to work ready to start immediately.
  • Led front end team in delivery of reconciliation project, resulting in net revenue for the business.
01/2004 to 01/2005 Medical Billing Supervisor Gardaworld | Duncanville, TX,
  • Guarded against fraud and abuse by verifying all coded data accurately reflected services provided.
  • Participated in workshops and other training opportunities to remain current on billing procedures, regulations and industry updates.
  • Complied with all HIPAA Privacy and Security Regulations to protect patients' medical records and information.
  • Followed up on legal claims.
  • Orchestrated day-to-day operations of billing department, including medical coding, payment posting, accounts receivables and collections.
  • Adhered to established standards to safeguard all patients' health information.
  • Oversaw all billing for Medicaid PCA, waiver and skilled claims, commercial insurance and private pay clients.
  • Gathered information from multiple sources to simplify billing and organize accounts.
  • Liaised between patients, insurance companies and billing office.
  • Devised new methods to make workflows more efficient and brought suggestions to attention of Billing Manager.
01/2003 to 01/2004 Billing Analyst 21St Century Oncology | Aventura, FL,
  • Partnered with billing analyst department to investigate and remedy any gross margin trend issues.
  • Conducted monthly pre-billing review and data quality analysis to verify complete accuracy of invoices delivered to customers and providers.
  • Reviewed full history of past due accounts and contacted client or attorney regarding collection, implementation of payment plan or pursuit of legal remedies on unpaid accounts.
  • Evaluated aging reports to identify members to be included in monthly outbound collection calls.
  • Submitted alternate billing for clients belonging to special demographics using Medic Billing software portal, reconciled EOBs or denied claims and conducted accounts receivable follow-up.
  • Maintained strict confidentiality with all personal data as per company guidelines.
  • Trained new employees on multiple medical billing programs and data entry software.
11/2001 to 01/2003 Billing Specialist United Health Group, Institute Dermatopathology | City, STATE,
  • Generated and submitted invoices based upon established accounts receivable schedules and terms.
  • Examined patients' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
  • Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
  • Communicated effectively and extensively with other departments to resolve claims issues.
  • Printed and reviewed monthly patient aging report and solicited overdue payments.
  • Accurately posted laboratory visits, payments and surgeries for 30 insurance carriers.
  • Evaluated patients' financial status and established appropriate payment plans.
  • Precisely evaluated and verified benefits and eligibility.
  • Determined prior authorizations for medication and outpatient procedures.
  • Communicated with patients for unpaid claims for HMO, PPO and private accounts and delivered friendly follow-up calls for proper payments to contracts.
  • Posted and adjusted payments from insurance companies.
  • Trained new employees on multiple medical billing programs and data entry software.
  • Accurately posted and sent out all medical claims.
  • Identified and resolved patient billing and payment issues.
  • Prepared billing correspondence and maintained database to organize billing information.
Education
Expected in 06/1991 to to Bachelor of Arts | Accounting Holy Family University, Philadelphia, PA GPA:

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Resume Overview

School Attended

  • Holy Family University

Job Titles Held:

  • Revenue Service Billing Manager
  • Medical Billing Supervisor
  • Billing Analyst
  • Billing Specialist

Degrees

  • Bachelor of Arts

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