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MEDICAL BILLER & INSURANCE CREDENTIALING/CONRACTING

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Posted : Thursday, August 15, 2024 02:19 PM

Eula Sangalang Riverside, CA Seeking remote billing position for single or multi-specialty medical clinics needing billing services.
Highly motivated and dedicated healthcare professional with over 15 years of experience in private practices and facility environments.
Strong strategic thinker with a talent for analyzing problems and finding innovative solutions.
Self-starter and a quick learner.
Let me help you build your practice and maximize your revenue so you have focus on patient care.
Personal Skills Experienced with working with small and large teams, as well as independently Effective with time management and able to meet deadlines Ability to multi-task and handle multiple projects Excellent communication Exceptional interpersonal skills Highly organized and detailed orientated Administrative Skills Comprehensive knowledge of healthcare insurance Verifying insurance benefits and eligibility Prior -authorizations, Medicare LCDs, NCCI edits and global periods Professional and facility credentialing and contracting Proficient with professional billing and facility billing (ASC/outpatient) Experienced with Anesthesia billing Experienced with Behavioral Health Familiar with CMS1500 and UB04 forms REVENUE CYCLE MANGER Contractor: Gemini Plastic Surgery, Plastic Surgery 2019 - Present Supervision of claims processing including: coding, claim submission, payment posting, denial management, appeals ands A/R management.
Flourish Well Family Therapy, Marriage and Family Therapy 2021 - Present Patient scheduling management.
Supervision of claims processing including: coding, claim submission, payment posting, denial management, appeals ands A/R management.
Wellspring Family Therapy, Marriage and Family Therapy 2021 - Present Patient scheduling management.
Supervision of claims processing including: coding, claim submission, payment posting, denial management, appeals ands A/R management.
REVENUE CYCLE MANAGER, CONTRACTING SPECIALIST Precision Plastic Surgery/Precision Surgery Center, Plastic Surgery Riverside, CA 2016 - 2023 Supervision of claims processing including: coding, claim submission, payment posting, denial management, appeals ands A/R management.
Execute and negotiate professional and ancillary contracts, analyze counter offers, implement fee schedules and re-negotiate contracts as needed.
Demonstrate clear knowledge of LCDs, NCCI edits and medical policies for surgical procedures.
Superintend referrals, prior-authorizations and administrative operations.
Develop and implement strategic plans to increase efficiency and best practices that guarantee organizational well-being.
FULL TIME MOTHER 2010 - 2016 OFFICE MANAGER, CONTRACTS Health Essentials, Hospice Las Vegas, NV 2009 - 2010 Develop and manage facility and vendor contracts.
Facilitate IDT meetings between physicians, nursing, CNAs and administrative staff.
Coordinate all administrative support and activities.
Recruit, train and supervise office staff.
Responsible for daily operations and implement company and employee goals.
Conduct employee performance reviews and maintain HR requirements.
BILLING SPECIALIST, OFFICE MANAGER GeriNet Medical Associates, Geriatrics Santa Ana, CA 2006 - 2009 Managed hospice billing and collections.
Track ER, hospitalization, acute, and SNF admissions and discharges.
Generate daily census, weekly reports and monthly bed-days.
Responsible for credentialing providers with contracted facilities.
Education Saddleback Junior College Associate in General Studies, Mission Viejo, CA 2004- 2007 University of Phoenix Business Administration, Las Vegas, NV 2010 References available upon request.

• Phone : NA

• Location :

• Post ID: 9101683481


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