Medical Billing Manager

Danielle Kyler

Billing A/R Manager

*** ******* **

Sandy Springs, Ga 30328

***************@***.*** - 1-864- 421-7663

Seeking a challenging position in healthcare which allows me to utilize my scholastic and business acumen to further corporate goals.

Work Experience

Billing manager

Helping Hands Medical Offices - Lawrenceville, GA

July 2006 to April 2012

-major contracts with hospital systems

-99% accuracy in claim process

-96% claim recovery

-5010 implementation and ICD-10 coding classes

-increased revenue 200% first 2 years

-grew company through southeastern region

-Billing, coding and Compliance Specialist

-internal medicine, Dermatology, OB-Gyn, anesthesiology

- Handled AR and month end

-Approved Patient billing -Approved ICD-9 coding -

-Instrumental in the process of accreditation by JHCO -

-Vast knowledge of HIPPA rules and regulations

-Vast knowledge of -Medical Billing -

Able to train others in the regulations regarding plans of -Medicaid, Medicare, Advantage Plans, HMO's and PPO's

Handled all appeals -Audits to satisfy unpaid or denied claims-

Consistently recognized as a premier provider of Medicare and Medicaid

revenue cycle management

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/AR/Supervisor

Regional Medical Group

April 2004 to June 2006

P&L'S

-collections aging report break downs

-program development

-successful in implementing and creating strategic plans, setting an administrative budget, and developing improved process to meet short and long term goals

-increased employee retention by 36% by establishing a new training program, recognition program for all new hires

-employee satisfaction improved from 42%-71%, increasing employee longevity

-Compliance HIPPA, CMS

-saved over $1,500 per day through the redesign of the facility and 1 hour daily on claim process rate

-Employee/Employer complaint resolution

-Family Practice/ Internal Medicine/Sports Medicine

-Responsible for Medical Billing, Accounts Receivable,

-insurance verification (all types) including workers compensation

-Upheld the finest customer services with senior solutions and surrounding hospitals

- troubleshoot all claim problems and issues

-Managed all Medicare and Medicaid claims

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Sales Representative

Ram Medical Supplies Inc - Greenville, SC

February 2000 to 2003

Issued advice on serving power mobility, orthopedics, Cpap, oxygen supplies

- Provided supplies to Medicare, Medicaid beneficiaries

-Supervised twenty employees

-Successfully completed Resna classes for ATP certification

-Liaison between doctors, patients and insurance companies

-Complied with HIPPA laws and regulations and ensured compliance

Resident Advisor

-Assisted Resident Manager with day to day operation of co-ed dormitory

-Mediated student disputes

-Directly over 40 freshmen

-Community projects

Education

B A Psychology

North Carolina State University

SKILLS: 12 years of experience with Medical Billing and Claims Management, Medicare, Medicaid, HMO and PPO

Strong leadership, analytical capabilities, and problem skills

Solid knowledge of medical terminology.

Experience in 837 billing and 835 remittance processing, CPT, HCPCS, and ICD 9 coding. Experience with UB-04's and CMS-1500's.

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