Dedicated, self motivated and result oriented Healthcare professional 20+ years experience. Seeking a challenging and fulfilling role in the Healthcare field where demonstrating leadership skills of problem solving while employing empathy and integrity to all. Highly dependable, ethical and reliable support specialist and leader that blends advanced organizational, technical and business acumen. Works effectively with cross-functional teams in ensuring operational and service excellence.
Skills
Report Preparation and Analysis
Office Management
Policy and Procedure Modification
CRM Software
Team Management
Staff Training
Payroll Administration
Office Supplies and Inventory
Biweekly Payroll Processing
Client Correspondence
Sorting and Delivering Mail
Medical Billing and Collections
Work History
02/2022 to Current
Medical Billing SupervisorU.S. Physical Therapy – Yulee, FL,
Assisted patients by determining financial assistance available and setting up payment plans.
Researched and followed up on denied insurance claims.
Reviewed outgoing bills for eligibility and accurateness.
Posted charges, payments and write-ups for cardiovascular procedures.
Followed up on legal claims.
Devised new methods to improve billing workflows.
Submitted electronic and paper claims to insurance companies, Medicare and Medicaid to collect medical payments.
Verified proper ICD-9 coding on claims.
Analyzed medical records to satisfy insurance company mandates.
Scheduled patients in Medical Manager System.
09/2017 to 02/2022
Surgery SchedulerAlliance Community Hospital – Bolivar, OH,
Schedule surgery for 3 providers, Gather all necessary medical clearances and make sure obtain authorization from insurances.
Expertly managed planning, scheduling and coordination of outpatient procedures.
Coordinated with facilities to set up surgeries for 3 orthopedic surgeons.
Educated patients about surgeries and provided treatment plan documentation.
Verified insurance coverage and obtained pre-authorizations.
Reviewed medical histories and current information to provide accurate information to surgeons.
Answered telephone calls to offer office information, answer questions and direct calls to staff.
Scheduled patient appointments in respective doctors' calendars and followed up with reminder phone calls.
08/2012 to 02/2017
Insurance Billing Coordinator and AdministrativeEnduracare Acutecare – Mobile, AL,
Managed all insurance claims for 400+ student-athletes.
Assisted in coordinating daily schedule for Director of Sports Medicine.
Implemented new policy and procedures for tracking and documenting all insurance claims.
Paved new relationships with neighboring businesses to expedite student-athlete medical care.
Implemented new payer agreement with providers to help bottom line .
Voted staff member of the year, and 2016 and 2017
Set up meetings and arrange schedules
Verified insurance benefits and rectified accounts.
Executed billing tasks and recorded information in company databases.
Responded to customer concerns and questions on daily basis.
Handled account payments and provided information regarding outstanding balances.
Monitored outstanding invoices and performed collections duties.
07/2003 to 03/2012
Office ManagerLechmaier Family Chiropractic Center – City, STATE,
Maintained computer and physical filing systems.
Oversaw office inventory activities by ordering and requisitions and stocking and shipment receiving.
Optimized organizational systems for payment collections, AP/AR, deposits and recordkeeping.
Established workflow processes, monitored daily productivity and implemented modifications to improve overall performance of personnel.
Coached new hires on company processes while managing employees to achieve maximum production.
Managed budgets, appointment scheduling, employee and event itineraries and accounts to improve productivity initiatives.
Coordinated special projects and managed schedules.
Compared vendor prices and negotiated for optimal savings.
Developed standard operating procedures for all administrative employees.
Evaluated employee records and productivity to complete employee evaluations.
Established and developed strong administrative team by delivering ongoing coaching and motivation and fostering career advancement.
Maintained CRM database with customer updates and report generation.
Education
Expected in 06/1986 to to
High School Diploma: New Milford High School - New Milford, CT GPA:
Additional Information
Willing to relocate: Anywhere, Authorized to work in the US for any employer
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