Innovative medical office manager seeking a position that offers opportunities for new professional and personal challenges. Independent, self-starter with a positive, can-do attitude who welcomes change, is driven to learn, improve and succeed.
Highlights
Punctual
Strong work ethic
Deadline-driven
Organized
Maintains strict confidentiality
Multitasker
"i" dotter and "t" crosser
Patience and self-discipline
Team player
Exercises good judgement
Accomplishments
In August 2014, I was promoted to Administrative Services Manager before the acquisition of Breast Imaging of Oklahoma to OU Medical Center. This acquisition brought on obstacles for patients, staff, and physicians alike. With determination, strong will, and a positive attitude, I personally dedicated myself to learn and refine new processes now implemented in the 6 departments that I help manage.
Developed processes along with process manuals that contributed to successfully train staff in all office systems and programs, policies and procedures while focusing on minimizing errors and generating superior results.
Created departmental intake form to investigate and analyze patient complaints and billing issues. This intake form assists staff in handling and resolving issues effectively by identifying needs, quickly gaining trust, approaching complex situations and resolving problems to maximize efficiency.
Skills
Excellent customer service skills. Ability to communicate effectively both orally and in writing. Proficient in the following: Microsoft Word, Excel, and Outlook, Magview, Meditech, Passport, Horizon Patient Folder, Esaf, Availity, Etran, HOST, Onbase DEI, Document Imaging Manager, Lawson, Kronos, medical terminology, comprehending medical pathology reports, credentialing for individual providers and facilities, Medicare, Medicaid, Tricare, Indian Health Services, PPO's, HMO's, Affordable Care Act, Medicare Advantage Plans, Project Woman of Oklahoma, insurance websites, out of network versus in network, EOB's, UB-04 claim forms, ICD-10 and CPT codes.
Experience as a Cancer Registry registrar.
Notary Public.
Experience
02/2013 to Current
Administrative Services ManagerDepartment Of Veterans Affairs – Montgomery, AL,
Perform individual monthly rounding to evaluate employee performance, providing feedback and assistance, coaching, and discipline to staff as needed.
Conduct annual staff performance evaluations.
Organize and lead monthly departmental meetings.
Maintain and order office supplies weekly.
Assist in the interviewing process by carefully selecting, developing, and retaining qualified staff.
Assigning and/or requesting appropriate access for new staff.
Review and approve employee time cards for processing by payroll department.
Observe strict confidentiality and safeguard all patient-related information.
Evaluate patient care procedural changes for effectiveness.
Revise policies and procedures in accordance with changes in local, state and federal laws and regulations.
Create manuals that standardize employee training.
Stay abreast of advances in medicine, computerized diagnostic and treatment equipment, data processing technology, government regulations, health insurance changes and financing options.
Complete credentialing forms and physician license renewal applications.
Oversee the day-to-day processes in accordance with set policies and procedures of the following departments: reception, medical records, HIM, transcription, scheduling, and insurance/customer service. To include items listed below...
Evaluate the accuracy of facility charges to include: date of service, CPT & ICD-10 codes, location, patient demographics, and signed patient consent forms. Appropriately and correctly identify errors listed on UB-04 forms and insurance EOB's in order to re-file denied and/or rejected claims as they were received from Patient Account Representatives.
Remain up-to-date with all insurance requirements, including the details of patient financial responsibilities and managed care plans.
Efficiently perform insurance verification, pre-certification, and pre-authorization functions. Request and obtain valid physician orders and insurance authorizations for diagnostic procedures ordered by attending physicians.
Consistently inform patients of their insurance benefits and financial responsibilities prior to services being rendered.
Prepare, audit, and reconcile patient charts before and after daily scheduled appointments.
Process film requests from patients and/or outside facilities to include printing reports and burning radiology images onto CD's.
09/2002 to 02/2013
Surgery Scheduler/ReceptionistAdcare Hospital – Lowell, MA,
Performed reception duties and was one of two surgery schedulers for an office of 3 general surgeons.
Verified insurance benefits, obtained pre-certifications and prior authorizations for outpatient and inpatient surgeries.
HIPPA compliant.
Called surgery patients to discuss pre-op surgery instructions as well as deductible and co-insurance amounts to be paid prior to surgery.
Performed reception duties to include: patient check-in and check-out, collecting copays, answering phones, scheduling appointments, data entry of patient demographic information, prepare and file charts, obtain appropriate test results prior to patient appointments, take detailed messages for nurse, work incoming faxes, proof read dictation prior to filing in chart, purchased office supplies, provided excellent customer service skills.
02/1999 to 09/2002
ReceptionistHorizon Credit Union – Woods Cross, UT,
Performed reception duties in an office of 8-10 Obstetrician/Gynecologist's.
HIPPA compliant.
Performed reception duties to include: patient check-in and check-out, collecting copays, answering phones, scheduling appointments, data entry of patient demographic information, prepare and file charts, take detailed messages for nurse, work incoming faxes, provide excellent customer service.
08/1998 to 02/1999
TellerInternational Paper Company – Houston, MS,
Performed basic bank teller duties to include: Handling large amounts of money, processing withdrawals and deposits, balancing at the end of each day, provide excellent customer service.
07/1995 to 08/1998
ClerkCache Creek Casino Resort – Brooks, CA,
Performed basic clerk duties to include: renew drivers licenses, renew vehicle and boat/motor tags, transfer titles, computer data entry, notary services, provide excellent customer service.
06/1990 to 01/1995
ReservationistHertz Reservations – City, STATE,
Performed basic call center duties to include: taking incoming calls and making car reservations, computer data entry, provide excellent customer service.
Education
Expected in 1990
High School Diploma: General Studies Choctaw High School - Choctaw, OK GPA:
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