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Medical Billing Manager

Location:
Santa Clarita, CA
Posted:
October 14, 2020

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Resume:

Nina Harris

***** ******* ***** ****** ********, CA 91354

Cell: 661-***-**** Email: adgzca@r.postjobfree.com

OBJECTIVE

Seeking a responsible and challenging Managerial position within a growing healthcare organization.

QUALIFICATIONS

Extensive managerial, supervisory and training experience in the areas of University Physician Billing, Coding, Compliance and Appeals.

Experienced with most payors including Medicare, Medi-Cal, CCS, Commercial, Managed Care, Private, and Workers Compensation.

Certified Professional Coder (CPC) highly skilled in coding: E & M, Spinal Surgery, Orthopedic Surgery, Radiology, Plastic Surgery, Pathology & Laboratory, Pediatrics, Critical Care Management, Anesthesiology, Physical Therapy, Chiropractic, Acupuncture, Oncology, Cardiology, & Neurology.

National Coding Compliance Auditor for professional coding chart review for large healthcare organization.

Coding Instructor in AAPC approved program and Billing Instructor

Professional training and presentation experience, excellent written and oral communication skills, project management and financial management experience, analytical skills, works effectively in a team situation, has natural leadership skills

Microsoft Word, Excel, PowerPoint, Outlook, AS400, Medtrak, Encoder, CPT/ICD-9,

Medi-soft, IComp Works, Athena.

PROFESSIONAL EXPERIENCE

The Ivy Day Spa, Valencia CA 12/01/2015 – Present

Therapeutic Massage Therapist

Performed: Swedish Massage, Pre-Natal Massage, Hot Stone Massage, Deep Tissue Massage, Chair Massage, Aromatherapy, Myofascial Release, Trigger Point Therapy, Reflexology, Sport Massage, Body Treatments, Certified Oncology Massage Therapist, 12 Vacuum Cupping for Trigger Points

Physician Management Group (PMG), Los Angeles CA 12/2014 – 10/2015

Billing Manager (12/2014 – 10/2015)

Supervise a staff of 11 FTE’s encompassing all aspect of medical billing

Supervised a staff of 10 FTE’s specialized in collections obtaining authorizations for surgical and office procedures & E/M’s

Process improvement: Implemented converting paper charge ticket to scanned charge tickets improving clean claims submission by 33%

Created job aids for the Billing Team & Tiger Team, increasing productivity by 20% & decreasing billing and collection errors by 15%

Nina Harris

Page 2 of 3

U.S. HealthWorks, Valencia, CA 6/2009 – 12/2014

Partial Pay Surgical Appeals/Appeals Supervisor (6/2009 – 12/2014)

Complete oversight and management of all Surgical and Ancillary appeals.

Supervise /Train staff of 10 in surgical appeals.

Review EOB’s/EOR’s. Manage surgical appeals projects per CPT/Body Area, Carrier Denials.

Manage patient accounts for partial pay surgical appeals.

Report Carrier/Payer/Bill Review Reductions/Denials regarding Surgical Procedures’ to the Director of Coding & Reimbursement and Director of the RBO.

Carried out all duties of the Safety Commissioner including meetings, records management and facility inspections.

National Coding Compliance Auditor (1/2005 – 6/2009)

Coding Compliance Auditor for over 175 physicians performing E & M chart audits and physician coding education.

Review and Code various surgical charts. Project leader for Worker’s Comp L&I Audits.

Assisted in the Development of the Acupuncture Medically Manage Program. Assisted in Partially Paid Surgical Collections. Interface with clients and Physicians throughout the health Care system in over 5 different specialties including Orthopedic Surgeons.

David Hopp, MD, Los Angeles, CA 1/2004 – 1/2006

Ambulatory Surgical Center; Medical Office

Medical Billing; AR Administrator

Supervise a staff of 12 FTE’s encompassing front and back office operations.

Performed Medical Coding and hands-on oversight of all Billing and Collections for surgical procedures and office visits.

Managed A/P and A/R departments and performed financial analysis and reporting for Chief Financial Officer.

Responsible for the approval of all Medical Supply purchases.

UCLA Medical Surgery Center, Los Angeles, CA 2/1992 – 12/2003

Billing Manager

Responsible for daily Coding, Billing, Collections and Data Entry operations, managing a team of 25 FTE’s.

Oversight employees responsible for EOB review, Billing, Collections and managed Appeals Process.

Multi-specialty experience includes; Plastics, Orthopedic, Oncology, Radiology, Pathology and Pediatrics.

Worked closely with Bernard Markowitz, MD for Plastic & Maxillofacial Surgical Authorizations.

Interfaced with Medicare, Medi-Cal, CCS, Managed Care and Commercial Payors.

Conduct in-house Employee Training, Reviews and Disciplinary actions.

Nina Harris

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EDUCATION

Santa Monica College, Santa Monica, CA

Associate of Arts Degree; Allied Health

Certified Emergency Medical Technician

Certified Therapeutic Massage Therapist

American Academy of Professional Coders

Certified Professional Coder

License #9848

Deactivated 2017 – Due to leaving Corporate

REFERENCES

Professional references available upon request.



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