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Medical Office Specialist/Billing Specialist/Supervisor Resume Example

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MEDICAL OFFICE SPECIALIST/BILLING SPECIALIST/SUPERVISOR
Summary

"COMMITTED TO EXCELLENCE" Dedicated, compassionate Medical Office Specialist with 12 years of demonstrated knowledge of healthcare procedures and operations, delivering unsurpassed support services in the healthcare industry. Highly professional with a fun-loving, friendly nature, and a passion for providing a positive experience as a patient/client advocate and to promote the integrity of the company with the utmost professionalism.

Skills
  • Claims processing
  • Accounts receivable expertise
  • Billing dispute resolution
  • Medical billing and collections
  • Coding proficiency
  • Accounts payable
  • Bill payment
  • Schedule management
  • Facility oversight
  • Employee retention strategies
  • Accreditation support
  • Hospital surgery scheduling coordination
  • Diagnostic Testing Scheduling
  • Outpatient Procedure Scheduling
  • Quality assurance controls
  • Policies and procedures
  • Health information systems
  • Patient safety
  • Staff supervision
  • Patient relations
  • Oral and written communication
  • Patient care planning
  • Medical device products and services
  • Conflict resolution
  • Patient-oriented
  • Confident public speaker
  • Personal and professional integrity
  • Organization and planning
  • Relationship and team building
  • Clinical issues understanding
  • Vascular care understanding
  • Patient and family focused
  • Healthcare billing proficiency
  • Time management
  • Cash management
  • Inventory management
  • EMR systems
  • Administrative and clinical support
  • Knowledge of HIPAA regulations
  • Understands medical procedures
  • Data entry
  • Knowledge of medical terminology
  • Medical records management
Experience
01/2015 to Current
Medical Office Specialist/Billing Specialist/SupervisorCarolina Heart And Leg Center, PA － Fayetteville, NC
  • Traveled to multiple medical satellite offices throughout three surrounding counties, to provide medical administrative support services to the facilitating Cardiologist and/or Physicians Assistant.
  • Collected patient demographic and insurance information to ensure up-to-date and accurate information is maintained in EMR system during Check-In process, along with verifying insurance eligibility and collecting/posting co-payments, deductibles, and co-insurance payments.
  • Scheduled all diagnostic testing and/or procedures ordered by the Providers upon Check-Out process, along with providing all pertinent instructions to the patients.
  • Responsible for all Blue Cross Blue Shield plans, Cigna plans, and Medicare.
  • Assisted with other insurances as needed.
  • Obtained authorizations, verified insurance eligibility, reviewed and corrected all pending claims before electronic submission to insurance companies.
  • Investigated denied claims in order to correct errors and resubmit for payment.
  • Converting ICD-9 codes to ICD-10 codes, adding diagnosis codes and entering testing orders into the EMR chart notes, along with building claims.
  • Created and maintained time-structured diagnostic schedules for four Ultrasound Technicians, one Nuclear Technician, and two medical assistants in the Diagnostic Facility.
  • Assisted with Holter Monitor connections and disconnections, teaching of proper placement of leads, programming, and functionality of three different types of monitors.
  • Ensured patient satisfaction through close interaction with each patient along with utilizing and reviewing confidential patient satisfaction surveys.
  • Resolved patient and staff conflicts to minimize next level action to upper Management.
  • (Knowledgable in the following Cardiovascular Diagnostic tests, procedures, and scheduling: Abdominal, Arterial, Carotid, Renal, and Venous Ultrasounds, Echocardiograms, Stress Echos, Nuclear Stress Testing, MUGA scans, Transesophageal Echos w/wo Cardioversion, 14-30 day Event Monitors, 24/48 hr Holter Monitoring, ABIs, ETTs, EECP treatments, Coronary Angiograms, Peripheral Angiograms, Endovenous Laser Therapy, Phlebectomy, and Sclerotherapy.) NEUROLOGY CONSULTANTS OF TIDEWATER.
07/2010 to 12/2014
Medical Office SpecialistNeurology Consultants Of Tidewater － Norfolk, VA
  • Provided support services for a highly reputable speciality office consisting of 14 Neurologists, a Neuropsychologist, and 24+ support staff.
  • Thorough knowledge of billing & collection procedures, obtained authorizations and referrals as required, CPT-4 and ICD-9 coding, patient registration, scheduling, medical records/ROI, HIPAA, and OSHA compliance.
  • Coordinated patient care for inbound and outbound referrals and tests such as botox injections, sleep studies, EMGs, EEGs, EKGs, MRI & MRAs, PET & CT scans, Ultrasounds, Tilt Table Tests, Hearing and Balance evaluations, Holter Monitors, and many more.
  • Solely responsible for balancing & securing all monies collected each day, prepared bank deposits, and accurately calculated the closing batch reports.
  • Served as the personal assistant to the Neuropsychologist, prescreened all referrals for any Neuropsychological testing needs and/or counseling, scheduled the initial intake appointments, testing with the technician, feedback appointments for test results, obtained authorizations as needed, and maintained the schedule according to specific guidelines.
02/2008 to 07/2010
Patient Coordinator/Front Lead/ Office ManagerFayetteville Psychiatric Associates － Fayetteville, NC
  • Performed all support services inclusive of effectively checking in and out patients, maintaining patient info in database.
  • Collected and posted co-pays and balances, assisted billing department with CPT and ICD-9 coding, collection accounts, and insurance authorizations and referrals.
  • Performed nightly balance closing details and bank deposits.
  • Handling medication requests, release of medical records, coordinating patient care for outbound referrals for Neurology consultations, EEGs, EKGs, labs, MRI & MRAs, CT scans, and sleep studies.
  • Prescreened inbound Psychiatric referrals to ensure appropriate care for adolescent and adult patients, matched therapeutic referrals with the Counselors and Psychologists based on their speciality if applicable, for problems such as coping issues, PTSD, physical, mental, sexual abuse, marital counseling, ABA and Occupational therapy, Aspergers, and Autism.
  • Assisted with the hiring and proper training of new employees.
  • Maintained front staff schedules and resolved any issues pertaining to front staff.
  • Served as the on-duty supervisor when necessary.
  • Promoted to Office Manager, working directly with the Owner/Head Physician to fulfill the needs of the practice.
  • Coordinated staff meetings, maintained pertinent data, payroll, accounts payable and receivable, along with Provider credentialing.
Education and Training
Certificate: Coding And BillingCross Country Education － Raleigh, NC
High School DiplomaPrincess Anne High School － Virginia Beach, VA
Some College (No Degree): Business ManagementFayetteville Technical Community College － Fayetteville, NC
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Resume Overview

Companies Worked For:

  • Carolina Heart And Leg Center, PA
  • Neurology Consultants Of Tidewater
  • Fayetteville Psychiatric Associates

School Attended

  • Cross Country Education
  • Princess Anne High School
  • Fayetteville Technical Community College

Job Titles Held:

  • Medical Office Specialist/Billing Specialist/Supervisor
  • Medical Office Specialist
  • Patient Coordinator/Front Lead/ Office Manager

Degrees

  • Certificate : Coding And Billing
    High School Diploma
    Some College (No Degree) : Business Management

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