About
Detail oriented quality focused professional billing manager. Successful track record handling complicated assignments. Highly experienced In reconciling insurance and patient payments and resolving account disputes. Proficient in a variety of practice management software applications. Dedicated to maintaining strict patient confidentiality.
Experience
- Billing Director / Billing Account Manager · CPa Medical Billing11-01-2020
As a Billing Director and Billing Account Manager, responsible for overseeing billing operations, managing client accounts, and ensuring efficient billing processes.
- Office Manager · Positive Results LLC04-01-2019 – 11-01-2021
As an Office Manager, responsible for managing office operations, coordinating administrative tasks, and supporting billing processes.
- Revenue Cycle Manager · eClinicalWorks10-01-2014 – 04-01-2019
Created and educated customers on best practice workflow. Responsible for content build in the software to ensure good billing workflows. Coordinated all practice billing activities with provider office and eCW billing teams. Followed up with clearing house enrollment and assisted the practice/CH in the capacity of a facilitator of the enrollment process. Responsible for setting up the client’s system and training them on using eClinicalWorks software based on their workflow using best practices of billing. Proactively analyzed the client’s financial health on a monthly basis to identify reimbursement trends, patterns of denials and to develop an intimate understanding of the factors that are contributing to the clients’ financial performance. Researched, documented and trained billing teams on specific insurance mandates. Researched and shared billing information pertinent to states and insurances. Created Month End Reporting and submission to provider practices. Daily tracking of operational elements of physician practice.
- Billing Manager · New England Podiatry Assc09-01-2013 – 10-01-2014
Responsible for posting all payments and deposits. Ensured balancing of all money before daily close. Assisted in the plan and direct registration, patient insurance, billing, collections, and data processing to ensure accurate patient billing and efficient account collections. Assisted in solving difficult payment and associated business office problems. Audited problem accounts and medical records regarding coding issues. Developed and implemented new procedures to improve quality and quantity of work processed. Ensured policies are communicated and administered consistently. Conducted insurance verification and obtained authorizations and pre-certifications for office and/or hospital procedures. Managed electronic claim filing, including maintaining billing computer system and worked with information technology to ensure timely and accurate implementation. Performed data entry of all practice charges, including ICD-9 and CPT coding.
Education
- Branford Hall Career InstituteCertificate, Health claims
- High School # 8High School
Similar talent on Pangea
Mercedes H.Healthcare Operations and Member Success SpecialistGainesville, FL
Denise O.Director of Revenue Cycle Management | Expert in Optimizing Financial Performance & Patient Experience | Driving Efficiency & Growth in Healthcare Operations
Kayla M.Assistant Director of Optimization & Efficiencies at MedCentris | Healthcare Revenue Cycle Management SpecialistHammond, LAHire Zhanna through Pangea
Describe your project to the Pangea agent — see if Zhanna is a fit, with transparent pricing and interviews booked straight onto your calendar. No contact details change hands until you hire.
See if Zhanna is a fit