Dynamic Medical Billing and Coding Department Manager and Practice Manager with a proven track record in medical billing and accounts receivable management. Spearheaded a team expansion from 2 to 10, boosting claims processing from 50 to 1500 weekly. Expert in staff training and compliance regulations, driving operational efficiency and revenue growth.
Overview
13
13
years of professional experience
1
1
Certification
Work History
Medicaid Reclamation Department Manager
Rawlings Corporation
LaGrange
08.2022 - 07.2025
Created the medical billing, coding and AR Department for the Medicaid Reclamation line of business.
Increased department size from 2 employees to 10.
Implemented new company wide billing software.
Increased billing volume from 50-100 claims weekly to 1500 claims weekly.
Created Billing team with team lead, created AR team with team lead, also created admin/support team.
Created and maintained all monthly reporting for internal purposes along with client facing reporting.
Created all internal training documents to support all team members.
Director of Billing and Accounts Receivable
Assure Labs
Greenville
09.2021 - 08.2022
Created internal practice billing and AR Department. from clearinghouse selection to credentialing all insurance payers, brought in all the AR from the previous billing company.
Responsible for all hiring and training of department staff.
Maintained all current daily billing, continued billing previous unbilled testing.
Managed all client bill accounts and sent out weekly statements.
Created monthly payment schedule and patient statement process.
Created process for medical records requests, along with submitting documents.
Created process for insurance denial, rejections and coding issues.
Maintain all ERA and manual payment postings.
Director of Billing and A/R Services
On-site Healthcare and Wellness
Simpsonville
04.2018 - 07.2021
Director of all Medical Billing and all Accounts Receivable.
Coordinates and directs the daily operations of the practice business affairs, including the development, implementation, and maintenance of department policies and procedures.
Director of all medical coding for all patient encounters.
Maintained and managed all aspects of this Medical Practice.
Worked with providers, Nurse Practitioner and ancillary staff.
I was responsible for all continuing education training for staff and internal audits for, medical staff medical encounters, for coding and medical necessity.
Manage hiring, disciplinary actions, investigations and firing.
Assure all federal and state guidelines are followed, OSHA, HIPPA, DHEC, FMLA, etc.
Hold and manage all weekly and monthly office meetings with all staff and department heads.
Billing and accounting such as billing reports, payroll, preparing budget reports and Insurance contracts.
Provide monthly reporting with recommendations/action plans on any issues.
Maintained all provider credentialing requirements, for state and federal plans.
Also maintained and updated their CAQH and PECOS accounts.
Business Office Manager
Simpsonville Rehab and Health
Simpsonville
08.2016 - 11.2018
Business Office Manager, in charge of staff, and all financial responsibilities for the Skilled Nursing Facility.
Office/Practice Manager
Advanced Vision of Louisville
Louisville
02.2014 - 08.2016
Increasing company revenue, through accounts receivable and correct collections of co pays from our patients at the front desk.
Revamping the therapy department, by implementing new policies and procedures to use their time and resources more efficiently.
Current Member of COVD.
Created a Vision Therapy Training Manual.
Certified Coder, CPC COC, CIC.
Training the pretest staff to obtain a complete medical history, chief complaints, HPI and ROS.
HIPPA Certified.
Designed and created our current website.
Excel and Quick books.
Office/Billing Manager
Sita Management
01.2013 - 12.2013
Managing the billing department for 8 Urgent care facilities.
Training the front desk staff for each facility, on the importance of correct patient demographics as well as verifying insurance coverage and co pay amounts.
Implementing policies and procedures to improve efficiency.
Implemented Correct and updated HIPAA regulations.
Education
Associate - medical Coding
ATA College
01.2010
Associate - Surgical Technologist
Blue Ridge Community College
01.1990
Skills
Medical billing
Insurance credentialing
Accounts receivable management
Compliance regulations
Staff training
Revenue cycle management
Certification
Medical Coding Certification, Certified Professional Coder