Director of Revenue Cycle Management

• Jul 2023 - Present

Revenue Cycle Manager

• Dec 2022 - Jul 2023

Billing Coordinator

• Jan 2021 - Dec 2022

Revenue Cycle Specialist

• May 2020 - Jan 2021

Coder

• Dec 2019 - Apr 2020

Medical Biller and Coder Specialist

• Jun 2016 - Nov 2019

• Create and submit medical claims to insurance companies (Commercial,Medicare, Medicaid) • Read and interpret Cardiology procedure reports/Pathology reports and assign the appropriate corresponding ICD-10 diagnoses codes to go on claim • Apply proper modifiers to CPT codes when necessary • Work rejected claims on claims held back by the "Claim Scrubber;" making any corrections in order to get claim out to insurance for processing • Review any Claim Denials from… Show more • Create and submit medical claims to insurance companies (Commercial,Medicare, Medicaid) • Read and interpret Cardiology procedure reports/Pathology reports and assign the appropriate corresponding ICD-10 diagnoses codes to go on claim • Apply proper modifiers to CPT codes when necessary • Work rejected claims on claims held back by the "Claim Scrubber;" making any corrections in order to get claim out to insurance for processing • Review any Claim Denials from insurances and making any possible corrections/attaching any necessary documents and submitting a Corrected Claim to the insurance • Process and submit medical records for Insurance Audits • Verify Insurance (via online or by phone) eligibility and benefits as well as referral/authorization requirements • Post any necessary Adjustments/Write-offs (i.e. contractual, professional courtesy, etc,) • Make/Take calls from patients in regards to their insurance and/or statements, setting up payment plans, etc.

Revenue Cycle Accounts Manager

• Jun 2016 - Nov 2019

Insurance Verification Supervisor/Front Office Supervisor/Medical Assistant

• Jun 2011 - Mar 2016

• Verified insurance eligibility and benefits • Created and implemented Policy and Procedures for the Sierra Vista location • Created and implemented Policy and Procedures for Insurance Verification • Created Insurance Verification training manual • Assisted with charges and rejected claims in the billing department • Trained Employees on insurance coverage information, Electronic Medical Records, and front office duties • Observed and reported employee… Show more • Verified insurance eligibility and benefits • Created and implemented Policy and Procedures for the Sierra Vista location • Created and implemented Policy and Procedures for Insurance Verification • Created Insurance Verification training manual • Assisted with charges and rejected claims in the billing department • Trained Employees on insurance coverage information, Electronic Medical Records, and front office duties • Observed and reported employee performance • Approved Employee Time sheets/ Time off Requests • Marketed medical practice throughout the community • Scheduled and checked in/ out patients • Processed patient Referrals and Authorizations • Collected co-payments and patient • Received and triaged patient calls in the multi line phone room • Responded appropriately to the physical, emotional and developmental needs of patients • Obtained information about clients' medical history, drug history, complaints and allergies • Assisted providers with surgical procedures • Provided patient with post procedure care and followed up with pathology results Show less • Verified insurance eligibility and benefits • Created and implemented Policy and Procedures for the Sierra Vista location • Created and implemented Policy and Procedures for Insurance Verification • Created Insurance Verification training manual • Assisted with charges and rejected claims in the billing department • Trained Employees on insurance coverage information, Electronic Medical Records, and front office duties • Observed and reported employee… Show more • Verified insurance eligibility and benefits • Created and implemented Policy and Procedures for the Sierra Vista location • Created and implemented Policy and Procedures for Insurance Verification • Created Insurance Verification training manual • Assisted with charges and rejected claims in the billing department • Trained Employees on insurance coverage information, Electronic Medical Records, and front office duties • Observed and reported employee performance • Approved Employee Time sheets/ Time off Requests • Marketed medical practice throughout the community • Scheduled and checked in/ out patients • Processed patient Referrals and Authorizations • Collected co-payments and patient • Received and triaged patient calls in the multi line phone room • Responded appropriately to the physical, emotional and developmental needs of patients • Obtained information about clients' medical history, drug history, complaints and allergies • Assisted providers with surgical procedures • Provided patient with post procedure care and followed up with pathology results Show less

Direct Support Professional

• Feb 2009 - Oct 2009

• Assisted clients with daily assigned tasks as directed by their treatment plan • Logged and Maintained multiple client medication records and distributing medications as prescribed • Transported clients to and from activities • Assisted clients (as needed ) with household chores and duties such as laundry and grocery shopping • Monitored behavior and logged clients assigned tasks • Assisted clients with daily assigned tasks as directed by their treatment plan • Logged and Maintained multiple client medication records and distributing medications as prescribed • Transported clients to and from activities • Assisted clients (as needed ) with household chores and duties such as laundry and grocery shopping • Monitored behavior and logged clients assigned tasks