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Billing Manager Resume Samples
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Candidate Info
years in workforce
years at this job
Billing Manager
Plan and direct all billing, delivering high level executive and administrative support for daily business operations. Manage and coordinate revenue recovery from 2006-present from Medicare and commercial insurance. Perform ICD-9 and CPT code verification, daily payment posting, reporting, and deposit. Schedule, code, and bill all surgeries. Resolve unpaid charges and denials from insurance companies.
- Earned reputation as top performer, spearheading collection of 93% of old claims from 2006-2008, and 97% of billed charges for 2009.
- Dramatically improved billing procedures by introducing proactive management techniques and continuous process improvements.
- Restructured and revitalized office operations and productivity in less than 2 months.
- Generated revenue growth by negotiating increased rates on insurance contracts.
Candidate Info
years in workforce
years at this job
Family Studies
Billing Manager
Leveraged to enhance accounts receivable processes by implementing online credit card payments, creating A/R risk management processes and implementing a service center.
- Led a team of Financial and Eligibility Service Consultants/Analysts, Business Analysts, and Project Consultant that are responsible for invoicing and collecting $800+m/year in healthcare insurance premiums and reconciling over 11,000 accounts per month.
- Increased overall service levels of premium billing call center from a 67.72% (2005 result) to a 89.34% (2010 YTD result).
- Exceeded premium aging results for over five years and launched new aging and collection processes to ensure results were exceeded.
- Implemented various Risk Management Programs (Audit, Sarbanes-Oxley, Premium Collection Process).
Candidate Info
years in workforce
years at this job
Physician Billing Manager
Primary responsibilities included overseeing the daily operations of the business office functions
- Coordinated and supervised the billing for 45 physicians and third party collections
- Responsible for managing and training a team of 36 employees
- Conducted weekly meetings that consisted of addressing problematic accounts, resolving routine questions and boost morale
- Developed and implemented standard operating procedures to monitor work flow to ensure department ran at a maximum efficiency
- Reviewed, analyzed and monitored all statistical data related to accounts receivable
- Identified any negative trends that required resolutions and reported complex issues to higher levels of management
- Kept up to date all billing and reimbursement regulations and standards to ensure compliance with any changes issued by governmental agencies and third party payers
Candidate Info
years in workforce
years at this job
Applied Science
Restaurant And Resort Management
Business Administration
Billing Manager
Developed an Excel tracking system for units remaining on patient PARs, limiting the amount of non-billable services due to PAR to less than .01% of total revenue
- Assisted RN case managers in creation of patient Medicaid PARs and how to present the information to patients in a clear, concise manner
- Assisted Director of Nursing in maximizing individual case revenue by adjusting patient schedules
- Reduced billing discrepancies to .003% on over 7 million in revenue for the 2012 fiscal year
- Processed payroll for approximately 150 external employees
Candidate Info
years in workforce
months at this job
Leadership And Organization Behavior
English, Minor
Accounting
Central Billing Manager
Supervised and managed a staff of 10 including e-Billing Team, Central Billing Team, and Quality Coordinator.
- Responsible for staff hiring, goal setting, coaching/training, performance evaluations and assistance in creation of employee development programs.
- Provided to upper management monthly quantitative reports of departmental performance and WIP analysis.
- Initiated and participated projects and training sessions that enhanced departmental performance.
- Initiated and maintained SharePoint Site to streamline Billing Department communication and increase overall efficiency.
- Investigated and resolved complex billing issues with billing partners, Collection Department, and Clients.
Candidate Info
year in workforce
year at this job
Psychology
Master of Arts
Billing Manager/ Contract Settlement Manager
Managed 6 billing specialist to ensure timely and accurate processing of invoices
- Developed and maintained a working relationship with funding company to ensure proper payments were received
- Coordinated with Accounts Receivable department in collection of past due invoices
- Managed the preparation, and process of payroll settlements
- Facilitated Company drivers and owner operators with payroll discrepancies
- Implemented policies and procedures manual to streamline billing processes
Candidate Info
years in workforce
years at this job
Business Management
National Billing Manager
Created and maintained company's first budgets for 60+ cost centers.
- Analyzed loan processing and implemented changes which resulted in reducing expenses by 20%.
- Managed all P&L movement and trend analysis of expenses and revenue as well as the commissions' transition process to corporate headquarters.
- Responsible for cost-reduction efforts, product profitability analysis, and headcount forecasting.
- Created new internal processes for accounts payable and several other workflows to accommodate major reductions in workforce over a 12-month period.
Candidate Info
years in workforce
years at this job
Paralegal
Billing Manager
Daily responsibilities included communicating with Drivers about paperwork, entering information from paperwork into the company data base thru scanning, manual input using Microsoft Office, and other software programs.
- Organized and kept up with an efficient filing system so it was easier to locate paper work that was needed.
- Managed four major and 75 minor customer accounts, communicated with them on a daily basis by sending invoices, contacted customers about payments, balances and any issues with there accounts.
- Posted payments received by clients, updated company ledger with up to date debits and credits and printed daily account records to CFO and Owners
- Work closely with CFO on improving the billing process and new strategies to improve customer satisfaction.
- Played a key role in the billing department maintaining a grade A average based on trucking industry grading scale that some customers use to determine preferred carriers.
Candidate Info
years in workforce
year at this job
Health Services Administration
Billing Manager, Revenue Cycle
Manage team of 23 revenue cycle associates comprised of medical billing and coding personnel as well as registration, precertification, and new patient referral coordinators for privately held hematology/oncology physician practice at The Zangmeister Cancer Center.
- Responsibilities include managing daily revenue cycle operations from point of registration through claim submission and denial management.
- Maintain daily charge flow in Varian EHR to NextGen Practice Management System, oversight of daily charge submission utilizing Navicure Clearinghouse for electronic claim submission and claim editing.
- Developed bad debt/collections process for collecting on delinquent accounts resulting in record collections of patient cash.
- Accomplished manager in identifying inefficiencies and developing new processes to maximize both the productivity of staff and overall performance of the revenue cycle as identified in monthly performance indicators.
Candidate Info
years in workforce
years at this job
Accounting
Analysis & Planning
Billing Manager
Developed department strategy and best practices.
- Planned and implemented quality assurance for all processes.
- Provided various reports and perform special projects.
- Created and distributed operational, billing, accounts receivable, profitability and trend reports.
- Reviewed existing processes and procedures to provide efficiency recommendations.
- Served as primary liaison with Redwood Analytics, by acting as project manager to implement, set up, and map software, with time/billing system, for BI analysis and profitability performance reporting.
Candidate Info
years in workforce
years at this job
Mathematics
Senior Claims/billing Manager
Direct the billing and Payer collections for a National mail order diabetic supply company
- Responsibilities include electronic and hardcopy billing all Medicare Regions, Medicaid programs and a large number of national payers.
- Implemented Universal billing system in 2009.
- Reduced aged AR from 67% over 180 days old to 14%.
- Ensure that contractual payer requirements are met.
Candidate Info
years in workforce
years at this job
High School Diploma
Psychology
Billing Manager
Responsible for overseeing all billing and collection matters for a Vascular Surgery practice.
- Supervised and reviewed work staff of two people.
- Computed all pertinent medical information, in order to submit claims electronically.
- Contacted insurance companies for authorizations needed to perform office based surgery.
- Credentialed physician with all insurance carriers, i.e Medicaid, Medicare, and Major Medical.
Candidate Info
years in workforce
years at this job
Business Management
Medical Billing Manager
Manage entire medical billing system for a large radiological group from patient billing through insurance payment. Process patient statements, insurance refunds, payments, and records. Manage patient records, accounts, denied claims and appeals, diagnosis codes, data entry, electronic claims transmission, payment tracking, EOM reports, and physician credentialing. Supervise employees in medical billing procedures. Process up to 2,500 exams for patient billing per month.
- Completely set up entire medical billing office that promoted efficient operations.
- Readily develop strong rapport with people from diverse cultures and backgrounds.
- Honed excellent medical billing and medical terminology skills in this remote-based position.
- Enhanced corporate image of the company through professional representation and maintaining key alliances with a diverse base of patients, physicians, and insurance companies.
- Strong track record in organizing and prioritizing large workloads to meet deadlines.
Candidate Info
years in workforce
years at this job
Medical
Bachelor of Science
Billing Manager
Verified eligibility for all patients, and obtained authorization from various insurance companies
- Input all claims to insurance companies using Athena software system
- Managed all accounts receivable and followed up on all claims
- Coordinated and managed accounts in collections and assisted patients with payment plans and collecting balances
- Managed medical records, Doctor's credentialing, privileges, and CMEs
- Purchased office supplies and oversaw Operating Room ordering
- Managed Doctor's scheduling at multiple surgery centers and offices
Candidate Info
years in workforce
years at this job
Elementary Education
Billing Manager
Reporting to the Senior Vice President of Operations, managed a direct bill customer call center with responsibilities for customer service, phone metrics, exception report processing and quality program. Responsible for the motivation, development and empowerment of team members as well as reporting results to corporate partners.
- Surpassed all service level goals.
- Reduced aged receivables to .3% below goal.
- Responsible for hiring, firing, mentoring, coaching and development of over 40 customer service representatives.
- Created department-wide campaigns to improve metrics and quality by creating a Monitor the Monitor Program.
- Developed over 80% of staff to obtain promotions.
- Revised internal processes to improve efficiencies such as creating Billing Quick Links on company intranet.
- Developed an action plan to accomplish transfer of over 1500 policies from one billing platform to another.
- Created a newer more efficient method of compiling call statistics.
- Coordinated the successful transition of all department tasks to new company ahead of schedule.
Candidate Info
years in workforce
years at this job
High School Diploma
Accounting
Billing Manager
Add value to medical practice by submitting medical claims to insurance companies and ensuring payment was received. Correcting and resubmitting previous claims that were denied payment. Receive incoming calls from patients and other medical facilities for assistance with a range of needs. Produced and maintained revenue reports for medical procedures.
- Role of surgical and Medical Biller for three of NY Magazines Best Doctors of 2012
- Played integral part of a minimum of 10% company revenue increase per year since 2007
- Received prior authorization for surgeries and other medical procedures
- Increased individual surgeons' revenue 10% since taking over surgical billing in 2012
- Set up successful payment plans to ensure payment from self- pay patients
- Directed physicians to billing correct payable procedure codes
- Lead billing departments for large reconsideration projects
- Billing contact for all medical bills to insurance and patients
- Developed many working relationships with referring medical offices to enhance patient experience
- Created yearly payer reviews for physicians of the practice to pinpoint procedures that yield higher revenue
Candidate Info
years in workforce
years at this job
Management Gpa: 35
Billing Manager
- Responsible for 150+ client invoices bimonthly, which included billing Veteran's Affairs and long-term care insurance companies
- Handled daily bank deposits and bimonthly employee payroll for 150+ employees, ensuring a stable cash flow for the company and employees
- Resolved all questions and complaints regarding invoicing and payroll, decreasing the cost of delinquent payments and building strong customer and employee loyalty
- Assisted with accounts receivable collection as well as updating financial information in Quick Books
Candidate Info
years in workforce
years at this job
Medical Coder
Business Management
Billing Manager
Assisted physician with transition from cardiology group practice to solo cardiologist office.
- Accountable for preparation of electronic and paper insurance claim forms, editing claims for computer and manual accuracy while maintaining and preserving internal quality control standards.
- Posted and reviewed auto and manual claims to clearinghouse while receiving confirmation notice of sent claims and following up on denied claims.
- Filed appeals when necessary and kept abreast of current changes in billing requirements from government, managed care and other third party payers.
- Responsible for timely collection of A/R, sending patient statements and receiving patient calls.
- Oversaw training and orientation of clerical personnel in billing functions along with assisted in the development of policies and procedures.
- Assessed problems, processes and actively pursued continuous quality improvement programs while providing feedback to employees along with keeping the Practice Manager and physicians abreast of billing issues.
- Credentialed physicians with commercial and government payers along with hospitals. Followed up on open applications while maintaining current credentialing files including CAQH to ensure government and accrediting agency standards were met.
- Prepared and analyzed daily, monthly, year end and other reports as necessary.
Candidate Info
years in workforce
years at this job
Finance
Billing Manager
- Supported billing information needs for Structured Finance.
- Successfully recruited new hires for the development of the team and growth to the company.
- Reviewed and approved invoices for Structured Billing services.
- Prepared monthly accrual reports prior to submission to Revenue Accounting.
- Prepared semi-annual and annual performance evaluations for analysts.
- Documented new and current procedures for Structured Billing group.
- Provided analytic support to Structured Finance senior management.
Candidate Info
years in workforce
years at this job
Medical Practice Management
Billing Manager/marketing
Full accounts receivable management for a four practitioner specialty practice.
- Consistently met financial targets
- Successfully implemented pre-appointment verification of insurance process
- Reduced accounts receivable >90 days from 30% to 5%
- Operations set up of Ohio Valley Surgical Arts which included event planning and marketing
Candidate Info
years in workforce
years at this job
Communication Studies
Finance/assistant Billing Manager
Developed a database of materials for use by manufacturing
- Consolidated items to eliminate duplication, saving significant costs
- Estimated major projects and compiled the data onto client supplied Excel RFP forms
- Maintained billing for several high volume sales reps and create sales orders to ensure that all costs
- Validated client credit in order to open jobs in both accounting and enterprise management software
Candidate Info
years in workforce
months at this job
Political Science
Billing Manager
Handled claims with insurance companies including payments, denials and additional requests.
- Ensure bills and related correspondences were mailed in a timely manner and kept track of physical copies and electronic files using legal software - Amicus.
- Responsible for submitting unpaid and denied bills to the arbitration department.
- Tracked client money to be used for future filing fees using the software - Lawtrust.
- Prepared and distributed client money on a weekly basis.
- Created and tracked monthly invoices for clients as well as created specific invoices as necessary.
- Managed client / attorney meetings on a weekly basis by communicating with both client and attorney.
- Supervised billing associate on a daily basis, managing her schedule and ensuring day to day activities were completed.
- Wrote rebuttals using medical records to be presented in arbitrations.
Candidate Info
years in workforce
years at this job
Health Services Administration
Master of Arts
Assistant Billing Manager
Uploaded billing reports generated from the EMDNY-Exchange Portal into Anasazi
- Generated Claims to all Payers weekly
- Conducted quarterly financial reports to Finance Department
- Verified and updated all credentialing for licensed and non-licensed clinicians
- Provided AR reports to the DMH clinics support staff on a weekly basis
- Ensured compliance with local, state and federal policies and regulations.
- Guarantees compliance with HIPAA and manages statistical data for accounting
Candidate Info
years in workforce
years at this job
Business Management
Senior Resident Billing Manager
Responsible for Velocity Resident Billing for 2,400 clients receiving monthly resident statements for utility billing for 1.2 million residents.
- Multi Office management of team members in the USA and Offshore in India including client communication, sales, contract administration, portfolio management, monthly billing and resident activity.
- Oversight of 2 Managers, 5 Supervisors/Trainers, 4 Subject Matter Experts, 65 Billing Coordinators and 12 Senior Billing Coordinators working in the USA, India and remotely.
- Ensure 100% QA review for each client monthly combined with oversight for weekly client calls, site visits and Monthly Performance Appraisals designed to improve site recovery for utilities and monthly rent. Support recommendations made quarterly for 150+ Property Management Companies to improve ACV.
- Staffing / Recruitment / Budget planning and Performance Management for Division.
- Restructure of Operations for Global processing in India. Responsible for an annual budget savings of $3.6 million dollars in overall compensation. Migrated 76% of site portfolio within 2 years, having 1 million resident statements mailed in 2014 by offshore team.
- Improved Employee Satisfaction in 5 of the 7 key performance indicators in 2013 and 2014. Raised overall ranking for Velocity Department in the areas of overall employee satisfaction, training, communication and performance management process and knowledge.
- Reduced Overtime budget by $55,000 in 2013 by implementing SMART goals. Utilized the performance management process to improve performance, skills and training, cutting an additional $27,000 off the overtime expense in 2014.
Candidate Info
years in workforce
years at this job
Liberal Arts
Billing Manager
Develop, implements and monitors operational practices that maintain compliance with NYG, external regulations, while remaining within budgeted resources.
- Develop methodologies necessary to identify all billable physician patient encounters and performed procedures.
- Responsible for the maintenance, upgrades and ongoing communication with the billing systems.
- Independently identifies issues, investigates and generates solutions and keeps senior management fully informed
- Perform other related duties as detailed under the Billing Supervisor position.
Candidate Info
years in workforce
years at this job
Billing Manager
Managed a team of billing specialists who processed all customer and bailment billings.
- Was part of the team involved in the SAP roll out.
- Worked closely with Accounts Receivable & Payable on all outstanding bills totaling more than 1 million dollars.
- Receive, log, investigate, verify and process customer invoice claims.
- Work with Financial Accounting department on all issues related to month end close;
- Ensure shipped orders are billed timely.
Candidate Info
years in workforce
years at this job
Accounting
Billing Manager
As one of three Managers of the Financial Department, responsible for all billing, auditing, credit and collections, cash transactions, statistical reporting, and formulating accounting policy and procedures:
- Accomplished the goal, for which I was hired, of revamping the Outstanding Receivable Balances to make all accounts current and implemented procedures in order to keep the accounts current.
- Improved auditing procedures of client accounts to avoid misappropriation of clients' funds.
- Responsible for completing tax returns for all clients.
- Developed procedure for paying clients' medical bills.
- Oversaw the implementation of increased client base workload due to purchase of nine additional group homes.
- Improved and created reporting documents for director's use in management decisions.
- Established a working relationship with government agencies to accommodate issues involving our clients.
Candidate Info
years in workforce
years at this job
Billing Manager
Managing/overseeing a team of 19 employees with governmental & commercial billing.
- Running/Distributing weekly AR reports while ensuring high levels of productivity.
- Monitor work and ensure adherence to all client billing functions and controls.
- Electronic billing to Medicare, Medicaid, & Commercial carriers
- Proficient in Microsoft office, Gaffey, & Epremis
Candidate Info
years in workforce
years at this job
Medical Assistants
Fashion Merchandising
Billing Manager
Oversees all claims and accounts in eight offices while shifting staff tasks to meet the needs of the department
- Track provider payroll to make sure that monthly goals are met
- Review and appeal unpaid and denied claims
- Oversees all benefit checks to ensure that the correct information has been obtained to reduce the number of upfront denials
- Advises staff on how to use provider-coded data to produce and submit claims to insurance companies
- Work closely with accounting department to analyze provider payroll report
- Analyze patient accounts to ensure auto-posting features have been correctly applied
- Tracks past due accounts for collections eligibility and transfers the appropriate amount to the collection agency
- Works with practice management company to ensure that all features are working accordingly so that generated reports are accurate
Candidate Info
years in workforce
months at this job
Paralegal Studies
Organizational Management
Billing Manager
Manage / Supervise billing team to ensure that insurance companies, patients and facilities are billed in a timely and accurate manner
- Work with department managers to coordinate billing staff interfacing with other departments
- Select billing software to be used by staff. Work with vendor(s) to build an interface to existing [company name] Information System
- Ensure daily, weekly, and monthly billing functions are performed and accurate.
- Monitor staff performance, evaluating strengths and deficiencies, and provide necessary development
Candidate Info
years in workforce
years at this job
Business Administration
Basics And Sports Medicine
Billing Manager
Ran month end closing reports for 32 LTC facilities
- Answer incoming calls from 7 satellite pharmacies
- Billing monthly exchange cycle medications
- Customer service and monthly productivity calls with Executive Directors
- Created official reimbursement training manual for company and accountability checklist to be completed a 90-day evaluation
Candidate Info
years in workforce
years at this job
Billing Manager
Worked with FM personnel to finalize billing
- Analyzed and made decisions about debits, credits and adjustments
- Worked with accounts receivable in resolving credit issues
- Researched and resolved client disputes
- Prepared quarterly reports for management
- Monthly closing of the books
Candidate Info
years in workforce
months at this job
Computer Programming And Hardware
Leadership, Management, And Communications
Billing Manager
For over 20 years, [company name] has provided retailers with innovative solutions and Lifecycle Management for their voice and data in-store systems.
- Manage the daily operations of the invoicing process for over 200 invoices daily.
- Review specific quotes and contracts, seek clarification, and communicate specific requirements for preparing a timely, accurate and profitable invoice to the billing staff.
- Direct a team of 6-8 Deliverables Coordinators who interface directly with both internal resources and external field technicians to ensure that deliverables submitted by technicians meet the criteria established in the scope of work.
- Verify the over 400 payments made daily to independent technicians in the field are made within contractual agreements.
- Develop and foster cross-functional relationships with Sales, Operations, Finance and Accounts Receivable.
- Create tailor-made reports and summarized invoicing for clients.
- Staff scheduling and payroll.
Candidate Info
years in workforce
years at this job
Bachelor of Arts
Billing Manager
Reconcile daily vessel traffic for 165 barges by trip, current location, and destination for customer billing
- Obtaining and reviewing customer contracts for billing requirements
- Issue new job numbers and enter information regarding each trip into an Excel spreadsheet by customer, rates, tonnage, load and discharge, vessels and demurrage charges
- Prepare all customer invoices and related credit or debit memos for customer rebills, freight, and demurrage charges
- Maintenance of all trip files and invoicing logs
- Code outgoing invoices and enter the information into Great Plains for the Accounting Department
- Preparation and/or supervision of weekly and monthly reports, including, but not limited to:
Candidate Info
years in workforce
years at this job
Finance, Business Administration
Billing Manager
Advises account managers on account performance; including investment, staff utilization, revenue forecasting, and profitability.
- Leads local office finance team and provides feedback on performance
- Effectively communicates financial information to senior leadership, in both verbal and written forms.
- Contributes to staffing and hiring decisions by providing supporting financial data
- Assists with monthly and annual close process
- Follows general GAAP principles and revenue recognition procedures
Candidate Info
years in workforce
years at this job
Fashion Merchandising
Billing Manager
Preparation and processing of all billing transactions for both paper and electronic invoicing
- Plan and implement quality assurance for all processes
- Special program/billing planning and implementation
- Field operators problems and escalation and customer service
- Problem investigation and resolution for billing discrepancies
- Participation in monthly closing procedures including but not limited to application of analytical procedures for tracing sales, analyzing cost vs. sales price discrepancies, and summarization of historical sales information
Candidate Info
years in workforce
years at this job
Medical Administrative Assistant
Government Services
Billing Manager
Complete billing procedures for both a Psychiatric office and in-patient hospital.
- Obtaining insurance verification, keeping claims current, working appeals, submitting and positing of medical insurance claims along with patient statements.
- Credentialing for physicians and facility contracting for insurance companies.
- Interactions with insurance companies, claims adjusters and patients.
- Monthly and yearly spreadsheet reports.
- Training of employees for billing.
Candidate Info
years in workforce
years at this job
Psychology
Billing Manager
- Responsible for final review of invoices for six centers, averaging 85 invoices per center, with a total of 465 physical offices and 407 virtual offices.
- Worked closely with multiple departments, including office staff and accountants, to ensure accurate and timely billing and minimize client complaints.
- Verified all appropriate changes are made within constructs of accounting and contractual rules.
- Responsible for processing security retainers and calculating refunds of retainers upon termination of contracts.
- Troubleshot inconsistencies in invoices, including internet and telephone usage.
Candidate Info
years in workforce
years at this job
Billing Manager
Responsible for processing and entering all client information in to the MediSoft Database
- Responsible for creating, processing and filing all insurance claims to make sure that all claims are paid in a timely manner.
- Responsible for processing and entering in all accounts receivable into the database.
- Responsible for updating and maintaining all contracts with insurance companies.
- Liaises with Contracted Company and staff to effectively resolve cost/billing issues.
- Ensure effective communication with internal and external clients.
- Responsible for maintaining paid billing files.
- Back up for front desk when people are absent.
Candidate Info
years in workforce
years at this job
Billing Manager
Responsible for submission and follow up of all insurance claims for inpatient and outpatients claims
- Created billing process to achieve maximum cash flow and timely collection of A/R for three businesses
- Experience with Worker's Compensation, Medicare, Medicaid, Commercial, corporate clients, and self-pay accounts
- Monitor and update commercial fee schedules in comparison to Medicare reimbursement
- Prepare profitability analysis for Intravenous Infusion Therapy
- Prepare monthly financial reports for three entities
- Supervise billing staff of three and monitor front desk staff collection of copays, coinsurance, and deductibles
- Responsible for daily bank deposits
- Submit payroll corrections and reports to owner
Candidate Info
years in workforce
years at this job
Assistant to The Billing Manager
Assist Billing Manager with daily operations in the billing dept
- Proficient in posting charges to Insurance Companies & applying payments
- Handle & resolve billing issues with patients & Insurance companies including refund
- Run monthly A/R reports & work in depth getting outstanding claims paid by resubmitting with corrected ICD-9/CPT Codes & submitting appeals with numerous Insurances
- Ability to read & properly evaluate Explanation of Benefits to ensure proper payment of claims
- Verify insurance & obtain referrals/authorizations & benefits
- Interview & train employees on all areas of the billing dept
- Learned Next Gen through the online course & trained co-workers to use the Next Gen
Candidate Info
years in workforce
years at this job
Marketing
Billing Manager
Ensure front desk manager/office assistant calls on benefits for new clients and enters all client information in NueMD before claims can be entered and filed.
- Use Encounter forms to track OT and ST daily sessions documenting therapist, date of session, length of session, diagnosis codes, and type of session.
- Enter each client session under 1 of 6 payment/tab categories in the Master.
- Using NueMD enter daily claims, check claims, and electronically transmit. Mail out claims not accepted electronically.
- Upon receiving EOB's enter into Master, NueMD, and bill Medicaid. Use government portal to bill all Medicaid claims.
- Copy and return any EOB's to be reprocessed or in need of insurance information request to front desk manager/office assistant to handle.
- Fax or mail corrected claims due to wrong diagnosis code or client information on EOB.
- Assist office assistant or handle any insurance Appeals.
- Create and send out end of month patient invoices, GCA invoices, and FSA invoice.
Candidate Info
years in workforce
years at this job
Medical Transcription
Billing Manager
Credentialing of multiple doctors with various insurance carriers and CAQH updates
- Processing of EFT remittances
- Processing of claims through ENS clearing houses
- Creation of files for recall letters and patient statements
- Navigate through Medicare website for credentialing and claims payments
- Responsible for training new employees within the billing department on all aspects of billing
- Decreased A/R by 50% within a 6 month period
- Responsible for charge entering, posting payments to appropriate accounts from insurance companies and mail, generating payment reports and provider reports to ensure all money is accounted for on a daily basis
- Analyze doctor production reports to determine doctor bonuses and Great Game bonuses for employees
- Take on additional responsibilities and projects at the discretion of the practice owner
- Extensive experience working on claims for Keratoconus authorization and claims
Candidate Info
years in workforce
years at this job
Adult Education
Certified Professional Coding
Billing Manager
Responsible for billing system administration, operational support of billing and billing processes, documentation system, system analysis and support.
- Provide regional support for daily, monthly and quarterly billing.
- Ensure accurate and timely execution of billing runs. Support release of statements, invoices, and billing information.
- Develop and maintain billing system documentation, reference tables, and data flow diagrams.
- Prepares reports as required by state and federal regulations, special billing reports, studies and analyses.
- Provide external audit support.
- Establish and monitor quality control benchmarks and report on same.
Candidate Info
years in workforce
years at this job
Billing Manager
Medical billing for 8 vein clinics nationwide
- Download Electronic Remittances from various insurance companies
- Post payments from both insurance companies and patients to proper accounts
- Handle customer phone calls regarding their accounts
- Run aging reports for each vein clinic
- Responsible for sending out medical records to various insurance companies
- Resolve claim issues with insurance companies
Candidate Info
years in workforce
years at this job
Criminology
Political Science
Billing Manager
Review all incoming genetic test orders to determine eligible insurance coverage
- Perform all required prior authorizations to ensure reimbursement
- Manage third party billing company up to corporate office standards and expectations
- Review all payments to ensure correct reimbursement
- Perform all appeal work after claim processing to maximize cash revenue
Candidate Info
years in workforce
years at this job
High School Diploma
Billing Manager
- Responsible for handling the Insurance billing claims and resolves the denied claims.
- Prepared and distributed the client invoices and bills.
- Responsible for analyzing, researching and resolving client issues
- Conducted the research and reconciliation on transaction.
- Manages the reconciliation of accounts receivable on daily basis.
- Responsible for training the medical billing clerk.
Candidate Info
years in workforce
years at this job
Business
Medical Billing Manager/president
Started a full cycle multiple account medical billing company. My clients included internal medicine, cardiology, pain management and geriatrics.
- Processed billing for multi-practices involving registration, reviewing eligibility, ICD-9 and CPT coding, initiating claims, and working with patients and carriers to guarantee payments.
- Managed A/R activities for aged receivables.
- Posted all payments from insurance and patients.
- Prepare and distribute patient statements.
- Produced and balanced management reports including month end and daily billing reports.
- Credentialing for providers and facilities.
- Performed administrative tasks including maintaining files, payroll, scheduling, hire and train medical billing clerks.
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