Medical Billing Manager

ELIZABETH A. HANKA

* ***** *****, *********, ** *1608 508-***-**** ******@*******.***

Core Competencies

Medical Office Management

Billing Staff Development & Training

Creation of Policy & Procedures Manual related to billing practices

Denial Management

Practice Management Consulting and Implementation Report & Document Preparation

Spreadsheet & Database Creation

Financial Reports & Analytics

Revenue Cycle Optimization Invoice Reporting

Employment History

eClinicalWorks LLC, Westborough, MA 2007 to Aug 2012

Revenue Cycle Optimization (RCO) Services Operations Manager, 2009 to Aug 2012

• Developed a new business operating unit within eClinicalWorks that provides professional ambulatory medical billing services to new and existing clients

New Business Development Responsibilities:

• Evaluated all potential RCO Services clients against criteria for ensuring a good “fit” with RCO Services

• Participated in all marketing and outreach activity for new client prospects

• Developed efficiency-enhancing process improvements and internal billing workflows to accommodate increasing levels of responsibility and activity within the organization

• Coordinated with other departments within the company to implement RCO functions, recruit new team members, and obtain resources needed to stabilize and grow the RCO Services operation

• Defined roles and responsibilities for team members; established the organization structure within the department; and designed and delivered appropriate training and training documentation to all new hires in the United States and in India

• Work directly with new clients to establish the business relationship, set expectations, and design a client-side workflow that will ensure optimal results, i.e., increased A/R, clean claims, return on investment, increased office efficiency

Ongoing RCO Services Responsibilities:

• Grew the business from a single client to 45 clients

• Supervise a team of 54 | 12 local Billing Managers, 1 off-site Billing Manager, and 41 off-shore Billing Operations team members at two locations in India

• Provide staff development and on-going training; participate in the employee performance review process; supervise work of all team members for quality, consistency, and accuracy

• Ensure that 5010 set up is performed properly

• Manage 5010 rejections and resolve as needed to facilitate timely claim processing

• Serve as the point of contact for resolving all client questions and concerns that cannot be answered by the responsible team member(s)

• Travel to client sites throughout the country to provide billing training, workflow review and optimization recommendations for improved efficiency and cost reduction

• Research, develop and provide training on multi-state billing guidelines for RCO Billing Staff

• Provide visibility to management in the form of analysis and reports of all department activity

Billing Implementation Specialist 2007-2008

• Developed comprehensive knowledge of the eClinicalWorks ambulatory EMR/PM software with industry knowledge of best practices in medical billing, and design of practice workflows to maximize office efficiency and return on investment

• Train new clients in the use of the eCW application software and billing processes and procedures

• Work with Billing Trainers who are on-site to resolve issues, develop office automation efficiencies, and troubleshoot areas of concern in the practice.

MA Cardiology Associates 2004 to 2007

Billing Manager 2004 -2007

• Established and maintained best practices accounting policies and procedures that were instrumental in the practice being sold to a large cardiology group practice at a profit

• Interviewed, hired, and supervised the billing staff in a non-invasive cardiology practice

• Coordinated all billing functions in the practice, ensuring that all claims were generated in a timely and accurate manner

• Served as primary liaison between the practice and patients to ensure a consistently positive and productive customer experience with relation

• Participated in the selection process of a new practice management software application (Lytec) for the practice and coordinated the implementation of same

• Performed credentialing of all practice providers, ensuring that all licensure credentials were current and in place with all payors and ancillary service providers.

• Reconciled deposit reports, analyzed monthly A/R reports, and daily stat reports that reduced inaccuracies and provided management with the analytics required for making operational and financial decisions

• Provided coding and billing recommendations for optimal and auditable revenue generation

Allied Health Medical Billing Service, Worcester MA 10603 1991 – 2004

Owner/Manager

• Operated a successful third party billing company, providing a wide range of billing services multi-specialty ambulatory based providers using Lytec Medical Billing Software

• Developed implementation strategies, provided sales & marketing demonstrations

• Hired, trained and supervised a staff of full time & part time employees

• Provided credentialing services and contract review in while negotiating payer rate fees.

• Provided E/M documentation review to our clients to identify adherence of proper billing procedure

• Developed plans for corrective actions and trained providers on specialty specific billing guidelines

Affiliations:

American Association of Professional Coders (AAPC)

The Hartford’s Who’s Who

Linked in at: www.linkedin.com

Special Projects

Responsible for eCW’s workforce development initiative in support of the ARRA /HITECH Act, developed a certificate-level training program for delivery to the Worcester Public School System.

The program consisted of user guides, training manuals, and the training of an instructor who teaches the course as part of the Worcester Public School System’s continuing education program. As of this writing, 60 students have completed the program and five students are now employed in health related fields.

Education

Quinsigamond Community College | Worcester, MA | 01606 1989

References: furnished upon request

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