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0000 xxxxxx xxxx , xxxx , xxxxx 000002 xxx-xxx-xxxx ● abc@xyz.com
Seeking relocation to Plano / Fort Worth / Dallas, Texas
Able to combine excellent academic credentials and healthcare industry experience toward supporting a progressive organization in optimizing performance
Medical Billing ~ Accounting ~ EMR Software
Revenue Cycle Optimization ~ Claims Appeals & Denials
Profile
Demonstrated strengths in broad-based healthcare administration including office operations, medical billing, claims administration and resolution, patient records management, patient relations, and staff training.
Highly discreet and committed to ensuring confidentiality of personnel files and documents.
Well-versed in Medicaid, Medicare, third-party reimbursement regulations.
Autonomous and personable with sharp critical thinking capabilities.
Contribute dynamic communication skills toward effectively liaising between management and internal/external stakeholders in support of achieving corporate objectives.
Excel in analyzing existing practices and orchestrating process improvements to elevate patient service and satisfaction while reducing expenses.
Dependable problem solver with a solid blend of business and financial acumen.
Professional Experience
Albany County Hospital District (dba Ivinson Memorial Hospital), Laramie, WY, 2015 to Present
Claims Resolution Specialist
Function as inpatient medical biller for Medicare HMOs and major commercial insurance providers such as BCBS, Tricare, Cigna, United Healthcare, Workman s Compensation, and Veterans Affairs.
Reconcile patient accounts, systemically investigate insurance denials, process refunds, initiate appeals, and diligently track monthly revenue cycle goals.
Partner with inpatient coders to streamline processing of insurance claims with strict attention to accuracy.
Train, mentor, coach, and advise peers to foster a unified workplace climate.
Served on Third-party Contract Negotiation Committee in 2015.
Ivinson Memorial Medical Group-Primary and Surgical Clinics, Laramie, WY, 2011 to 2015
Professional Physician Fee Biller and Collector
Served as outpatient medical biller for Medicare, Medicare HMOs, and companies such as BCBS, Tricare, Cigna, United Healthcare, Workman s Compensation, and Veterans Affairs.
Methodically posted payments, reconciled patient accounts, maintained daily cash posting spreadsheets, and played an integral role in achieving monthly revenue cycle goals.
Proactively researched insurance denials, generated appeals, and cooperated with outpatient coders to ensure efficient and quality-driven processing of insurance claims.
Demonstrated excellent leadership attributes in training and mentoring team members.
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Albany County Hospital District (dba Ivinson Memorial Hospital), Laramie, WY, 2011
Cashier
Meticulously reconciled payments to general ledger for Accounting department, and posted insurance payments and patient payments in a timely manner.
Updated, reviewed, and maintained daily cash posting spreadsheets in alignment with quality control expectations and procedures.
The Grateful Palate, Oxnard, CA, 2007 to 2009
Accounting Assistant
Effectively supported full-scope accounting functions including credit card reconciliations, expense reporting, A/P, A/R, debit memos, wire transfers, billing invoices, and worksheets for major promotional events.
Maintained up-to-date inventory spreadsheets to optimize purchasing and cost control activities.
The Clinic for Mental Health and Wellness, Laramie, WY, 2001 to 2002
Receptionist
Applied dynamic prioritization, administrative, and interpersonal skills toward greeting patients, scheduling appointments, collecting and processing deposits, performing data entry, and updating patient charts.
Education
Master of Healthcare Administration and Management, Minor in Accounting
Colorado State University-Global Campus, Greenwood Village, CO, 2017
BS, Business Management
Colorado State University-Global Campus, Greenwood Village, CO, 2015
AA, Psychology
Laramie County Community College Online, Cheyenne, WY, 2013
Certificate in Medical Billing
Penn Foster Career College Online, Scranton, PA, 2010
Software
MedInformatix, Allscripts, Meditech, MedAssets, nThrive,
Microsoft Office Suite (Excel, PowerPoint, Word), WordPerfect
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