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Medical Billing Quality Control

Location:
Chicago, IL
Salary:
70,000.00
Posted:
March 25, 2024

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Resume:

Revenue Cycle Manager

The Josselyn Center - Northbrook, IL

May 2020 to Present

Medicare and Medicaid billing

Private insurance billing

Client collections

Claims deputes

Rejects resubmissions

Quality control for Progress notes Credentialing process implementation

A R reports analysis with accounting team

Process improvements

Manage a staff of 10 people

EMR superuser and trainer

Development of SOP for processes

Key contributor in processes that will find missed revenue.

Moved a company from 2 million per year to 24 million per year.

Teacher of key rules and regulations of insurance standards

Teacher of Best practices in billing

Owner of Consulting Services-Skill Set billing

Increase Self pay clients in 4 years by 30%

Hired and approved all time off for staff.

Maintain and signed off on all budget submission for the department.

Medical Billing Specialist

Community Consinf Centers Of Chicago - Chicago, IL

January 2020 to May 2020

Medicare and Medicaid billing

Private insurance billing

Client collections

Claims deputes

Rejects resubmissions

Medical Billing/Office Manager

Hyde Park Wellness Center - Chicago, IL

June 2015 to January 2020

Responsible for providing insight on rules and practices for billing in a very busy Chiropractic office. Duties include billing coding office visits and treatments perform by the chiropractor, Acupuncture Physical therapist. All accounts receivable and payable responsibilities. Manage and Maintain all cash accounts and order all supplies for the company. Manger a team of three. Payroll submission, accounting for monthly expenses. Communicated with Lawyers for cash settlement for medical services provided for workers compensation clients. Ran monthly revenue reports for accounting purposes. Hired and train all staff.

After School Site Coordinator

CPS/ New Memorial - Chicago, IL

2011 to 2012

Manage a team of four

employees. Responsibilities are coordinating tutoring, homework help and mentoring services.

Responsible for sixty five to seventy five children at one time. Responsible for reporting, monitoring attendance for employees and clients. Responsible for providing and coordinating

food and snacks while in my care. Responsible for payroll reporting for all employees.

Data

Support Manager

CVM Solutions - Oak Brook, IL

March 2007 to June 2010

Managed a team in the US of four employees. Managed a call center team of four in India. Each team was

responsible for making up two one hundred calls a day, but not less than sixty five. Each team

was responsible for the collection and entry of data, for the Supplier Diversity Program.Kept

accurate payroll, vacation and personal time. Performed quarterly and annual reviews. Awarded

merit raises when needed. Hired and trained all new and current employees. Developed and executed all current and new training material. Created and developed the call center team in

India to produce sixty percent of our out bound calls.

Housekeeping

Patient Care Tech, Loyola Hospital - Maywood, IL

July 2002 to 2006

Responsible for cleaning rooms in a timely matter, mopping, dusting, passing

trays.

Patient Care Technician

Loyola Hospital - Maywood, IL

July 2002 to 2006

Maywood IL- July 2002-2006

Responsible for the practical care of each patient. Recorded

vitals, input, output, dressing changes, activities data entry, removals of IV's, and range of motion. Dalit activities of living and nutrition.

Education

College in Medical Billing & Coding

Coyne College - IL

January 2014 to June 2015

Skills

Accounting

Hospital Experience

Revenue cycle management

Team Management

Medical office experience

Medical Billing

Insurance Verification

Management

Data Entry

Medical Terminology

Root cause analysis

CPT Coding

Anatomy Knowledge

Microsoft Outlook

Office management

EHR systems

Accounts payable

Teaching

HIPAA

EMR Systems

Quality control

Accounts Receivable

ICD-10

Epic

Computer skills

Payroll

Medical Records

Cash handling

Mentoring

ICD-9

Leadership

Quality Assurance

Medical Coding

Managed Care



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