Joseph Morgan

ABOUT ME

I have 12 years of experience in Medical billing Industry & I have strong knowledge & skills in the below areas

Eligibility & Benefits Verification
Demo & Charge Entry
Payment Posting & Credit Balance Resolution
AR Followup
Delinquent AR & Denial Management
Provider Credential
Medical Coding

Software Experience:

Kareo
Office Ally
Athena Health
Nextgen
Advanced MD
eClinical Works
Dr Chono
Practice Fusion
Prime Clinical Systems
PrognoCIS

Work experience in MEDICAL BILLING industry:

 Develops strategic plans and programs for the Revenue Cycle team and ensures that the goals and objectives of the team are properly defined and clearly established.
 Develops policies, guidelines, and implementing procedures and ensures consistent company-wide implementation.
 Provides projections and reports as required, for development and management of budget; produces and analyzes monthly reports that assist in the monthly forecast process.
 Monitors timeliness and effectiveness of department activities, ensuring that outstanding patient accounts and accounts receivables is no more than the agreed-upon limit and that bad debt is within the budgeted target.
 Compiles and prepares various status reports for management in order to analyze trends and make recommendations.

 Enhance and standardize our work-flow processes throughout the revenue cycle to assist in achieving consistency in maintaining the critical success factors outlined in the Company’s standard operating procedures.
• Designs and develops the appropriate organization structure for the Revenue Cycle team.
• Delineates, defines, and streamlines its various functional activities, thereby ensure its effectiveness in maximizing the utilization of both asset and people resources.

 Performs selection and staffing functions such as:

• In collaboration with the Human Resources Department, conducts in-depth assessment interviews to determine the technical and behavioral competencies of the candidate to ensure that the best from among the qualified candidates are being hired in the company.
• Adheres to, and implements the philosophy of “hiring the best fit” and ensures that prospective employees’ personal values are aligned with the company’s corporate values.

 Conducts regular and periodic meetings with the team, to ensure the following:

• Implementation of all Revenue Cycle team plans, programs, and projects strictly adhering to prescribed deadlines and schedules.
• All communications and relevant information pertaining to the team are cascaded to the proper channels within the team in particular, and the organization in general.

 Conducts and implements “Performance Improvement Program”, through the following:
• Performance coaching for the staff who failed to perform and deliver the prescribed and committed level of performance output and standards.
• Performance counseling staff with behavioral/attitudinal problems. Implements the necessary guidelines on discipline management for erring employees, in accordance with company policies, rules and regulations, due process, and government regulations.
• Performance mentoring for high potential staff, capable of assuming bigger responsibilities in the future.

 Performs training and development functions, as follows:

• Designs and develops training programs that are relevant and necessary for the continuous development of the technical competencies of the team.
• Recommends and implements for appropriate training programs that will further enhance and hone the technical competencies of the staff.
• Conducts training programs, and acts as a subject matter expert on training programs pertaining to the Revenue Cycle team.

 Manages and oversees the patient services and billing staff in handling patient relations.
 Handles complex patients’ complaints and issues by explaining company policies and guidelines as well as those involving compliance issues with state and federal regulations.
 Develops plans and programs in conjunction with SBU leaders to monitor patient relations through the conduct of regular patient satisfaction surveys.
 Ensures that records are stored securely and handled in compliance with HIPAA privacy and security regulations.

SKILLS