Billing Specialist Revenue Cycle

BRINGING A UNIQUE BLEND OF TOP LEADERSHIP, FINANCIAL MANAGEMENT AND ORGANIZATIONAL STRENGTHS TO OPTIMIZE HEALTHCARE OPERATIONS

Healthcare Management Leader with 15 years of success in driving operational excellence and delivering exceptional patient care through strategic vision and collaboration. Demonstrated track record in implementing cost-saving measures, streamlining processes, and elevating patient satisfaction. Dedicated to driving excellence in healthcare organizations through proficient team leadership, financial oversight, and effective administrative supervision.

SIGNATURE STRENGTHS & COMPETENCIES

EPIC Proficiency

Regulatory Compliance

Healthcare Administration

Medical Billing and Coding

Healthcare Research and Analysis

Delegation

Patient-Centered Care

Staffing and Scheduling

Operation Management

Revenue Cycle Management

Budgeting and Financial Planning

High Level Reporting

Team Leadership

Time Management

Training and Mentoring

Effective Communication

Cross-functional Collaboration

Quality Assurance

PROFESSIONALS EXPERIENCE

Texas Health Physicians Group Dallas, Tx

Billing Specialist Supervisor 2023- Present

Coordinate with practice managers to develop action plans based on performance data to optimize revenue cycle management and conducts regular audits to maintain compliance with regulatory standards. Provide ongoing training and support to team members, monitors billing performance metrics, and communicates findings to upper management.

Key Achievements

Maintained 98% accuracy rate in entering charges into Electronic Health Record systems, ensuring streamlined billing processes and minimal errors.

Supported leadership by conducting training, auditing work, resolving complex billing problems, contributing to 20% increase in team productivity.

Transformed healthcare finances by reducing costs by 15% and increasing revenue by 25% through strategic leadership and operational efficiency.

Led team of 15 staff members and ensured compliance with all applicable laws and regulations, resulting in zero compliance violations during annual audits.

Texas Health Physicians Group Dallas, Tx

Billing Specialist II (Cardiology) 2017 – 2023

Resolved billing inquiries and discrepancies promptly, facilitating smooth financial transactions and upholding patient satisfaction. Assisted in generating reports and analyzing data to identify trends, implementing strategies to streamline processes, reduce denials, and maximize revenue collection.

Key Achievements

Identified, researched, and resolved 2500+ billing inaccuracies monthly, effectively communicating findings to Practice Managers for swift resolution and process improvement.

Spearheaded the coordination of medical documentation with physician charges, yielding remarkable 90% accuracy in billing submissions to third-party payers, driving enhanced financial performance.

Implemented innovative strategies to streamline workflow processes, resulting in 25% reduction in billing cycle times and increased revenue collection efficiency.

Mentored and trained 10+ incoming staff members, fostering their professional development and ensuring seamless integration into the team.

Texas Oncology city, state

Insurance Specialist II 2016 – 2017

Managed accurate medical records, processed insurance forms, and assured compliance with insurance protocols and regulations. Upheld strict patient confidentiality standards while handling sensitive insurance and medical information and maintained seamless workflow to support insurance-related activities.

Key Achievements

Conducted audits on over 100 specific carrier claims, ensuring accuracy and compliance to bolster the financial integrity of the organization.

Enhanced billing accuracy by auditing and modifying CPT codes, diagnoses, and insurance information, resulting in revenue optimization.

Supervised over 100 write-off requests monthly, allocating them to the appropriate financial categories for streamlined financial management, resulting in improved financial reporting.

Attained increase in on-time payments and reduction in unresolved issues through direct carrier communication and audits.

ADDITIONAL EXPERIENCE

Billing Specialist II Navigant Cymetrix, Lewisville, Tx

Medical biller QMAC’S, Richardson, Tx

Operations Compliance Specialist Teletrac, Arlington, Tx

Customer Service/Claims Examiner Dell, Inc, Plano, Tx

HEALTHCARE CODING & SOFTWARE PROFICIENCY

Epic Electronic Medical Record (EMR) ICD-10, CPT, HCPCS coding systems Electronic Health Record (EHR)

Microsoft Suite (Word, Excel)

EDUCATION

Master of Business Administration in Women in Leadership Texas Woman's University, Denton, TX

Bachelor of General Studies in Health Studies, Business, Sociology Texas Woman's University, Denton, TX

toshiya luckey

469-***-**** *******.******@*****.***

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