Medical Billing Manager

Linda Williams

Jonesboro, GA

404-***-****

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

Skills/Abilities

Highly skilled healthcare management and patient financial services, account manager and billing specialist; Strong knowledge of medical terminology, medical billing, quality control and insurance processing; Extensive understanding of complete billing cycle; Tenacious, focused, detailed and knowledgeable working and maintaining every aspect of Accounts Receivable including claim submissions and denials; Exceptional communication skills; Proven track-record of teamwork, collaboration, and relationship-building. Experience:

Director of Patient Financial Services – Georgia Eye Partners, Atlanta, GA (2009-Present)

• Manage daily operations of the Revenue Cycle and ensure following of proper coding guidelines;

• Ensure exceptional customer service while supporting the overall financial goals of the organization;

• Audit charts for proper documentation, coding adherence and quality control;

• Maintain credentialing and A/R for multi-physician practice and ambulatory surgery center;

• Manage patient financial services employees and ensure proper training and direction;

• Complete documentation on all contact with patients or actions taken on accounts;

• Receive and resolve patient complaints and/or misunderstandings about their accounts. Patient Account Manager – Eye Consultants of Atlanta, Atlanta, GA (2007 – 2009)

• Worked and reviewed patient accounts regarding EMC billing and outstanding patient balances;

• Ensure timely resolution of all outstanding claims including collections and proper follow-up;

• Managed records, data entry, payment collections, billing and account reconciliations;

• Followed up with insurance carriers on all assigned accounts within expected timeframe;

• Met and maintained daily productivity/quality standards established in departmental policies. Billing Specialist – Physician Oncology Services, Lawrenceville, GA (2004 – 2007)

• Ensured accurate monitoring of claims for proper coding, missing authorizations and denials;

• Devised and implemented operational procedures resulting in timely payment collections;

• Ensured professional development and continuous learning of latest technology and applications;

• Built and maintained a strong working rapport with critical contacts and liaisons;

• Researched and took needed actions to collect and follow-up on accounts receivable. Education and Training

MA – Information Systems and Information Technology, South University, Savannah, GA MBA – Healthcare Management, Colorado Technical University, Colorado Springs, CO BA – Business Administration in Healthcare Management, American Intercontinental University, Atlanta, GA AA – Physical Therapy, Pensacola Junior College, Pensacola, FL Certified Professional Coder (CPC)

Member: American Academy of Professional Coders (AAPC) Technical Proficiencies: ICD10, CPT, HCPCS Coding, Microsoft Word, Excel, PowerPoint, Nextgen, Nextech, EMR Medisoft and Navicure

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