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Click here or scroll down to respond to this candidateCandidate's Name
Certified Revenue Cycle RepresentativePHONE NUMBER AVAILABLE EMAIL AVAILABLE Street Address Dorsh, South Euclid OHOBJECTIVE To utilize my years experience, skills, and proficiency in all areas of revenue cycle management, for a company in need of knowledgeable representative that can step in instantly on any major project or train and manage existing staff to attained high levels of efficiency and results.SUMMARY OF Experienced revenue cycle management for Family Medicine, Orthopedic, DME, QUALIFICATIONS Urology, ASC, and Pain Management Specialties Analyze trends that may affectpractice revenue. Apply payments to patient accounts Reconcile accounts and disputes Verify correct ICD-10 and CPT codes for a variety of specialties Create and Generate custom Excel reports from any Billing System data Answer and resolve patient billing inquires Follow up on Insurance and patient aging Continued Learning in Coding and Compliance.EXPERIENCE BUSSINESS OFFICE MANAGER, CENTER FOR ORTHEPEDIC RECONSTRUCTION [OKC remote](NORTHEAST OHIO SURGERY CENTER (A NORTHSHORE HEALTHCARE COMPANY), BEACHWOOD OHIO, 2006 - 11/2023Current responsibilities include orthopedic appointments, scheduling, billing and discrepancies. Managing remote 6 FTEs and 7 onsite employees.. Negotiate Anthem and Medical Mutual contract carve outs to maximize financial impact based on the cases performed by practice specialties. Set-up practice management software for submission of electronic claims to clearinghouses. Attend conferences and meetings as necessary to stay up to date on information relating to Coding and Compliance. W/C claims benefit verification to insure cases are completely allowed and past appeal. Network and IT tech. Once a month audit all employees and report to ownership.BILLING OFFICE SUPERVISOR, DR. RAMA RAJU AND GIRESH BULSARA M.D., NEW YORK, 2004 - 2006Duties included follow ups on Insurance and patient aging, training of staff, appeals and coding of claims.HMO MEDICAL BILLER, UROLOGY ASSOCIATES, NEW YORKMEDICAL BILLING SPECIALIST, 1996 1999Managed all HMO claims from submission to final account reconciliation.EXCEPTION/ MANUAL CLAIMS PROCESSOR, NEW YORKGHI(EMBLEMHEALTH) 1991-1996Manually price claims according to different individual contracts guidelines.EDUCATION NEW YORK INSTITUTE OF TECHNOLOGY -1998-2000 Computer Science, General StudiesQUEENS COMMUNITY COLLEGE2002-2003 Java Programming |
