Oversee the Medical Records and Billing department, ensuring timely and accurate completion of all tasks.
Manage a team responsible for requesting medical records and bills from healthcare providers on behalf of law firms. 
Ensure compliance with all relevant laws and regulations related to medical records and billing. 
Maintain an elevated level of accuracy and diligence in all aspects of the job. 
Develop and maintain relationships with healthcare providers to ensure prompt response to requests and a prominent level of customer service.
Keep track of all requests using a CRM system, ensuring that deadlines are met, and clients are satisfied with the service provided. 
Audit the team\'s daily tasks to ensure that all documents received and delivered are properly signed and usable for clients. 
 Collaborate with other departments to resolve any issues or challenges related to medical records and billing. 
 Continuously evaluate and improve processes to increase efficiency and accuracy. 
Train and mentor team members to ensure they have the necessary skills and knowledge to perform their job duties effectively. 

Training new team members on company policies and procedures, including HIPAA regulations
Reviewing claims to ensure that they are accurate and complete, and approving them for payment  
Preparing reports on data related to claims processing, including claims denial rates and turnaround times for different types of claims
Communicating with patients, physicians, insurance companies, and third-party administrators on billing issues
Ensuring that all documentation is accurate and up to date, including patient records, insurance claims, and physician orders
Managing and overseeing all aspects of the billing department, including hiring staff and overseeing their performance
Ensuring timely and accurate payment of claims to providers by submitting them to insurance companies for approval
Communicating with patients about their account status and explaining any discrepancies or denials in their bills 
Cooperating with other departments within the organization to ensure that billing operations run smoothly

Mentioned below are the details of job responsibilities.
• Working with operations getting new RCM projects on board.
• Possible collection analysis from Legacy and pending aging
• Resource requirement analysis
• Conducting interviews and finding the best possible person for the job.
• Client communication and streamlining the onboarding process.
• Conducting training both virtual and physical for the resources.
• Helping and training the staff and the client on new Billing software.
• Maintaining an open channel of communication to build a strongly bonded team for long term commitments and best possible outputs.
• Implementing and improving already implemented business processes to improve and grow as an entity not just an individual.
• Communicating and dealing with multiple clients at a time and managing the team of about 50 people
• Followed up on legal claims.
• Reviewed services rendered and completed to reconcile codes.
• Scheduled patients in Medical Manager System.
• Researched and followed up on denied insurance claims.
• Managed billing calendar and scheduled claims for payments.

Here are the details of job responsibilities.
·         Managing a team of 13 Medical Billing Executives, scrubbing and submitting 4000 claims per day.
·         Managing assignments, supervision and auditing on daily bases.
·         Attending weekly client calls, discussing progress issues and sharing feedback and future planning on the betterment of the RCM processes.
·         Onboarded new temps by entering employee information into systems.
·         Maintained energy and enthusiasm in fast-paced environment.
·         Learned new skills and applied to daily tasks to improve efficiency and productivity.
·         Developed and implemented performance improvement strategies and plans to promote continuous improvement.
·         Improved operations through consistent hard work and dedication.
·         Demonstrated respect, friendliness and willingness to help wherever needed.
·         Offered friendly and efficient service to customers, handled challenging situations with ease.
·         Led projects and analyzed data to identify opportunities for improvement.
·         Increased customer satisfaction by resolving issues.
·         Developed team communications and information for meetings.

·         Communicated with insurance providers to resolve denied claims and resubmitted.
·         Prepared billing statements for patients and verified correct diagnostic coding.
·         Reviewed patient records, identified medical codes and created invoices for billing purposes.
·         Adhered to established standards to safeguard patients\' health information.
·         Filed and updated patient information and medical records.

• Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
• Examined patients\' insurance coverage, deductibles, insurance carrier payments and remaining balances not covered under policies when applicable.
• Prepared billing statements for patients and verified correct diagnostic coding.
• Communicated with insurance providers to resolve denied claims and resubmitted.
• Reviewed patient records, identified medical codes and created invoices for billing purposes.
• Communicated with patients for unpaid claims for HMO, PPO and private accounts and delivered friendly follow-up calls for proper payments to contracts.
• Precisely completed appropriate claims paperwork, documentation and system entry.
• Determined prior authorizations for medication and outpatient procedures.
• Pre-certified medical and radiology procedures, surgeries and echocardiograms.
• Evaluated patients\' financial status and established appropriate payment plans.
• Maintained and updated collections tracking spreadsheet to help organize payment information.
• Managed collections claim for unpaid bills against estates of debtors.
• Precisely evaluated and verified benefits and eligibility.
• Trained new employees on multiple medical billing programs and data entry software.
• Performed billing and coding procedures for ambulance, emergency room, impatient and outpatient services.
• Communicated effectively and extensively with other departments to resolve claims issues.
• Identified and resolved patient billing and payment issues.
• Printed and reviewed monthly patient aging report and solicited overdue payments.
• Posted and adjusted payments from insurance companies.
• Set up and maintained new electronic billing system.
• Posted surgical charges for practice providers.
• Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.