Medical Billing/Coding Manager
Last active: 05/19/2014
ENTERPRISING, HARD-WORKING AND TECHNICALLY SKILLED ACCOUNTS RECEIVABLE/INSURANCE REIMBURSEMENT AND CODING COMPLIANCE ADMINISTRATOR known for accuracy, attention to detail and timeliness in managing reimbursement functions for diverse-industry employers. Administration career spans 7 years of experience in oncology, general practice, physical therapy and has included accountability for the processing of up to 15,000 claims per month. Backed by solid credentials (Certified in Medical Billing /Medical Administration) and proficiency in generally accepted software’s such as MS Office Suite, Next-Gen, Medisoft, Alta-point, Quick Books, and Clearinghouses.
Demonstrated excellent follow up/management procedure with outsourced billing agency for 18 major hospitals located in US (remotely). With over 400 physician's in specialty that include Neurosurgery, Emergency Room, Orthopedics, Cardiovascular, Plastic Surgery, OB, Pediatrics, and routine office visits/X-Rays. Improved proficiently in decreasing multiple client with over 10.5 million in accounts receivable including payers such as Medicare, Medicaid, BC/BS, United healthcare and manage care plans/commercial
Handled daily reimbursement processes; maintained insurance companies/adjusters relations; and oversaw the timely, accurate processing of claims, collections, receivable reports, patient accounts and payment posting transactions. Maintained adherence directly to president, accounting and HIPAA standards; addressed escalated issues from employees and insurance companies regarding accounts receivable; and ensured accurate and compliant documentation of charts and records in accordance with company policies and government regulations. .