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Manager Medical Billing

Location:
Warren, MI
Posted:
December 10, 2019

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Resume:

ERIKA H. BEEMER

**** ********** ***** ******, ** 48446 989-***-**** ada1l6@r.postjobfree.com

PROFESSIONAL PROFILE

Top performing professional accustomed to a fast-paced hospital flow who provides timely and accurate data to ensure reimbursement for patient services. Follows policies, procedures and guidelines to ensure consistent quality. Maintains and assures patient privacy and confidentiality.

High Academic Honors Recognition / Dean’s List

Electronic Medical Records (EMR / EHR) Sunrise OCIE

Certified in First Aid CPR AED Recipient Rights (Mental Health)

Microsoft Office / MS Excel MS Word MS PowerPoint Typing Speed: 65 WPM

Regarded as a natural people person with strong interpersonal communication skills

Ensure correct and thorough demographic information for medical records database

Understand compliance regulations such as Medicare, Medicaid, Managed Care, and HIPAA

Electronic Medical Records (EMR / EHR)

eClinicalWorks (ECW) eCare Orsos (OneCall) Genesee Health Systems (GHS)

Clinical Health Information Program (CHIP) Greenway

KEY QUALIFICATIONS

Medical Billing Medical Coding ICD-9 ICD-10 HCPCS CPT

Medical Terminology Medicare Medicaid Tricare CMS 1500 CMS 1450 (UB-04)

Electronic Health Records (EHR) Payment Posting Scheduling HIPAA Compliance Insurance Verification Insurance Claim Processing EOBs Co-Payments Deductibles Managed Care (HMO PPO POS)

Government Payers Third Party Payers Worker’s Compensation Fee Schedules

EDUCATION

Ultimate Medical Academy Diploma – Medical Billing and Coding, 2019

Davenport University Bachelor of Business Administration – Accounting and Finance, 2005

Carnegie Institute Diploma – Electroencephalographic Technician (EEG), 1999

Troy Continuing Education Diploma – Unit Secretary, 1997

RELEVANT PROFESSIONAL EXPERIENCE

Hope Network Behavioral Health Services – Flint, MI 12/2018 – Present

Medical Office Administrative Assistant

Provide office and billing support services

Assist with patient intake process, oversee patient flow and document patient interactions

Implement front office best practices by billing with accuracy and adhering by HIPAA rules and regulations

Skilled in the use of EMR software and insurance maintenance

Insight Institute Neurologist – Flint, MI 06/2018 – 09/2018

Billing Manager / Office Practice Manager

Promoted to Office Practice Manager shortly after starting position

Created tracker for auto compensation and discovered previous errors with billing qualifiers

Unified multiple call centers into one concise unit and revamped verification and authorizations departments

Improved patient schedule notification from 7 days to 24 hours

Produced job aids for employees and future managers

R1 Revenue Cycle Management Solutions – Southfield, MI 08/2016 – 06/2018

Manager of Shared Services

Resolved issues, payment statuses, and insurance denials by communicating with Provider Representatives

Reported team accomplishments, barriers, and statistics to company's President, Vice President and Director

Supervised 3 different hospital's revenue cycles and reduced average daily revenue by 95.29%

Oversaw 40-member revenue cycle team through virtual communication, including Skype, phone, emails, and instant messages

Managed Ops-lead, immediate supervisor, and 16 on-site and 1 off-site team member

Collaborated with IT Department to improve necessary report information and to create reports for Milwaukee's Columbia St. Mary's regarding write-offs, weekly revenue income, and monthly income barriers and opportunities

Utilized Microsoft Word, PowerPoint, Excel, and Adobe to create job aides for team members

R1 Revenue Cycle Management Solutions – Saginaw, MI 02/2008 – 08/2016

Central Scheduling and Patient Access Manager

Traveled to various offices and hospitals

Mediated schedules between physicians, patients and diagnostic departments

Trained employees within department, diagnostic department, and physician offices to utilize scheduling software, ORSOS (OneCall)

Worked directly with IT and ORSOS vendor to create shortcuts and procedure exams to benefit the hospital

Merged 3 separate call-centers into one congruent system to benefit customers

Cooperated with hospital department directors and managers with concerns and improvements for scheduling exams

Decreased call-wait time by 87% and scheduling-process time by 64%

Created scheduling fax request system that decreased wait times and gave offices written confirmation about scheduled appointments

Reported directly to CFO, processed patient refunds and gave final approval

Ascension St. Mary's of Saginaw Hospital – Saginaw, MI 02/2006 – 02/2008

Accounts Receivable Follow-up Specialist

Merged 3 individual business office locations into one consolidated office

Received and managed call center interactions regarding inquiries from medical offices, helicopter ambulance (HEILO) services and billing

Oversaw $2M revenue monthly on HEILO charges, billing, coding and follow-up

Handled refunds and approvals, and physician credentialing

Led project to submit claims electronically to increase efficiency and followed-up with insurance providers to resolve claims

Collaborated with financial advisors to help patients obtain Medicaid coverage with the state and financial assistance with hospital charity

Traveled to other office locations and trained employees to take over billing department

Served as a Board Member for The HIPAA Violation Board, 04/2007 – 11/2009



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