Organized and efficient medical billing and credit/collection specialist with considerable experience in healthcare physician office practices. CPT4/ICD9 coding, third party payer reimbursement, patient account charges/cash management, and refund procedures. Expertise in account reconciliations, patient demographics and insurance information management, and facilitation of collection process. Demonstrated interpersonal communications skills facilitate problem resolution and professional relations. Assist in developing process that maintains and improve Medicare compliance medical necessity and SNF billing while implementing Cerner Millennium. Enhanced revenue by reducing Medicare denials. Participate in Lean/Six Sigma, Plant Tree process to develop process for 100% auditing and improvement in billing practices and employee/employer team interaction. Computer software experience GE Centricity, IDX now Epic, Cerner, Siemen, Microsoft Word, Cycare, 3M, Lawson, Soarian, and Sigmund. SELECTED ACCOMPLISHMENTS Created and maintained ICD9 codes of most frequently used diagnosis list. Implemented credit/collection strategies significantly reducing past due receivable. Established effective client/payer relationships expediting problem resolution. Initiated corrective action procedure facilitating reimbursement process/collections. MEDICARE CODING, CREDIT/COLLECTION & REIMBURSEMENT EXPERIENCE Monitored Medicare restricted test orders and patient accounts ensuring entry compliance. Triage business office cases for patient-billing issues, initiate and implemented corrective action. Perform char-to-bill audit on various hospital services ensuring document integrity Organized daily schedules, ensured accuracy and timeless of group/team assignments. Independently use electronic medical record and multiple systems to designate diagnosis and procedure codes. Resolves discrepancy on charge slip for multiple specialties. Processed all third party payer insurance forms and set up patient accounts Created and maintained ICD9 codes of most frequently used diagnosis list. Implemented credit/collection strategies significantly reducing past due receivable. Established effective client/payer relationships expediting problem resolution. Initiated corrective action procedure facilitating reimbursement process/collections. MEDICARE CODING, CREDIT/COLLECTION & REIMBURSEMENT EXPERIENCE Monitored Medicare restricted test orders and patient accounts ensuring entry compliance. Triage business office cases for patient-billing issues, initiate and implemented corrective action. Perform char-to-bill audit on various hospital services ensuring document integrity Organized daily schedules, ensured accuracy and timeless of group/team assignments. Independently use electronic medical record and multiple systems to designate diagnosis and procedure codes. Resolves discrepancy on charge slip for multiple specialties. Processed all third party payer insurance forms and set up patient accounts
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