Medical Billing Manager Operations & Finance Leader
Resume:
Lisa BrownLucas
Frederick, MD *****
**********@*****.***
Work Experience
Medical Billing Manager
Baker Rehab Group-Frederick, MD
May 2022 to Present
• Reviews office financial performance, including revenue cycle activities.
• Accurately reviews collects of all copays, coinsurances, deductibles, and patient outstanding balances.
• Prepares and monitors monthly statistical reporting of key operations and financial factors for the medical office.
• Monitoring financial performance key areas: Cash collections and daily, weekly, and monthly reporting.
• Coordinates accounts payable activities according to organizational procedures.
• Act as liaison between Billing company and office
• Provides oversight and management for the daily operations of the medical office and ensures patient access to care.
• Creates and maintains a professional environment in the medical office.
• Adjusts operations as needed to maintain peak performance.
• Training front desk staff
• Responsible for maintaining positive, productive, and professional relationships within the practice, as well as between the providers and patients. Prepares the medical office for the addition and departure of providers; ensures smooth operational transitions. Assists with growth and development of the practice. Coordinates and leads meetings with the providers and staff on a regular basis to keep team informed practice goals and policy changes.
Concierge
Hands Help U Concierge Service-Frederick, MD
2013 to Present
Personal Assistant, Small Business Assistant,
Variety of task as client or customer request.
Customer Service, Disability Assistant, Patient Advocate, Medicare and Medicaid assistance A\R Specialist
abeo Management Corporation-Frederick, MD
November 2018 to March 2020
Reviews accounts for appropriate payments
Follows up on no pay accounts
Handles appeals and disputes for variety of commercial accounts, medicare and medicaid Researches missing payments
Answers inbound calls from patients
Review websites to verify eligibility and claim status. Handles worker comp claim
Reviews anesthesia records for correct calculations Sends out correspondence regarding COB
Note accounts on action taken
Complies with laws and billing standards.
Billing Manager/Office Coordinator
Westview Urgent Care-Frederick, MD
2011 to 2013
•The financial performance of the revenue cycle
•Supervision of patient scheduling, registration, financial counseling, medical records, billing and collection, data entry and processing, and cash posting
•Promoting excellent customer service
•Develop, implement and maintain office policies and procedures
•Interview, hire and train a productive medical office team and conduct performance reviews Billing Manager
Capital Home Health Care-Leesburg, VA
2009 to 2010
• Educate and train staff to maintain a high level of performance
• Direct staff to comply with office policies and procedures
• Review daily billing process to ensure accurate claims are filed for processing
• Maintain knowledge of private insurance and contract requirements
• Ensure policies and procedures are adherent and accurate data entry processing and follow-up to achieve minimal bad debts
• Report trends in payer submission that could impact profitability and contract
• Institute policies and procedures for setting-up billing department
• Monitor all past due A/R and determined appropriate disposition and processing of credit bureau collection accounts
• Handled collection accounts 90 days and over Office Administrator/Manager Office Administrator/Manager
Dr Charles Y. Kim, MD-Frederick, MD
2003 to 2009
• Direct staff to comply with office policies and procedures
• Responsible for maintaining supplies, purchasing and ordering as needed
• Maintain positive relationships between vendors, insurance companies, Frederick County Health Department, Frederick Memorial Hospital, and Contract administrators to ensure mutually beneficial relationships
• Coordinate surgeries (schedule, discuss & answer question pertaining surgeries)
• Review daily billing process to ensure accurate claims are filed for processing
• Maintain knowledge of private insurance and contract requirements (Medicare, Medicaid & private insurances)
• Ensure policies and procedures are adherent to for accurate data entry processing and follow-up to achieve minimal bad debts
• Report trends in payer submissions that could impact profitability and contract
• Maintain all credentialing files (Currently ensure CAQH is updated as needed)
• Negotiate contracts (new/renewal)
• Ensure payments are made in accordance to contracts
• Complete daily patient productivity reports and monthly reports accurately and timely
• Responsible for interviewing/hire of new employees
• Complete yearly employee performance evaluation
• Maintain accurate employee documentation
Sr. Billing Specialist
Serenity Medical Billing-Frederick, MD
2000 to 2003
• Handled collection accounts 90 days and over
• Pursed payments based on patient obligations
• Responded to customer inquiries on account status
• Resolved account discrepancies
• Handled adjustments, refunds and write-offs
• Maintained accurate records for collection activities on all accounts
• Completed all reports according to policy and procedures Billing Manager
Capital Area Pain Management-Frederick, MD
2000 to 2001
• Managed anesthesia & pain management billing department
• Supervised and coordinated the daily operations of the billing office
• Effectively managed and directed staff to comply with policies and procedures
• Created techniques and programs to ensure timely and accurate billing and collections Of Medicare, Medicaid and private insurances
• Monitor all past due A/R and determined appropriate disposition and processing of credit bureau collection accounts
• Maintained a high level of knowledge on regulations and legislations that impacted billing and collection activities (Medicaid & Medicare, etc )
• Ensured adequate staff education, training and performance evaluation
• Employed qualified personnel and managed new hire/termination process for the billing department Billing/Financial Rep
Alan Nagel, M.D-Frederick, MD
1998 to 2000
1998 - 2000
• Handle all billing (Paper and electronic)
• Verified insurance to ensure maximum benefits were received
• Pursued patient payments on accounts 30-60 day past due
• Responsible for disposition of claims to collection agency
• Financial counselor -negotiated payments
• Worked with workmen's compensation claims extensively to ensure payment
• Followed up on delinquent claims payments from insurance companies
• Responded to customer inquiries regarding accounts
• Filled in for secretary as needed; Schedule appointments Education
Business
Frederick Community College - Frederick, MD
August 1984 to January 1985
Skills
• ICD-10
• Customer service
• Time management
• Negotiation
• Medical Billing
• Medical Collection
• Anatomy knowledge
• AR
• MEDICAID (10+ years)
• Medical Scheduling
• Analysis skills
• Patient Care
• Leadership
• Communication skills
• Receivables
• Workers' Compensation
• Employee Evaluation
• HIPAA
• Interviewing
• Medical terminology
• Medical coding
• Accounts receivable
• CPT (10+ years)
• MEDICARE (10+ years)
• EMR systems
• Pain Management
• Medical collection
• EMR Systems
• Medical Coding
• Revenue cycle management
• Accounts Receivable
• Customer Service
• Primary Care Experience
• ICD-9 (10+ years)
• Medical records
• Medical Terminology
• Medical billing
• Medical Office Experience
• ICD (10+ years)
• CPT coding
• Insurance Verification (10+ years)
• QuickBooks
• Organizational skills
Additional Information
Skills: Medical Terminology (Dean Vaughn) ICD-9, CPT, HIPAA Systems:Misys (CBSI, PM, Tiger) HAS, Point-Click-Care, Lytec, Lytec MD, Pulse, Eclinicalworks Insurance: Medicare, Medicaid, HMO's, PPO, POS, Idemnity, etc..
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