Medical Billing Manager Resume
Headline : Dynamic Medical Billing Manager with over 7 years of experience in optimizing billing processes and enhancing revenue cycles. Proven expertise in leading teams, implementing advanced billing software, and ensuring compliance with regulations. Adept at fostering client relationships and resolving billing discrepancies. Committed to driving efficiency and accuracy in healthcare financial operations.
Skills : Effective Communication, Medical Coding Expertise, Claims Processing, Billing Software Proficiency
Description :
- Directed comprehensive billing operations, overseeing a team of 6 employees and ensuring exceptional customer relations.
- Scheduled patient appointments and coordinated insurance verification and pre-certification processes.
- Developed and implemented an internal tracking system to enhance employee accountability and attendance.
- Streamlined operations by digitizing reports, advancing the transition to a paperless environment.
- Monitored clearinghouse rejection reports, achieving zero first-time claim submission errors.
- Conducted daily revenue analysis to manage accounts receivable and ensure financial accuracy.
- Resolved patient billing inquiries, ensuring clarity and satisfaction in all communications.
Experience
5-7 Years
Level
Management
Education
AAS
Senior Medical Billing Manager Resume
Summary : Accomplished Senior Medical Billing Manager with a decade of expertise in streamlining billing operations and optimizing revenue cycles. Demonstrated success in leading teams, implementing innovative billing solutions, and ensuring regulatory compliance. Skilled in enhancing client relations and resolving discrepancies efficiently, contributing to improved financial performance in healthcare settings.
Skills : Interpersonal Communication, Audit Preparation, Denial Management, Payment Posting, Quality Assurance
Description :
- Implemented the Electronic Remittance Advice (ERA) process and electronic claim submissions for TX Workers Compensation claims.
- Managed employee time and attendance, including vacation and sick leave, to ensure operational efficiency.
- Facilitated compliance with PQRS, Meaningful Use, and 5010 transaction code sets.
- Developed new patient collection processes and managed accounts handed over to collection agencies.
- Oversee daily operations of medical billing department to ensure efficiency and accuracy.
- Oversaw contract setup and implementation with new insurance carriers, enhancing service delivery.
- Created and implemented a comprehensive New-Hire training manual, training all new administrative staff and performing HR functions.
Experience
7-10 Years
Level
Senior
Education
BSc. HCA
Medical Billing Manager Resume
Objective : Accomplished Medical Billing Manager with 2 years of experience in optimizing billing operations and enhancing revenue cycle efficiency. Proficient in coding, claims processing, and staff training. Committed to maintaining compliance and fostering strong relationships with insurance providers. Eager to contribute to the financial success of healthcare organizations through effective billing management.
Skills : Insurance Verification, Documentation Skills, Billing Compliance, Insurance Policies Knowledge, Healthcare Terminology, Staff Supervision
Description :
- Analyzes medical records for accurate coding and billing compliance.
- Codes outpatient procedures and diagnoses with precision based on ICD and CPT guidelines.
- Prioritizes workload to ensure timely coding and compliance with regulatory standards.
- Enters patient data into medical record databases to facilitate billing processes.
- Utilizes E-Clinical Works for claims processing and payment postings.
- Communicates with insurance providers to resolve billing discrepancies.
- Manages medical billing, collections, accounts payable, and receivables.
Experience
0-2 Years
Level
Entry Level
Education
AAS
Medical Billing Operations Manager Resume
Objective : Results-oriented Medical Billing Operations Manager with 5 years of experience in enhancing billing efficiency and optimizing revenue cycles. Skilled in managing teams, implementing cutting-edge billing technologies, and ensuring adherence to healthcare regulations. Passionate about improving client satisfaction and streamlining operational processes to maximize financial performance.
Skills : Training And Development, Claims Management Systems, Revenue Cycle Management, Patient Account Management, Regulatory Compliance, Data Analysis Skills
Description :
- Managed the end-to-end submission and follow-up of medical claims for Medicare, Medicaid, and private payers, ensuring timely reimbursement.
- Supervised the refund process, collaborating with compliance and quality control departments to analyze and rectify billing issues.
- Maintained up-to-date knowledge of Medicare and Medicaid regulations, ensuring compliance in all billing practices.
- Oversaw billing and coding operations, processing payments, and issuing refunds to patients and insurance companies.
- Coordinated with healthcare providers to verify patient information and ensure accurate billing for Durable Medical Equipment and Home Health care.
- Conducted training sessions for staff on billing procedures and compliance regulations to enhance team performance.
- Analyzed monthly billing reports to identify trends and implement strategies for improvement.
Experience
2-5 Years
Level
Management
Education
B.S. Health Admin.
Medical Billing Manager Resume
Headline : Seasoned Medical Billing Manager with 7 years of comprehensive experience in enhancing billing workflows and optimizing revenue cycles. Expertise in team leadership, advanced billing software implementation, and regulatory compliance. Proficient in client liaison and resolving complex billing issues, dedicated to improving financial accuracy and operational efficiency in healthcare environments.
Skills : Advanced Microsoft Office Suite, Billing Operations Management, Multi-tasking Ability, Adaptability, Workflow Optimization, Interpersonal Skills
Description :
- Oversee daily operations of the billing department, ensuring accuracy and compliance in all billing activities.
- Lead a team of billing specialists, providing training and performance evaluations to enhance productivity.
- Collaborate with healthcare providers to address coding and documentation issues, ensuring optimal reimbursement.
- Implement advanced billing software solutions to streamline processes and improve operational efficiency.
- Conduct regular audits of billing practices to identify areas for improvement and compliance issues.
- Analyze revenue cycle metrics to drive strategic initiatives that enhance financial performance.
- Develop and maintain strong relationships with payers to facilitate timely reimbursement and resolve disputes.
Experience
5-7 Years
Level
Management
Education
B.S. Health Admin.
Senior Medical Billing Manager Resume
Summary : Healthcare financial strategist with over 10 years of experience in medical billing management and revenue cycle optimization. Expertise in leading high-performing teams, implementing effective billing technologies, and ensuring compliance with healthcare regulations. Proven ability to enhance client satisfaction and streamline billing processes, driving significant improvements in financial outcomes.
Skills : Team Leadership, Problem Solving, Attention To Detail, Time Management
Description :
- Oversaw daily operations of a billing department, ensuring optimal employee productivity and performance.
- Supervised a team of 18 billing specialists, providing training and development to enhance skill sets.
- Conducted insurance claims reconciliation, resolving discrepancies to improve cash flow.
- Assisted patients with billing inquiries and payment plans, enhancing client relationships.
- Ensured accurate coding (CPT, HCPCS, ICD-10) for various medical procedures and services.
- Collaborated with Medicare, Medicaid, and commercial insurers to expedite claims processing.
- Maintained regular communication with clients and patients to address billing issues promptly.
Experience
10+ Years
Level
Management
Education
B.S. Health Admin.
Medical Billing Manager Resume
Summary : Seasoned Medical Billing Manager with a decade of experience in optimizing billing processes and enhancing revenue cycle performance. Expert in managing billing teams, implementing advanced software solutions, and ensuring compliance with healthcare regulations. Passionate about improving operational efficiency and fostering strong relationships with clients and insurers to drive financial success.
Skills : Healthcare Billing Expertise, Budget Management, Strategic Planning, Risk Management, Accounts Receivable, Project Management
Description :
- Utilized web portals for maximum information on Carrier Payers, including updates and changes.
- Collaborated closely with staff and physicians to obtain necessary credentialing and NPI numbers.
- Ensured billing processes adhered to contractual agreements and coding guidelines.
- Updated master files in collaboration with IT and the clearinghouse, Navicure.
- Coordinate with healthcare providers to resolve billing discrepancies and issues.
- Managed practice deposits, coordinated with collection agencies, and revised operational policies.
- Handled all billing issues, including filing claims with private insurers, Medicare, and Medicaid.
Experience
10+ Years
Level
Executive
Education
B.S. in HA
Junior Medical Billing Manager Resume
Objective : Motivated Medical Billing professional with 2 years of experience in managing billing operations and optimizing revenue cycles. Skilled in claims processing, coding accuracy, and compliance with regulations. Proven ability to enhance operational efficiency and resolve billing discrepancies, ensuring timely reimbursements. Eager to leverage expertise in a Junior Medical Billing Manager role to contribute to the financial health of healthcare organizations.
Skills : Healthcare Coding, Financial Reporting, Patient Privacy Knowledge, Customer Service Skills, Healthcare Regulations, Statistical Analysis
Description :
- Managed all aspects of medical claims filing for a private practice specializing in mental health services.
- Set up and managed patient accounts for a detox center, ensuring compliance with utilization reviews.
- Audited claims for proper adjudications, resolving discrepancies in payments efficiently.
- Tracked payments and maintained spreadsheets for financial reporting, writing appeals for denied claims.
- Supervised staff schedules and managed daily billing operations to optimize workflow.
- Corrected errors on denied claims, successfully resolving insurance rejections and denials.
- Entered and updated patient account information, processing primary and secondary claims electronically.
Experience
0-2 Years
Level
Junior
Education
AAS
Medical Billing Manager Resume
Summary : Detail-oriented Medical Billing Manager with over 7 years of experience in healthcare revenue cycle management. Proven track record in optimizing billing processes, reducing claim denials, and enhancing collections. Strong leadership skills with a focus on team development and training. Proficient in various billing software and compliance regulations, ensuring accurate and timely billing operations.
Skills : Performance Metrics, Staff Scheduling, Interdepartmental Collaboration, Client Relationship Management, Coding Audits, Insurance Appeals
Description :
- Managed billing operations and ensured compliance with healthcare regulations while enhancing revenue cycles.
- Oversaw staff training and development, optimizing team performance and operational efficiency.
- Implemented advanced billing software, resulting in a 20% increase in claim processing speed.
- Created and enforced Standard Operating Procedures aligned with industry best practices.
- Developed uniform appeal processes for denied claims, improving recovery rates significantly.
- Collaborated with clinical staff to ensure accurate coding and billing practices, enhancing financial performance.
- Analyzed billing data and generated reports to identify trends and areas for improvement.
Experience
10+ Years
Level
Executive
Education
BSHA
Assistant Medical Billing Manager Resume
Objective : Dedicated Medical Billing professional with 2 years of hands-on experience in managing billing operations and ensuring compliance with industry regulations. Proficient in claims processing, coding accuracy, and enhancing revenue cycle efficiency. Eager to apply strong analytical and problem-solving skills to optimize billing processes and contribute to the financial health of healthcare organizations.
Skills : Problem-solving Skills, Audit And Compliance, Medical Terminology, Budgeting Skills
Description :
- Managed the full cycle of accounts, processing charges daily using billing software across multiple locations.
- Oversaw provider enrollment and coordinated appointments with health insurance representatives.
- Processed claims and monitored payments for services, ensuring timely collection and posting of payments.
- Performed data entry, general ledger work, and bookkeeping tasks efficiently.
- Updated systems to process charges accurately and researched denied claims for resolution.
- Established new practices and operated financial systems, providing executives with AP summaries and cash flow reports.
- Managed invoice processing and accuracy verification, collaborating with a network of vendors and suppliers.
Experience
0-2 Years
Level
Entry Level
Education
AAS
Medical Billing Manager Resume
Objective : Results-focused Medical Billing Manager with 2 years of experience in managing billing operations and enhancing revenue cycle efficiency. Skilled in claims processing, coding accuracy, and compliance with healthcare regulations. Proven ability to lead teams and optimize billing processes, ensuring timely reimbursements and improved financial outcomes for healthcare organizations.
Skills : Medical Billing Software, Analytical Thinking, Leadership Development, Vendor Management, Client Relations
Description :
- Managed billing and claims processing for a multi-specialty group, ensuring accuracy and compliance.
- Supervised a team of billing staff, fostering a collaborative and efficient work environment.
- Processed various claims types, including Commercial Insurance and Medicare, ensuring timely submissions.
- Utilized electronic claim submission systems to enhance processing efficiency and accuracy.
- Identified and addressed overdue accounts, implementing effective collection procedures.
- Provided patient financial counseling, assisting with billing inquiries and payment plans.
- Promoted to oversee all office billing operations within 4 months, demonstrating leadership skills.
Experience
0-2 Years
Level
Junior
Education
AAS
Medical Billing Manager Resume
Headline : Accomplished Medical Billing Manager with 7 years of experience in streamlining billing operations and enhancing revenue cycle performance. Expertise in leading teams, implementing innovative billing software, and ensuring compliance with healthcare regulations. Focused on optimizing financial processes and improving client satisfaction through effective billing management.
Skills : Communication Skills, Process Improvement, Conflict Resolution, Technical Proficiency, Negotiation Skills
Description :
- Collaborate with the Intake Coordinator and program managers to ensure accurate billing.
- Oversee submission and follow-up of medical claims for Medicare, Medicaid, and private insurers.
- Supervise the refund process, ensuring compliance and quality control.
- Analyze month-end billing for all agency programs, ensuring timely claims submission.
- Maintain strong customer relations with provider representatives and mental health departments.
- Manage daily charges, accounts receivable follow-ups, payment postings, and electronic transmissions.
- Credential providers with new insurance carriers and maintain existing contracts, enhancing service delivery.
Experience
5-7 Years
Level
Management
Education
B.S. Health Admin.
