Starting as Anesthesia Revenue Cycle Management Reimbursement biller, I assisted with monthly reconciliations and generated reports for reimbursement issues, monitored reimbursement patterns and kept my manager abreast of any changes in reimbursement that may affect initial billing procedures.
• Identified and corrected any claim processing (data entry, verification, coding and/or posting) errors within the billing system.
• Completed the collections process on assigned carriers in a timely manner per carrier guidelines.
In 2013 I was promoted to oversee the accurate and timely processing and collections of reimbursement funds, as well as any special projects assigned.
• Managed, trained and evaluated performance of a team of five with accountability for overall team flow and performance of collections.
• Accomplished complex account troubleshooting, innovative problem solving and account reconciliations including analysis of claims regarding short pay claims.
• Monitored and completed adjustments to ensure correct reimbursemt.
I oversaw the billing function for a high volume Urology practice with Board Certified Urologists and was a keyholder for the facility and the safe. I performed front desk receptionist duties when needed and directed communication with physicians and providers.
• Ensured accurate filing and timely collection of patient accounts.
• Reviewed denial reports and ensured accounts were properly documented.
• Assembled, organized and compiled patient medical records in a timely matter.
• Performed fee schedule allowances, reductions and calculations.
• Maintained accurate and comprehensive records and files, handling highly confidential and sensitive material.
I have an outstanding record of completing a high-volume of work on multiple projects, meeting deadlines, as well as meeting and exceeding quality and performance standards
Responsible for RCM projects including receiving activities through collections for the anesthesia specialty practice area.