Summary
Overview
Work History
Education
Skills
Certification
Timeline
Generic

Elecia Spansell

Elkhart

Summary

Billing Manager with a strong track record in revenue cycle management and regulatory auditing. Demonstrated success in optimizing billing processes and improving financial reporting accuracy. Expertise in ensuring compliance with industry standards and enhancing operational efficiency.

Overview

9
9
years of professional experience
1
1
Certification

Work History

Billing Manager

Cassopolis Family Clinic Network
Cassopolis
07.2024 - Current
  • Managed billing processes for patient accounts and insurance claims.
  • Implemented efficient workflows to streamline the billing process.
  • Prepared reports on billing activities for all facility locations for executive review.
  • Assisted in updating billing policies to align with industry standards.
  • Oversaw daily activities related to the processing of electronic claims
  • Conducted audits on claims submitted by medical billing staff, ensuring compliance with all applicable laws and regulations.
  • Monitored accounts receivable aging reports and worked proactively to reduce outstanding balances due from patients or insurers.

Certified Professional Coder

Gerig Surgical Associates
Goshen
09.2020 - 07.2024
  • Assigned appropriate codes to diagnoses and procedures for billing purposes.
  • Collaborated with healthcare providers to clarify documentation and coding requirements.
  • Researched coding issues and provided guidance on complex cases as needed.
  • Maintained updated knowledge of coding requirements, which included continuing education and certification renewal.
  • Responded to coding questions from callers and other internal departments.

Certified Professional Coder

Cassopolis Family Clinic Network
Cassopolis
09.2016 - 09.2020
  • Collaborated with healthcare providers to clarify documentation and coding requirements.
  • Conducted audits on coded data to ensure adherence to internal standards.
  • Resolved discrepancies between coded information and medical record documentation.
  • Developed educational materials on various aspects of medical terminology, anatomy, physiology, disease process, treatment modalities for coders and clinicians.
  • Investigated denials from insurance companies due to incorrect or missing diagnosis codes or procedure codes.

Education

Graduate Certificate - Medical Billing And Coding

Southwestern Michigan College
Dowagiac
05-2012

Skills

  • Revenue cycle management
  • Regulatory auditing
  • Financial reporting
  • Personnel oversight
  • Project management
  • Report preparation
  • Collections management
  • Accounts receivable management

Certification

  • Certified Professional Coder, 2012
  • Certified Professional Biller, 2019

Timeline

Billing Manager

Cassopolis Family Clinic Network
07.2024 - Current

Certified Professional Coder

Gerig Surgical Associates
09.2020 - 07.2024

Certified Professional Coder

Cassopolis Family Clinic Network
09.2016 - 09.2020

Graduate Certificate - Medical Billing And Coding

Southwestern Michigan College

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Elecia Spansell