Medical Billing Payment Poster

Amanda Collins

**********@*****.*** 760-***-****

linkedin.com/in/livelikeyoumeanit44

Summary

Specializing in Medical Billing and Coding, Inpatient and outpatient hospital/ professional and facility coding. Staff Management, Recruiting and Training

Team Building, Human Resources, Revenue Cycle Analytics, Credentialing, and Marketing and Development

Workman’s Compensation and No-Fault Patient, high volume

ICD 10 certified, Orthopaedic, Sports Medicine Emergency Medicine, Ophthalmology, Neuro Oncology,, Otorhinolaryngology (ENT), Plastic Surgery, Pain Management, Anaesthesia, Cardiology, Chiropractic, Colorectal Bariatric, Physical Therapy & rehabilitation, Holistic Medicine, Internal Medicine-General Practice, Family Medicine, Obstetrics & Gynecology, Geriatric Medicine, Hospice, Hospital Inpatient and Surgical Center Billing, Urgent Care, Mental Health and Substance Abuse. (Professional and Facility billing) Emergency Medical Transport (Ground and Air), General Surgery,

Professional Experience:

Live Like you mean it 44 Consulting May 2011 – November 2020

Owner/ consultant - Medical Practice Management & Revenue, Staff Management Consulting

Medical Practice Management Consulting

Medical Billing and Coding

Staff management, recruiting, training, team building

Revenue Cycle Analysts and Medical Practice Operations consulting.

Credentialing and contracting,

HIPPA Compliance training

Marketing and Development, social media management

Trouble shooting, Audit .and resolution.

Specialties include: Emergency Medicine, Ophthalmology, Neuro Oncology, Orthopedic, Sports Medicine, Otorhinolaryngology (ENT), Plastic Surgery, Pain Management, Anesthesia, Cardiology, Chiropractic, Physical Therapy & rehabilitation, Holistic medicine, Internal Medicine/GP, Family Practice, Obstetrics & Gynecology, Geriatric Medicine, Durable Medical Equipment, Hospice, Hospital inpatient & surgical center billing, Urgent Care, Mental Health and Substance Abuse, Emergency Medical Transport(ground, air, and fixed wing.

Hired and trained clinical staff and front office. Trained and educated staff on correct intake and registrations procedures. Developed polices and processes as needed Including insurance verification, patient demographics, authorizations, referrals, treatment plans, and precertification.

EyeTech Digital Systems Mesa, AZ November 2020 – Current

Funding Manager (from start-up stage to operational)

Credentialing Medicare/ Medicaid nationwide, Managed care, and Commercial payers, Independent State vendors programs and independent organizations.

Set up EMR and billing system

Hire and train billing team

Communication with executive team and sales team regarding accreditation

Compliance

KPI- monitor positive and negative

Weekly meetings with finance team to review trends and identity wins, concerns and issue

Liaison between Sales teams and billing team.

Worked hands on with billing team authorization, coding, and follow up and appeals.

Advanced Surgical Associates, Mesa, AZ March 2019-March 2020

Medical Billing Manager

Oversaw billing operations Multi-Specialty Surgical and Trauma practice

Hired, Trained and managed team. Managed Offshore and stateside teams

Held one on one and team meeting / training coders, payment poster, accounts receivable teams.

Meetings leadership team and shareholders to review benchmark KPIs and health of the business.

Assist with credentialing and auditing.

Monitored staff performances and evaluations and provided improvement plans as needed.

Managed revenue cycle to ensure maximum reimbursement. Performed denial analysis. Monitored any changes in accounts receivable payer mix to look for any trends

California Healthcare Medical Billing, Escondido, CA Aug 2017 – June2018

Client Executive

Manage the relationship through understanding of the client’s needs and financial performance, and then utilizing the information to establish a partnership between organizations. Specific responsibilities include identifying potential operational gaps adversely impacting financial performance through assessment of customer metrics and trends, being in tune with client needs/expectations along with actual status of work being performed.

Manage and directs client communications and service interactions

Cultivates and fosters positive client relationships with physicians, clinicians, and practice administrators

Manage client expectations based upon Service Level Agreement and effective decision making

Works collaboratively with various departments within CHMB to resolve client concerns or requests.

Effectively interacts with cross functional teams in delivering high quality work products under set timelines

Presents information to client and CHMB committees and executives.

Conducts meetings with Operations and others to identify areas of concern and assist in the implementation of workflow changes.

Monitor key billing/collection statistics and compares to national/regional/local benchmarks including, but not limited to, net collections, days in A/R, etc.

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Cure Urgent Care: New York City and Long Island Aug 2014 – Mar 2016

Director of Billing and Credentialing/ Operations (from Start up to active practice)

Operations: Oversaw all areas of operations including clinical, billing, and operations teams.

Human Resources: Staff management, recruiting and training, human resources, payroll, accounts payable, Credentialing and employee onboarding.

Operations: Marketing and business development. Managed outside consultants and vendors.

Billing & Coding: Audits on claims coding, and reimbursement to target any trends to maximize maximum revenue. Monitored again AR focusing on 60 plus AR. Reviewed patient AR and Bad debt. Reconciled all receivables and billing for monthly hard close. Held meetings with billing team to review Coding, AR, Payment posting and secondary billing as well as patient billing.

Held weekly and Monthly meetings with physician owners and managing partners to identity trends positive or negative and address any concerns.

Credentialing: From Start up stage. Initiated and managed enrolment and renegotiation of contracts for Medicare, Medicaid, managed care plans, state no fault, commercial and private contracts.

CAQH, PQRS, JACO accreditation, and Medicare Meaningful use monitoring and management

Network Chiropractic of Somerset, North Brunswick, NJ July 2008 – Feb 2010

Office and Billing Manager

Oversaw all operations of the Medical Practice.

Acted as a liaison between office staff and upper management.

Responsible for employee hiring and training of staff.

Weekly meetings with owner regarding practice revenue cycle, KPIS, and trends,

Managed billing and coding claims, treatment plans and authorizations, regarding Personal injury, no fault, commercial, Medicare, and Medicaid insurance.

Rebarber Family Chiropractic Center, Highland Park, NJ Feb 2008 –May 2009

Medical Billing Associate

Responsible for pre-certification and treatment plans along with medical billing.

Weekly meetings with physicians to go over revenue management and business development.

Managed revenue cycle: Patient accounts receivable for commercial, Medicare, PIP spell out, treatment plans and/or pre-certification, and medical records.

Somerset Network/ St. Peter’s University Hospital, Westfield, NJ May 2006 –Feb 2008

Practice Manager

Managed billing for emergency room physician practice.

Imported all medical charts for electronic claims submission.

Supervised staff for coding and collections for Commercial, Private, personal injury, workman’s compensation, Medicare, Medicaid, and undocumented citizens programs.

Analyzed payer mix and to target trends daily.

Trained and educated staff on changes in medical billing laws and procedures.

McKesson Information Solutions, Somerset, NJ Sep 2004 –May 2006

Senior AR Representative

Accounts receivable representative for Ophthalmology department.

Onsite Liaison between practice and contracted provider.

Negotiated with insurance carriers’ surgical rates and handled appeals.

Worked with patients to develop with payment plans and paying account balances.

Held monthly meetings with Physician Board Chairman and the Vice President to review revenue reimbursement, strategical planning, and business development.

Education:

Gibbs College, Livingston, NJ

Attended for Associate in Applied Science, January 2004 – October 2005

Business Administration/ Medical Concentration

(92 credits, Honor /Deans List)

Berdan Institute: Totowa, NJ Medical Assistant (Diploma) 1997

West Milford High School: West Milford, NJ Diploma 1995

Certifications:

AAPC member / ICD 10 Certified

Programs: Excel, QuickBooks, Microsoft Word, PowerPoint, Excel, Google sheets Zoom, Go

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