Medical Billing Manager Resume
Headline : To use creative talents, organizational and managerial skills as an asset to the company that employees. Have a solid work ethic, and perform with a high level of customer service excellence. Technical skills include MS Windows, MS Office.
Skills : Proficient, Communication skills, Technical skills.
Description :
- Managed all aspects of the medical billing company with a total employee. Customer relations and monthly reviews of their accounts.
- Scheduled patients for appointments, including outpatient procedures and special testing Verified insurance information and obtained referral and precertification.
- Manage day to day activities including task assignments, goal setting, and training for 6 employees Developed an internal tracking system to monitor employee absences.
- Streamlined daily operations by implementing efficient ways to utilize resources, such as digitizing reports to a paperless system Act as a liaison between clients, patients.
- Monitor and evaluate clearinghouse rejection reports Reduced first-time claim submission errors to zero Accurate postings of paid claims.
- Analysis of daily revenue report for the practice Responsible for accounts receivable Credentialing Insurance posting and balancing.
- Worked with patients on issues related to their bills, claims, and requests in person or phone Posted charges and payments to the patient ledgers.
Experience
5-7 Years
Level
Executive
Education
Diploma
Medical Billing Manager/Executive Resume
Objective : Highly trained and experienced in all facets of medical office procedures, from management to reception. Experienced in the full-cycle billing process, as well as electronic medical records.
Skills : Familiarity with the billing process, Communication skills.
Description :
- Implemented the ERA process, electronic claim submission of TX Workers compensation claims.
- Managed time and attendance along with vacation, sick and personal time for my employees on a weekly basis.
- Facilitated prescribing, PQRS, Meaningful Use, testing for 5010 transaction code sets, upcoming changes compensation rules.
- Implemented new processes for patient collections and turning accounts over to Collection Company.
- Review of daily processes for account managers, coding and billing of surgical claims and custom DME.
- Responsible for contract set-up and implementation with new insurance carriers Responsible for managing the daily operation of all front desk staff.
- Created and implemented a New-Hire training manual for company use Train all newly hired administrative staff Perform HR functions Involved in hiring practices.
Experience
2-5 Years
Level
Executive
Education
Medical
Medical Billing Manager/Representative Resume
Summary : Spent the last 6 years running the billing department in a multi-practitioner chiropractic office. In that time, implemented two new software programs and did most of the training of the office staff in their use.
Skills : CPT, medical terminology, SOAP ware and Acom PC medical software.
Description :
- Reviews and analyzes a wide variety of medical record information, such as diagnostic, operative medical procedures for coding and abstracting purposes.
- Codes a wide variety of outpatient procedures and diagnoses according to the International Classification of Diseases, Current Procedural Terminology.
- Organizes and prioritizes all work to ensure that records are coded in timeframes that will assure compliance with regulatory requirements and hospital targets.
- Enters appropriate patient information into the computerized inpatient and/or outpatient medical record databases.
- E-Clinical Works and EMR entry-level to send claims, payment postings, rejections, and appeals Proficient in ICD 9 and CPT coding.
- Reviewed billing edits and provided insurance providers with corrected information Provide tenacious follow-up to ensure proper payments.
- Responsible for all medical billing, medical collections, accounts payable, accounts receivable, medical records, and office operations.
Experience
7-10 Years
Level
Management
Education
B.A
Medical Billing Manager/Co-ordinator Resume
Summary : To offer skills as a Medical Billing Manager/Certified Professional Coder, as it pertains, to physician billing and revenue cycle management. Increase receivables and maintain the revenue stream.
Skills : Microsoft Office, Outlook Email and Calendar, EMR, Medicaid Portal.
Description :
- Work closely with the Intake Coordinator and all Program managers, Administrative and LCSW and MHC counseling staff.
- Overseeing the submission and follow-up of medical claims for all programs including Medicare, Medicaid, Third Party Payers, by the report, oversee EDI 837's, 835's, eligibility reports, unbilled reports, etc.
- Supervise the refund process, and work closely with compliance, quality control department. Analyzes month-end billing for all agency programs.
- Maintains customer relations with provider representatives, department of mental health.
- Department of alcohol and substance abuse (OASAS) and department of health (NYSDOH) Maintain knowledge of current Medicare and Medicaid.
- Manage all aspects of billing and coding Process payments Issue patient and insurance refunds Lead and attend monthly and weekly meetings with staff.
- Billed Medicare and Private Insurance for Durable Medical Equipment and Home Health care Maintained up to date knowledge.
Experience
7-10 Years
Level
Management
Education
Medical
Medical Billing Manager/Supervisor Resume
Summary : Responsible for Directing all aspects of daily billing operations including diagnosis and procedure coding, charge entry, payment posting, cash flow management.
Skills : Microsoft Office, Billing, Office Manager, Accounts Receivable.
Description :
- Responsible for billing and claims processing for five physicians specializing in Internal Medicine, Gastroenterology, and Cardio Pulmonary Disease.
- Supervise staff in the handling of services and charge records.
- Process claims of all types, including Commercial Insurance, Medicare, and Public Aid, HMO, PPO.
- Transmit Medicare and Blue Cross Blue Shield claims via EMC and commercial via NEIC.
- Identify overdue accounts requiring collection activity, evaluated, and initiated the most effective procedures.
- Supervise the billing department and processes, interviews, new hire training, Paychex payroll, and several other management duties.
- Worked directly with physicians regarding coding, documentation and insurance changes.
Experience
7-10 Years
Level
Consultant
Education
Associate
Medical Billing Manager Resume
Headline : Extensive knowledge of Medicare, Medicaid, Tricare and commercial carriers. Held Supervisor position for over 12 years. Full cycle biller for following specialties: Allergy and Asthma, Pain Management, OB-Gyn.
Skills : Medical Billing,Ms-office.
Description :
- Tracking of employee daily production and determining areas of production for improvement.
- Supervising 18 billing personnel and training employees in day to day billing duties.
- Insurance claims reconciliation from insurance aging report and unpaid explanation of benefits.
- Assisting patients with an explanation of benefits, billing questions and establishing payment plans.
- Determining correct CPT and HCPCS codes for various procedures/drugs/supplies and investigating medical documentation for correct ICD-10 coding.
- Working with Medicare, Medicaid, Medicaid HMO's, Tricare and all commercial insurance companies.
- Work closely with insurance companies to assure payments are received in a timely manner; Maintain contact with clients and patients.
Experience
5-7 Years
Level
Executive
Education
CPC
Medical Billing Manager III Resume
Summary : Accomplished Medical Billing Manager with over twenty-two years of experience in the medical field. Recognized for ability to build relationships with key personnel and help keep the Medical office running smoothly.
Skills : Medical Billing, Medical coding, Medical terminology, Medical Manager.
Description :
- Utilizing web portals for maximum information for each Carrier/Payer which includes but not limited to upcoming changes updates.
- Communicating with each staff member and Doctors. Obtained credentialing for the physician with all insurances Obtained physician's NPI number.
- Ensure correct billing management and process flow per our contractual agreements, and coding guidelines.
- Changing the master files and working with ITS, our medical software team and our clearinghouse Navicure.
- Verified insurance coverage, entered charges, electronically submitted claims, posted payments, appeal denied claims.
- Prepare practice deposit communicate with a collection agency, supervised front desk operations, and wrote up new policies, motor vehicle cases.
- Responsible for handling all of the billing issues of the office Filed medical claims to Private Insurances as well as Medicare and Medicaid.
Experience
10+ Years
Level
Management
Education
Lomb Zyoptix
Medical Billing Manager I Resume
Objective : Dedicated medical billing specialist, manager, and IT support coordinator, who is recognized as a resource for billing solutions including A/R management, Collections, Accounting.
Skills : Medical Terminology, Online Claim Submission, Medical Billing.
Description :
- Manager all aspects of medical claims filling for private practice for mental health services.
- Set up and managed the detox center patients. Completed utilization reviews and concurrent reviews for patients to stay in the program.
- Audit claims for proper adjudications per the contract, and the DRG used for claim Post payments for EOB's that are received.
- Updated spreadsheets and track payments in a bank account. Write appeals for wrongfully denied claims.
- Manage employees Make employee's schedules and keep track of the time of request Enter daily charges Code encounter forms.
- Denied and outstanding claims Perform error correction on claims Resolve insurance claim rejections/denials.
- Enter and update patients account information File primary and secondary claims on paper/electronically File Workers compensation.
Experience
2-5 Years
Level
Junior
Education
High School
Medical Billing Manager/Director Resume
Summary : To attain a challenging position that will effectively exercise and prove skills and past experience while allowing professional growth.
Skills : Physician and Hospital Billing, Collections, Reimbursement, AP/AR.
Description :
- Assure proper work distribution and coverage, job descriptions, training and evaluation of staff; manage time-off requests.
- Processed payroll for the department in conjunction with HR noting changes in employee behavior and work performance.
- Developed Standard Operating Procedures and Compliance Plan for Outsourced Billing Company based on OIG Standards.
- Developed Training Manuals on billing software EclinicalWorks (ECW), and billing processes based on OIG Standards and individual client protocols.
- Developed uniform appeal letters, processes and timelines for carrier denials and underpayments.
- Collaborate with Certified Medical Coder and client's clinical staff to develop protocols and processes based on Mission Statement and compliance.
- Create and Submit Clean Claims Payment posting, both ERA and manual Insurance Follow-up Work denied and rejected claims Patient Statements.
Experience
7-10 Years
Level
Management
Education
Medical
Associate Medical Billing Manager Resume
Headline : Outstanding ability to multi-task in order to exceed department goals Familiar with Microsoft Office, Quick Books, various Tax Preparation Software, e-Clinical works, NextGen, and Micro MD medical billing software.
Skills : Communication skills, Ms-office.
Description :
- Assumed responsibility for the full cycle accounts, processed charges daily on billing software for both locations.
- Responsible for provider Enrollment and setting up appointments to visit with health insurance companies.
- Processed all the claims and monitor payments for services, collected and posted payments and made a bank deposit on a regular basis.
- Handled data entry and general ledger work as well as bookkeeping and general clerical tasks.
- Updated the new systems Process all charges on charge entry format Research all denied claims Processed all outstanding charges from insurance carriers.
- Set up new practices Operated financial computer systems and furnished senior company executives with A/P liability summaries and cash flow reports.
- Handled the processing, distribution, accuracy verification and maintenance of invoices, interfacing extensively with a nationwide network of vendors and suppliers.
Experience
5-7 Years
Level
Executive
Education
Management
Jr. Medical Billing Manager Resume
Objective : A professional position in the Health Care and Accounting environment with increasing responsibilities conducive to the abilities have demonstrated in the field during the last thirty-two years.
Skills : Ms-office, Clinical skills.
Description :
- Responsible for billing and claims processing for five physicians specializing in Internal Medicine, Gastroenterology, and Cardio Pulmonary Disease.
- Supervise staff in the handling of services and charge records.
- Process claims of all types, including Commercial Insurance, Medicare, and Public Aid, HMO, PPO and Workman's Compensation plans.
- Transmit Medicare and Blue Cross Blue Shield claims via EMC and commercial via NEIC.
- Identify overdue accounts requiring collection activity, evaluated, and initiated the most effective procedures.
- Handled cash register and invoices Provided patient financial counseling Submitted bills for reimbursement to health care providers.
- Assigned managerial role of all office billing within 4 months of hire Submitted claims to insurance companies and post payments to accounts Managed denials.
Experience
2-5 Years
Level
Junior
Education
Associate
Medical Billing Manager Resume
Objective : To expand my role as a Medical Billing Manager/Certified Professional Coder, as it pertains, to physician billing and revenue cycle management. Increase receivables and maintain the revenue stream.
Skills : Ms-office, Hard work, Good patience.
Description :
- Work closely with the Intake Coordinator and all Program managers, Administrative and LCSW and MHC counseling staff.
- Overseeing the submission and follow-up of medical claims for all programs including Medicare, Medicaid, Third Party Payers.
- Supervise the refund process, and work closely with compliance, quality control department.
- Analyzes month-end billing for all agency programs. Ensured claims were entered and submitted within 48 hours of the patient visit.
- Maintains customer relations with provider representatives, department of mental health.
- Enter daily charges, A/R follow up, payment posting, referrals, month-end reports, rejections, electronic transmissions.
- Credentialed providers with new insurance carriers and maintained existing contracts Followed up on accounts receivable and payable Interacted with patients.
Experience
2-5 Years
Level
Executive
Education
Medical
