JUDY HUNTER
Joliet
Summary
Accomplished medical billing manager with expertise in medical coding, claims processing, and revenue cycle management. Demonstrated success in implementing process improvements that enhance billing efficiency and ensure compliance with healthcare regulations.
Overview
7
7
years of professional experience
Work History
Medical Billing Manager
Amjad Z Ahmad M.D. SC
Lisle
06.2024 - Current
- Managed billing processes for patient accounts and insurance claims.
- Oversaw coding accuracy for medical procedures and diagnoses.
- Coordinated with healthcare providers to resolve billing inquiries.
- Reviewed payment discrepancies and adjusted claims accordingly.
- Implemented process improvements to enhance billing efficiency.
- Maintained compliance with healthcare regulations and policies.
- Oversaw daily activities related to the processing of electronic claims submissions.
- Facilitated the preparation of appeal letters for the appeals process.
- Maintained detailed records of all payments received from patients or third-party payers.
- Resolved issues related to denied or rejected payments from insurance companies.
- Coordinated verification of medical staff credentials and qualifications.
- Managed the credentialing process for new healthcare providers.
Medical Billing Manager
James M Noth MD, LTD
Westmont
06.2023 - Current
- Oversaw payment collections and maintained accurate customer account records.
- Managed billing processes to ensure timely invoicing and prevent errors.
- Collaborated with teams to efficiently resolve billing discrepancies.
- Investigated unapplied payments to determine correct application methods.
- Analyzed billing data to identify trends and enhance overall efficiency.
- Prepared monthly reports on accounts receivable status and aging analysis.
- Assisted customers with inquiries regarding billing statements and resolved disputes promptly.
- Reviewed financial reports for compliance with company policies.
Medical Billing Representative
Hinsdale Eye Center
Hinsdale
07.2021 - 06.2023
- Review and verify insurance information for accuracy.
- Resolved billing discrepancies through clear communication with patients and payers.
- Process medical claims for patient services and procedures.
- Maintain patient records in electronic health systems efficiently.
- Collaborate with healthcare providers to ensure accurate coding.
- Educate patients about their billing inquiries and payment options.
- Participate in team meetings to discuss workflow improvements and best practices.
- Resolved any discrepancies or errors in billing documents through research and negotiation with payers.
- Completed and submitted claims appeals to ensure accurate reimbursement.
- Attached necessary correspondence to referrals and treatment plans to improve claim approval rates.
- Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
- Recorded charges and payments in the billing system.
- Submitted refund requests for claims paid in error.
- Maintained timely and accurate charge submission through electronic charge capture, including billing, and account receivables (BAR) system and clearing house.
Patient Resolution Supervisor
IKS Health
Burr Ridge
01.2019 - 06.2021
- Trained team members on best practices and conflict resolution strategies.
- Provided guidance, direction and support to team members in resolving complex customer issues.
- Ensured quality assurance by reviewing team interactions with clients and stakeholders.
- Evaluated existing system capabilities for handling disputes efficiently and effectively.
- Collaborated with departments to streamline workflows and improve service delivery.
- Performed periodic audits of departmental processes to measure effectiveness of dispute resolutions.
- Coordinated meetings to discuss performance metrics and operational challenges.
- Analyzed customer feedback data to identify trends in customer service issues and recommend changes accordingly.
- Advised customers on the status of their dispute resolutions throughout the process.
Education
Some College (No Degree) - Medical Coding
Sanford–Brown Insitute
New York, NYSkills
- Revenue cycle management
- Medical coding and billing
- Claims processing
- Compliance auditing
- HIPAA compliance expertise
- Electronic billing systems
- Billing software proficiency
- Accounts receivable
- Process improvement
- Team leadership and development
- Customer relationship management
Languages
Spanish
Professional
Timeline
Medical Billing Manager
Amjad Z Ahmad M.D. SC
06.2024 - Current
Medical Billing Manager
James M Noth MD, LTD
06.2023 - Current
Medical Billing Representative
Hinsdale Eye Center
07.2021 - 06.2023
Patient Resolution Supervisor
IKS Health
01.2019 - 06.2021
Some College (No Degree) - Medical Coding
Sanford–Brown Insitute