Joe Carnes Gulf Coast Professional Billing
Joe Carnes  Platinum Member


Available Globally

Contact:

36575 River Reed Loop
Dade City, FL, 33525
USA


Services:

MEDICAL BILLING COMPANY OWNER with a 2 decade proven track record of success and progressive experience directing billing operations in a healthcare environment. Comprehensive experience working with Medicare, Medicaid, 3rd Party, Managed Care, Workers Comp, Auto Insurance, Letters of Protection, and Law Firms. Repeated success guiding cross-functional teams in driving record-setting medical billing operations.

Adept at blending strong decision-making abilities with outstanding organizational skills, solid leadership attributes, and successful interpersonal relationship-building techniques. Strong passion for providing infectious enthusiasm, provoking others to reach for the next level of success. Exhibit dynamic follow-through, astute professionalism, and a stellar work ethic.

+ More

Qualifications:

Key Skills:
Azalea Health, Gateway EDI, IDX, AMICAS RIS, Vision Series Financials, Cerner, Meditech, FTP Files, Navinet, Availity Insurance, Provider Portals, COGNOS, Healthpac, VPN Connection, Emdeon, Quickbooks, Greenway Health Intergy EHR.Key Skills:
Azalea Health, Gateway EDI, IDX, AMICAS RIS, Vision Series Financials, Cerner, Meditech, FTP Files, Navinet, Availity Insurance, Provider Portals, COGNOS, Healthpac, VPN Connection, Emdeon, Quickbooks, Greenway Health Intergy EHR.

+ More

Experience:

Professional Experience:

Billing Expert
Medsurity Experts, PA (2022-Present)

Manage payroll for 12+ Independent Contractors and Employees
Retained as billing expert on 100+ cases, saving millions of dollars in damages for clients
Speaker at 2023 FLCC Conference, Orlando, FL

Medical Billing Company Owner
Gulf Coast Professional Billing LLC (2013-Present)

Multiple Clients with an Annual Gross Income of $2,000,000 - $3,500,000
Implemented and maintained Clearinghouse setup with 20+ Insurance Carriers, Gateway EDI Clearinghouse, Third-Party Collection Agency
HL7 Format and Conversion from Imaging Center RIS System to the Azalea Health Billing System
EFT Setup for 20+ Insurance Carriers
Directly responsible for all billing aspects for multi-specialty imaging center, including charge and cash posting, billing follow-up, collections, EDI, management of 15 imaging center employees, and daily communication with the Imaging Center Owner/Physician
Training of all imaging center staff on current Medicare/Medicaid changes, 3rd Party Insurance Billing Issues, and Changes
Reduced Days in AR to Below 30 Days
Credentialing/contracting for 4 physicians and 4 nurse practitioners

Billing and A/R Manager
Revenue Enhancement Professionals (2012-2013)

Annual revenue $2,000,000
Directly responsible for 10 billing office employees
Sharp business acumen and experience in managing a broad scope of operations for a multi-specialty imaging center, from charge/payment analysis to allocating income
Actively supervised the conversion of the Amicas Financials billing system to a Healthpac billing system, ensuring data accuracy and completeness
Responsible for monitoring accounts receivable for unpaid/improperly paid claims and maintaining accounts receivable below 35 days

Billing and A/R Manager
Spectra Billing Group (2010-2012)

Annual revenue $2,000,000
Directly responsible for 10 billing office employees
Sharp business acumen and experience in managing a broad scope of operations for a multi-specialty imaging center, from charge/payment analysis to allocating income
Actively supervised the conversion of the Amicas Financials billing system to a Healthpac billing system, ensuring data accuracy and completeness
Responsible for monitoring accounts receivable for unpaid/improperly paid claims and maintaining accounts receivable below 35 days

Billing Manager
Bayview Radiology (2008-2010)

Annual revenue $3,180,000
Successfully reduced days in accounts receivable from 40 days to 35 days and decreased charge date of service to date billed to 4.5 days
Effectively hired, trained, and directed 20 employee billing staff; increasing employee productivity by 50% by implementing successful real-time productivity reports
Facilitated productive negotiations with collection agencies, effectively increasing revenue by $500/month from delinquent accounts

Insurance Processor
CBIZ Medical Management Professionals (2007-2008)

Capably conducted in-depth statistical analysis on accounts receivable for a 23 physician group, identifying problem areas and implementing solutions
Utilized COGNOS PowerPlay/PowerPoint in preparing monthly board meeting reports and accounts receivable reports

Physician Administrative Coordinator
Florida Radiology Management (2006-2007)

Responsible for developing policies and procedures to enhance overall billing operations for a 10 person billing office
Served as Accounts Receivable Manager for a group of 10 physicians, effectively saving the company $30k in budgetary projections

Facility & Event Management Intern
National Training Center (2005)

Proficiently oversaw athlete registration, volunteer assignment, and official announcing for Hershey's Track and Field Florida Championships

Customer Service Representative
ICT Group, Inc. (2001-2004)

Skillfully supervised a mid-size Customer Service team in correcting purchase orders to save the company $300/day

Professional Education:

Bachelor of Science in Business Administration, Webber International University (2006)
GPA: 3.8, Dean’s List Honors
Prerequisite Coursework, Polk Community College (2004)
Member, Radiology Business Management Association

+ More

Categories:

Medical Billing


Gallery is empty
My CV & Docs

My Videos


My Audios



Expert's Ratings