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Stanley Garcia
Medical Billing Manager
Summary
Detail-oriented and results-driven Medical Billing Manager with over 10 years of experience in healthcare revenue cycle management. Expertise in medical billing software, revenue cycle management, patient account management, insurance verification, HIPAA compliance, and medical terminology. Proven ability to manage a team of medical billers, implement process improvements, and negotiate favorable reimbursement rates. Seeking a challenging role where I can leverage my skills to optimize billing operations and improve financial performance.
Education
Bachelor of Science in Health Information Management
March 2015
Skills
- Medical Billing Software
- Revenue Cycle Management
- Patient Account Management
- Insurance Verification
- HIPAA Compliance
- Medical Terminology
Work Experience
Medical Billing Manager
- Utilized billing software to track claims, monitor denials, and generate reports.
- Collaborated with providers to resolve billing disputes and improve patient satisfaction.
- Trained new staff on medical billing procedures and best practices.
- Managed a budget of $2 million, ensuring efficient use of resources.
Medical Billing Manager
- Managed a team of 10 medical billers, ensuring accuracy and efficiency in claims processing.
- Implemented an electronic health record (EHR) system, streamlining billing processes and reducing denials.
- Negotiated contracts with insurance providers, securing favorable reimbursement rates.
- Conducted regular audits to ensure compliance with regulatory standards and identify potential fraud.
Accomplishments
- Streamlined billing processes, resulting in a 90% reduction in billing errors and improved cash flow
- Developed a comprehensive training program for billing staff, leading to increased productivity and compliance
- Negotiated improved reimbursement rates with insurance companies, resulting in increased revenue generation
- Implemented a patient portal to enhance billing transparency and improve communication
- Led a team to implement a new electronic health record system, resulting in improved billing accuracy and revenue cycle management
Awards
- Recognized with the Healthcare Excellence Award for exceptional medical billing practices
- Received the Medical Billing Innovation Award for implementing a centralized billing system
- Named Medical Billing Manager of the Year by the American Health Information Management Association
- Honored with the Patient Financial Services Excellence Award for exceptional customer service
Certificates
- Certified Medical Billing and Coding Specialist (CMBCS)
- Certified Professional Medical Auditor (CPMA)
- Certified Coding Associate (CCA)
- Certified Outpatient Coder (COC)
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How To Write Resume For Medical Billing Manager
- Highlight your expertise in medical billing software, revenue cycle management, and insurance verification.
- Showcase your ability to manage a team and implement process improvements.
- Quantify your accomplishments whenever possible, using specific metrics to demonstrate your impact.
- Emphasize your commitment to compliance and ethical billing practices.
- Demonstrate your passion for the healthcare industry and your desire to make a positive contribution.
Essential Experience Highlights for a Strong Medical Billing Manager Resume
- Managed a team of 10 medical billers, ensuring accuracy and efficiency in claims processing.
- Implemented an electronic health record (EHR) system, streamlining billing processes and reducing denials.
- Negotiated contracts with insurance providers, securing favorable reimbursement rates.
- Conducted regular audits to ensure compliance with regulatory standards and identify potential fraud.
- Utilized billing software to track claims, monitor denials, and generate reports.
- Collaborated with providers to resolve billing disputes and improve patient satisfaction.
- Trained new staff on medical billing procedures and best practices.
Frequently Asked Questions (FAQ’s) For Medical Billing Manager
What are the key responsibilities of a Medical Billing Manager?
The key responsibilities of a Medical Billing Manager include managing a team of medical billers, implementing process improvements, negotiating reimbursement rates, conducting audits, and ensuring compliance with regulatory standards.
What are the essential qualifications for a Medical Billing Manager?
The essential qualifications for a Medical Billing Manager include a bachelor’s degree in health information management or a related field, experience in medical billing and revenue cycle management, and expertise in medical billing software.
What are the career prospects for a Medical Billing Manager?
The career prospects for a Medical Billing Manager are excellent, with the demand for qualified professionals expected to grow in the coming years.
What is the average salary for a Medical Billing Manager?
The average salary for a Medical Billing Manager varies depending on experience, location, and employer, but is typically between $60,000 and $90,000 per year.
What are the challenges faced by Medical Billing Managers?
The challenges faced by Medical Billing Managers include managing a large volume of claims, ensuring accuracy and efficiency in billing, and keeping up with changes in healthcare regulations.