Medical Billing Manager

Dear Hiring Manager:

I am interested in applying for a Medical Billing Manager/Office Manager position at a growing practice. My relevant highlights of my qualifications and accomplishments which makes me a perfect candidate for this position:

Planning and implementing effective strategies for billing, A/R, collections effectively current

Increasing revenue, maximizing performance and providing the highest levels of operations satisfaction

Innovative thinker, willing to take the lead, offering excellent communications skills, and exceptional analytical and organizing capabilities

As an expert in managing several tasks simultaneously, I deem myself efficient in administrative and billing and coding. I bring a unique skill set that certainly meets and exceeds your expectations of the ideal candidate for this role. I am well versed in managing day to day operations of the billing department to maximize cash flow and overseeing all aspects of revenue cycle while adhering to billing policies.

I maintain a high ethical work standard, confidentiality, and customer service is maintained at all times. I use my expertise, critical thinking, and planning strategies when performing special projects. When delegating work, I meet with each employee individually to see what their weakness and strengths are in order to have a productive work flow. Being a team player makes a huge difference in a positive work environment.

I look forward to your call to discuss this mutually beneficial opportunity and I will make myself available according to your schedule. Thank you for your time and consideration.

Sincerely,

Anna M. Johnson

Anna M. Johnson

4200 Community Dr., #1412

West Palm Beach, FL 33409

Hm.# 561-***-**** Cell.# 561-***-****

**********@*****.***

MEDICAL BILLING/COLLECTIONS MANAGER

Billing Manager with more than ten years’ experience. Extensive Billing and Collections experience highly skilled, knowledgeable, professional bringing extensive, specialized training, and proficient in HIPAA compliance, rules and regulations.

PROFESSIONAL EXPERIENCE

08/2016-10/2016 Omni Health Solutions - Boca Raton, FL

Billing Manager (Claims; HCFA 1500)

§Setting up EFT’s & deposits for insurances

§Negotiations, planning & handing over responsibilities to staff

§A/R reports; denials & appeals

§Billing & Coding; labs, allergy, treatments

§Managed office operations, work flow, office staff – including recruitment, performance management and training/development of specialty practice.

§Provided the required leadership, support and direction for office initiatives and special projects.

§Communicating with software support, provider services, insurance reps.

§Setting up log-ins for insurance websites

§Facilitated the management in completing general formalities related to the patients such as insurance and medical reports.

§Manages the reconciliation of accounts receivable on daily basis.

§Special Projects, and etc.

09/2014-08/2015 S. Atlanta Urgent Care/Swift Health Urgent Care - Atlanta, GA

Billing Director (Claims; HCFA 1500)

§Review payer contracts for specific coding & billing requirements, and standards

§Communicate coding, billing documentation requirements and/or standards with clinical staff for accuracy and compliance

§Demonstrates strong understanding of all Center managed care contracts with third party payers including Medicare and Medicaid.

§Develop and maintain policies, system methods and procedures

§Negotiate payments & prices for independent contractors for testing site

§Negotiate and review performance of insurance contracts

§Process of timely & accurately of claims & reports

§Work is organized and prioritized, initiate and judgment in anticipating and solving problems

§Provides timely guidance and feedback to help others strengthen specific knowledge/skill areas needed to accomplish a task or solve a problem.

§Set-up practice management software for submission of electronic claims to clearinghouse. Work with clearinghouse to resolve file compatibility issues

§Monthly processing of patients’ statements. Answer and resolve patient billing inquiries

§Post and reconcile insurance and patient payments. Research and resolve incorrect payments, EOB rejections, and other outstanding accounts

04/13-09/14: SM2 Medical Billing Service, LLC - Decatur, GA

Medical Billing /Coding Specialist (Claims; HCFA 1500)

05/11-6/29/12: Eagle Hospital Physicians, LLC - Atlanta, GA

Client Services Representative

Hospitalist; Inpatient, Outpatient, ER, Observation (Claims; HCFA 1500 & UB04)

10/10-01/11: REMX Staffing Agency - Atlanta, GA

Customer Service Representative

07/08-05/10: Eye Institute of NC - Durham, NC

Medical Billing/Coding Specialist/Administrative Assistant

Ophthalmology (Claims; HCFA 1500)

03/08-06/08: Manpower Staffing Agency - Durham, NC

BCBS; Medical Claims Processor (Claims; HCFA 1500)

12/06-02/08: Internists of CNY - Syracuse, NY

Medical Billing/Coding Specialist (Claims; HCFA 1500 & UB04)

Physician & Hospital; Inpatient, Outpatient, ER, Observation

09/06-12/06: Laboratory Alliance of CNY - Liverpool, NY

Technical Processing Assistant

06/05-09/06: Kopp Billing Agency, Inc. - Syracuse, NY

Medical Billing Clerk (Claims; HCFA 1500)

07/97-06/05: Lifetime Health Center - Syracuse, NY

Office Manager/ Medical Billing/Coding Specialist (Claims; HCFA 1500 & UB04)

Radiology Department

§Assumes responsibility for daily management of the Business Office (including Registration, Medical Records, Accounts Receivable, Accounts Payable, Scheduling, and Insurance Verification and Collections).

§Ensures high employee morale and a professional, effective, and efficient working

atmosphere. Monitor wait times for the center and manage the work flow accordingly

§Participates in administrative business operations meetings as scheduled

§Serve as the communication liaison between the hospitals, physician practices, and

insurance offices

§Effectively serve as a fill-in on all positions qualified for, when absences or

patient volumes warrant additional help

§Implement the policies and procedures and follow all operational guidelines

§Must be able to maintain a highly structured environment

§Responsible for sales and marketing of your center with support from the Marketing

MEDICAL SOFTWARE

MISYS TIGER, MISYS, LYTEC, POWER MHS, EPACES, EMR, NEXTGEN, IDX, PRACTICE ADMIN., INGENIOUS MED, ALLSCRIPTS, HELLO HEALTH, COLLOBRATE MD., OFFICE ALLY (PRACTICEMATE), PRACTICE FUSION, ZIRMED, AVAILITY, NAVINET, OPTUM, KIPU, Greenway, Intake System(owner created)

2006 OCM-BOCES

Phlebotomy Technician (NPA licensed)

1997-1999 SUNY EOC

Medical Billing & Coding Computer Information Technology

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