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Billing Manager with Executive level experience

Location:
Las Vegas, Nevada, United States
Salary:
70,000
Posted:
April 23, 2019

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Resume:

Tracy Nesbitt

**** ***** **** *****, *** Vegas, NV 89139 732-***-**** ac86ti@r.postjobfree.com

- Professional Summary -

Medical Billing Manager with over 20 years administrative and executive level experience. Self starter and strong independent worker.

Energetic leader with proven ability to effectively manage projects to completion. Motivating leader with ability to effectively manage personnel. Excel at analyzing procedures to generate new ideas to improve efficiency and production quality. Adaptable to ever changing circumstances.

Key member in team developing and executing strategic business plans. Expert in all Microsoft Office Applications.

Military Army Soldier- Honorable Discharge Veteran Status-Regular Active Duty

- Core Competencies -

● Knowledge of all aspects of medical billing

● Electronic and Manual claims processing

o Accounts Payable

o Accounts Receivable

o Account Reconciliations

o Denials and Appeals

● Claims Processing Software

o Navinet

o MD Online

o Emdeon

o Athena

o NJDAS

o NJ State Fee For Service

o DMHAS- Medicaid

o MASS500

● Knowledge and experience with working in a fast

paced environment.

● My computer experience and knowledge are

extensive:

o All MS Products Excel, Access,

Word, Power Point

o QUERK

o FOREFRONT

o Constant Contacts

o Outlook

o Quickbooks

o Electronic Health Record

Applications-Carelogic/Qualifacts

o Electronic Client Records

o Oral and Written Communications

o Reconstruction and

Reimplementation of the EHR for

Preferred Behavioral Health Group

Professional Experience

Billing Manager, Preferred Behavioral Health Group, Lakewood, NJ May 2009-November 2018

● Effectively Managed and Supervised all billing staff and maintained compliance within the Electronic health records systems for properly expedited claims

● Participated in all state trainings and new state billing procedures

● Trained staff in proficient billing guidelines

● Training Instructor for Billing Staff and Clinical Staff with all billing systems

● Created internal billing manuals and all spreadsheets utilized by the state and county funding sources

● Daily processing of claims: Commercial Insurance, Medicare/Medicaid, Substance Abuse billing, State Billing and Accrediting and Licensing.

● Professional Assistant to the CFO and Assistant Finance Director

● Increased revenue to within a 90 percent capture of all processed claims each year

● Substance Abuse Coordinator-Handling all processing of State claims and billing. Manual data entry processing. Worked closely with the Substance Abuse Clinical Staff to increase revenues and maintain State compliance

● Track monthly financial data and sending monthly reports and spreadsheets to Senior Management

● Quarterly Accounts Receivable reports

● Performed monthly closing reports for revenue and payables

● Involved in all senior level management meetings

● Diverse in working with multiple software applications simultaneously Administrative Assistant, Monmouth Educational Services Commission, Tinton Falls, NJ 2007- 2009

Office Manager/Billing Manager, Fitzpatrick Chiropractic Center, Toms River, NJ 2005 – 2007

Senior Phlebotomist/ Certified Medical Assistant, Community Medical Center, Toms River, NJ 2001-2005

Army Soldier-Medical Specialist, United States Army 1996-2001v

EDUCATION & CREDENTIALS

Ocean County College/ Kean University

● Bachelor's Degree in Business Administration/Management

● Associates in Business Studies/American Sign Language Continuing Education Credits

● Certified in all MS office applications - (Excel, Word, Access and Powerpoint)

● Time Management/Business Management Workshops

● ICD 9 and ICD 10 seminars

AIT Military Training - Certified as a Medical Specialist Honolulu Community College - Courses in Biology and English Certified Medical Assistant - State of New Jersey



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