Medical Billing
Resume:
GOKHAN ERBAZ, MBA
Wilmington, DE
******@*****.***
EDUCATION
**** - **** ****** ****** *******
Wilmington, DE
MBA - Information Technologies
Ankara,
TURKEY
Bachelor of Science - Finance
EXPERIENCE
November 2005 - February 2014 UNITED MEDICAL LLC
Newark, DE
Director of Billing and Practice Management
About the company: Servicing over 100 medical practices and providers with
software solutions such as electronic medical records, revenue cycle and
practice management.
September 2004 - November 2005 BRANDYWINE MEDICAL MANAGEMENT
Wilmington, DE
Billing Manager
About the company: Providing medical billing services for primary care
physicians and multi-specialty physician groups.
SKILLS SUMMARY
Medical Billing
. 10 years of extensive revenue cycle knowledge and managing and consulting
experience in medical billing and practice management
. Experienced in hospital billing, charge capture and productivity
reporting
. Successfully exceeded MGMA Benchmarks for >90 days accounts receivable
and clean claim rates for managed medical practices
. Ensured practices' financial stability by predictive cash flow and
revenue analysis reporting
. Successfully transitioned over 50 medical practices to 5010 electronic
ANSI format with no cash flow interruptions
. Periodically worked with multiple accounting services for daily and
monthly reconciliations
. Established communications with medical clearinghouses for improved
denial management
. Saving A/R time by monitoring preventable denials from different sources
such as coding errors, front desk inefficiencies and system setup issues
by optimizing the use of electronic clearinghouse edits and implementing
best practices workflows
. Analyzed practice coding to prepare crosswalks for upcoming ICD-10
transition
. Extensive knowledge of and experience in ICD-9 and CPT codes, CMS 1500
forms and ANSI 835 and 837 formats
. Created workflows for improved patient-centered medical services via
electronic medical record systems and online databases
. Held periodic meetings with insurance provider representatives for
incentive program updates and ensured the practices are meeting the
criteria
. Monitored meaningful use criteria for successful attestations with
Medicare and Medicaid
. HIPAA compliance and secure patient data management training with
certification from Medical Society of Delaware
Management
. Managed over 25 employees for medical billing and revenue cycle
. Provided physician productivity reports with monthly and YTD comparisons
directly to owners and managing physicians in order to ensure the
contract goals are accomplished
. Improved patient collections by directly mentoring practice managers for
successful follow-up workflows and coordinated overdue outstanding
balances with third party collection agencies
. Improved productivity by creating online database systems with Quickbase
Intuit Company applications for real time daily data recording with MTD,
YTD, monthly and quarterly reporting capabilities helping A/R
representatives and department managers saving time of reconciling
hundreds of excel spreadsheets
. Negotiated contracts with insurance companies during the credentialing
process
. Initiated social media management services for the company and the
medical practices for better patient communication via seasonal posts and
newsletters
. Simplifying the complex and developing new ways to work more efficiently
. Hands-on approach to client relations
Software and Program
. Participated in a committee to provide feedback for a team of software
engineers on a new EMR integrated practice management system
. Experienced in Intuit Quickbase Online Data Management System
. Practice management software power user such as Professional Data Systems
(PDS), Cerner Powerchart, Cerner Powerworks PM, Cerner Specialty PM
. Familiar with PM and EMR systems including Allscripts, Eclinical and
McKesson
. Experienced in using Microsoft Office applications such as Excel (Pivot
Table manipulations, text to column data sorting, etc), Word, Access
REFERENCES
. Available upon request
Contact this candidate