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Network Power<100 people
Roles
🧮50%
Education
💬50%
Customer Service
🖋️50%
Copywriting
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Work Background
NHOMS, PLLCSenior Billing Manager
Aug. 2021 - Oct. 2024Responsible for the management of revenue cycle team members and oversight of all internal financial transactions, insurance reimbursements and accounts receivables. Created detailed reports on billing activities, including revenue analysis and AR reporting to present to Sr. Leadership and Partners at monthly Financial and Operational meetings that provided insights on revenue trends, payer patterns, and potential issues for resolution. Identified opportunities for process improvement within the revenue cycle and implemented solutions. Proven track record in implementing value-based care strategies, adhering to CMS regulations, and achieving multi-payer alignment to enhance organizational efficiency and financial performance. Onboarded and attained insurance credentialing for all new physicians and practice locations maximizing reimbursement with focused contract negotiations.
NHOMS, PLLCBilling Manager/Office Manager
Jun. 2017 - Aug. 2021Managed the daily operations of the billing department and practice, overseeing a team of 14 employees. Developed and implemented standardized billing procedures to ensure consistency and compliance with industry regulations. Implemented electronic claim submission and payments, ensuring timely processing, and maximizing reimbursement for services rendered. Maintained up to date knowledge of insurance guidelines and coding requirements to ensure accurate claim submissions. Provided training and mentorship to new hires, facilitating their integration into the financial teams. Effectively managed time by prioritizing tasks based on urgency and importance ensuring timely completion of projects. Developed and adhered to a structured daily schedule to balance multiple responsibilities and meet all commitments.
NHOMS, PLLCInsurance and Billing Coordinator
Jan. 2013 - Jun. 2017Collaborated with cross-functional teams to gather necessary documentation and information for clean claims. Maintained up to date knowledge of CPT, CDT & ICD coding and compliance requirements related to billing practices. Managed and processed claims for a high-volume, multi office organization, ensuring accuracy and claim timeliness. Reviewed EOB's for discrepancies or errors, resolving issues to ensure prompt Insurance payment. Responded promptly to customer inquiries regarding insurance claims or account statements, providing clear explanations and resolutions.
Merrimack Valley PediatricsMedical Office Manager
Jan. 1996 - Nov. 2012Managed daily office operations, including supporting staff and patients, claim processing, revenue management and attending leadership meetings, while collaborating closely with physicians to enhance productivity and coordinated state vaccine program. Implemented new software systems for project management, resulting in improved team collaboration and productivity. Prepared reports on office expenses, budget variances, and operational performance for senior management review. Spearheaded the transition to a paperless office environment, resulting in significant cost savings and improved sustainability. Conducted regular audits of office procedures and facilities ensuring compliance with industry regulations while maintaining a high level of patient satisfaction.
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