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Fpa Practice Manager Resume Example

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Jessica
Claire
resumesample@example.com
(555) 432-1000,
Montgomery Street, San Francisco, CA 94105
:
Professional Summary

Manager versed in research and analysis. Seeking a position to develop and implement new and innovative health care improvement processes and procedures to improve cash flow.

Education and Training
Touro College York, NY Expected in 6/2001 Bachelors of Science : Business Management & Administration Finance - GPA :

Business Management & Administration Finance

Skill Highlights
  • Staffing management ability
  • Proven patience and self-discipline
  • In-depth claims knowledgeStaff training and development
  • Claims analysis and review specialist
  • Critical thinking proficiency
  • Effectively influences others
  • Relationship and team building
Work History
Mount Sinai Health System - FPA Practice Manager
New York City, NY 07/2015 -
McBee Associates, Inc. - Business Office Supervisor
New York City, NY 04/2014 - 07/2015
Professional Experience
Atrium Health - FPA Practice Manager
Wadesboro, NC, 07/2015 - Current
  • Managed the front and back end operations for 11 physicians and a staff of 9 for main office and 2 off-site locations .
  • Created POs, ordered and monitored drug and supply inventory
  • Met with vendors and sales representatives to discuss reimbursement, the authorization process, correcting ICD-9/10 and CPT coding issues, discuss the buy and bill process for specialty drugs.
  • Revised office policies and procedures in accordance with changes in Mount Sinai's FPA regulations.
  • Carefully selected, developed and retained qualified staff, as well as trained new staff.
  • Reviewed and approved time cards for processing by payroll department.
  • Regularly evaluated employee performance, provided feedback and assisted, coached and disciplined staff as needed.
Fm Global - Business Office Supervisor
Bellevue, WA, 04/2014 - 07/2015
  • Supervised and controlled the workflow of the appeal coordinators.
  • Communicated with clients and traveled to client sites to assist in designing and implementing logistics to successfully implement new engagements.
  • Maximized the use of internal systems to enhance workflow and improve productivity.
  • Ensure all insurance appeals filing time frames and client deadlines were met.
  • Train staff including back-up and cross training in all necessary job functions.
  • Assign work to staff and daily monitoring of productivity for each function.
  • Prepared and delivered status reports and monthly activity reports to clients.
  • Perform Q&A testing on system & implement upgrades, member of the company Compliance Committee.
  • Corresponded with operations staff to ensure key client deliverables and revenue goals were met.
  • Actively maintained up-to-date knowledge of applicable state and Federal laws and regulations.
  • Directed the installation of improved work methods and procedures to achieve agency objectives.
Caduceus Inc - IDX Client Service Specialist
City, STATE, 07/2012 - 03/2014
  • Provide professional and skilled technical services and support to internal clients and staff.
  • Assist with other assigned tasks within the department.
  • Train new & current staff on the IDX system.
  • Populate DBMS (SQL) queries & set-up PCS workfiles for VP and staff upon request.
  • Maintain training documentation for new and current clients and staff.
  • Monitor charges rejected by Ecommerce and resolves payer rejections.
  • Collaborates with GE Healthcare vendor to resolve issues or request updates to the GE system for clients & staff.
Mount Sinai School Of Medicine - FPA Billing Supervisor
City, STATE, 04/2007 - 04/2012
  • Supervised the day to day front end operations and billing operations.
  • Communicated regularly with drug vendors regarding ICD-9 &cPT coding issues, drug reimbursement, buy and bill policies and the prior authorization processes.
  • Trained and supervised new and current employees on the proper ICD-9 and CPT coding and billing processes for drugs and procedures.
  • Analyzed fee schedules and compared with current insurance managed care contracts yearly.
  • Populated and analyzed financial and statistical reports for the staff and management;
  • Performed internal audits of physician charts and work with the compliance department in educating the staff and the physicians of proper billing and coding policies for Government, Worker's Compensation/No-Fault and Commercial Carrier payors; maintain and update physician managed care participations contracts,
  • Maintain up to date knowledge in coding and changes in federal and state regulations related to reimbursement and compliance.
Mount Sinai Medical Center - Billing Team Leader
City, STATE, 02/2005 - 03/2007
  • Oversaw all billing operations for the Department of Surgery
  • Trained and supervised all current and new employees on billing procedures and coding guidelines to increase cash and reduce denials.
  • Educated the front-desk staff and medical assistants on proper billing functions including the importance of obtaining referrals/ authorizations and pre-certification for visits and surgical procedures.
  • Organized monthly billing meetings between the physicians and the billing team.
  • Involved in the hiring and firing process; populated and distributed monthly DBMS queries for the department.
  • Maintain up to date knowledge in coding and changes in federal and state regulations related to reimbursement and compliance.
Weill Cornell Medical Center - Account Administrator
City, STATE, 07/2003 - 02/2005
  • Accounts Receivables collections and follow-up
  • Processed payer class edits and adjustments,
  • Populated daily & monthly cash reports,
  • Train new employees on the billing process and guidelines.
  • Maintained up to date knowledge in coding and changes in federal and state regulations, created policies and procedures to improve the cash flow in the department.
Skills

Leadership

Accounts Receivables and billing

ICD-9/ 10 Coding

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81Good

Resume Strength

  • Length
  • Personalization
  • Strong Summary
  • Target Job

Resume Overview

School Attended
  • Touro College
Job Titles Held:
  • FPA Practice Manager
  • Business Office Supervisor
Degrees
  • Bachelors of Science