HOSPITAL PHYSICIAN BILLING SPECIALIST Professional Summary HIGHLY-ORGANIZED PROFESSIONAL WHO EXCELS AT ASSISTING HEALTHCARE PROVIDERS WITH BILLING MANAGEMENT CODING SUPPORT. WELL-ROUNDED TEAM PLAYER WITH A STRONG TRACK RECORD OF WORKING IN COLLABORATIVE ENVIRONMENTS, AND DRIVING BOTTOM LINE GROWTH THROUGH REDUCING OUTSTANDING RECEIVABLES. EXCELLENT COMMUNICATOR AND FREELANCE HEALTHCARE MARKETING CONSULTANT WHO EXCELS AT ESTABLISHING A RAPPORT WITH CLIENTS FROM DIVERSE BACKGROUNDS. PROBLEM SOLVER WHO EXERCISES CRITICAL THINKING, AND PERFORMS WORK AHEAD OF SCHEDULE. SEEKS TO TRANSITION INTO A MANAGEMENT ROLE WITH A PHYSICIAN'S OFFICE THAT WILL UTILIZE THE TALENTS/SKILLS OF AN EXPERIENCED MEDICAL BILLING SPECIALIST, AND ASPIRING OFFICE MANAGER. Licenses Skill Highlights Collections Receivables Patient Advocacy ICD-9 ICD-10 Standards Medical Billing Coding Administrative Support Electronic Medical Records Insurance Verification Marketing Design HIPPA Compliance FACS Athena Centricity Medical Manager MediTech MediSoft TruCode NueMD Microsoft Office Suite (Word, Excel, Access, Outlook, PowerPoint) ● QuickBooks Knowledge HMOs, Medicare Medi-Cal Medical Manager Software Managed care contract knowledge Electronic Medical Record (EMR) software ICD-9 coding Trained ASC Coding CPT HCPCS coding Internal medicine billing HHM Medisoft billing systems HIPAA compliance Medical billing software Strong planning skills Technical expertise Patient-focused care Strong work ethic Team player positive attitude Deadline-driven Good written communication Exercises good judgment Professional Experience Hospital Physician Billing Specialist December 2013 Current Company Name － City State Responsible managing resolving insurance denials medical, Workers Compensation Personal Injury claims. Works team Billing Specialists interact major insurance carriers, well government payers, including Medicare. Accountable ensuring new insurance claims filed timely manner prevent future reimbursement issues. Key Achievements Bottom Line Growth Reduced receivables major North Carolina medical center $4M $520K 8-month period reversing denials patients via insurance firms' appeal process, providing documentation confirming procedures necessary Created implemented new processes facilitate timely filing new insurance claims Healthcare Marketing Consultant Freelancer January 2009 Current Company Name － City State Provides ongoing marketing support Scripps Memorial Hospital Scripps Mercy Hospital San Diego. Assists projects including graphic design, marketing materials, industry trade shows, implementing marketing promote fundraising events. Physician Billing Specialist March 2012 January 2013 Company Name － City State Served frontline role, tasked managing 40 accounts daily basis well assisting medical billing collections software. Provided daily updates physicians' office managers Athena billing software packages via teleconference. Key Achievements Bottom Line Growth Slashed accounts receivables 40 Florida-based member physician offices $6M $2M 10-month period Consulted senior management expand Unified Physician Management's membership operations Northeast region, adding 52 new practices 7 month period, increasing reimbursement rates via group membership Hospital Physician Billing Specialist June 2009 May 2010 Company Name － City State Joined Insurance Verifier quickly promoted Billing Specialist. Responsible auditing patient accounts production clean claims, resulted 15% fewer rejected claims, reimbursement received carriers within average 45 days less. Education Training Bachelor Science Business Management Canisius College － City State US Bachelor Science Business Management Marketing Minor, Canisius College Buffalo, NY Associate Science Medical Billing Coding San Diego City College － City State US Associate Science Medical Billing Coding, San Diego City College San Diego, CA Accomplishments Skills Marketing, Fundraising, Graphic Design, Healthcare, Billing, Claims, Receivables, Accountable For, Auto Insurance, Compensation, Documentation, Filing, Insurance Claims, Medicare, Workers Compensation, Medical Billing, Medical Invoicing, Accounts For, Auditing, Accounts Receivables, Basis, Collections, Credit, Operations, Access, Administrative Support, Excel, Hippa, Icd, Icd-9, Medical Billing Coding, Medical Records, Medisoft, Meditech, Microsoft Office, Ms Office, Outlook, Powerpoint, Quickbooks, Word, Associate, Business Management, Coding