CONNIE S. MARTIN wishes to obtain a medical billing management position utilizing her extensive knowledge and experience in this field.
Contractual negotiations with managed care plans, both HMO and PPO plans; Credentialing; Analogy and adjustments of fee schedules, both inpatient and outpatient procedures; Proficiency in ICD-9 and CPT-4 coding; Compliance management and training;
Director of Billing & Compliance
Responsibilities included: Management of daily operations for billing and collections for 7 Independent Diagnostic Testing Facilities; Contract negotiations and credentialing for all facilities; In-house IT; ACR accreditation for all centers; Human Resources/Staffing/Payroll and training; Annual budgeting; Daily Excel spreadsheets verifying accounts receivables. Monthly/Year to date Excel spreadsheets verifying accounts receivables including carrier percentages of charges and payments, trends and aging; Purchasing, both office equipment, office supplies and educational coding and compliance manuals and subscriptions. Accounts payable.
Responsibilities included: Management of daily operations for a large Cardiology group in multiple locations; Direct supervision of 35 staff members of multiple disciplines; Management of all coding and billing procedures as well as monthly auditing of medical records for compliance; Management of operating and capital budgets; Insurance contract negotiations and credentialing of all physicians; Maintenance of charge master; HIPAA compliance; Recruitment of new physicians and set-up of practices; Supervise building projects with the growth of the practice; Human resources responsibilities including new employee orientation and training.
Responsibilities included: Validating all area hospital impatient coding by auditing charts for both diagnostic and procedural coding, Proper DRG assignment and billing. Preparation and sending of all correspondence of billing and coding errors with instructions to Medicare for recouping and/or disbursement of additional monies. Preparing and presenting training seminars for correct coding and billing procedures for Alabama hospitals. Researching coding questions and problems and providing solutions for both inpatient and outpatient medical facilities statewide.
Responsibilities included: Daily operations of billing department, including direct supervision of 22 staff members; Established and maintained yearly capital and operating budgets. Contractual negotiations with managed care companies both HMO and PPO plans. Credentialing; Maintenance of charge master and proficiency in ICD-9 and CPT-4 coding. Revision and maintenance of laboratory requisition to accommodate all procedures performed. Organize and supervise remodeling and expansion of office space to accommodate growing practice; Electronic and hardcopy billing for all claims daily; Electronic remittances; AR reconciliation/daily/monthly/yearly.
Responsibilities included: Management of daily operations of seven medical practices; Direct supervision and training of staff members, both administrative and clinical; Contractual negotiations with managed care plans, both HMO and PPO plans; Credentialing; Analogy and adjustments of fee schedules, both inpatient and outpatient procedures; Proficiency in ICD-9 and CPT-4 coding; Compliance management and training;