LiveCareer-Resume

medical supervisor resume example with 10+ years of experience

Jessica Claire
  • Montgomery Street, San Francisco, CA 94105 609 Johnson Ave., 49204, Tulsa, OK
  • Home: (555) 432-1000
  • Cell:
  • resumesample@example.com
  • :
Summary

Detail-oriented Medical and Health Services Manager passionate about facilitating excellent patient care. Adept at designing and implementing policies and procedures. Motivated team builder and supervisor focused on driving team collaboration.

Effective at improving revenue, team productivity and policies to keep the facility operating at a sustainable and profitable level. Well-versed in motivating and retaining employees, building relationships with residents and families and achieving the requirements for continued accreditation.

Skills

Knowledgeable in (Athena Software)

  • Staff supervision
  • Accreditation support
  • Employee retention strategies
  • Census goals
  • Health information systems
  • Records maintenance
  • Acute and rehabilitative care
  • Patient relations
  • Records management
  • Patient safety
  • Simpsoni ARIA golimumab for infusion, Remicade Infliximab] software applications proficiency
  • Quality-oriented team player
  • Files and records management
  • Bill payment
  • Billing codes
  • Use
  • Medical coding understanding
  • Information inputting
  • Insurance claims
  • Reimbursements
  • Submission of medical claims
  • Data entry
  • Insurance collections
Experience
Medical Supervisor, 12/2010 to Current
Regions HospitalStillwater, MN,
  • Directed daily operations at facility caring for more than 3 individuals.
  • Coordinated delivery of exceptional patient care by evaluating workflows and facilitating positive-(group home) changes.
  • Created and maintained facility documents and records, maintaining accuracy while managing sensitive data.
  • Resolved conflicts promptly among physicians, nurses and other healthcare employees to keep workflows on task.
  • Collaborated with multi-disciplinary staff to improve overall patient care and response times.
  • Updated procedures necessary for compounding, mixing, packaging and labeling medications.
  • Implemented new hire training to further develop skills and initiate discussions on task prioritization.
  • Educated pharmacy assistants on medication assistance, ordering and insurance issues.
  • Recruited well-qualified candidates to fill vacancies and offer residents unparalleled care.
  • Solicited medical history information from patients to provide best and most effective medical advice.
  • Participated in 30munites meetings with department heads to discuss census information, admissions and discharges for residents.
  • Reviewed and assessed staff processes, reducing hazards posed for residents and staff while promoting regulatory compliance.
Medical Billing Specialist, 09/2020 to 12/2020
Kennedy Krieger InstituteBaltimore, MD,
  • Oversaw regulatory and strategic initiatives to ensure accuracy of medical claims.
  • Analyzed and interpreted patient medical and surgical records to determine billable services.
  • Demonstrated analytical and problem-solving ability by addressing barriers to receiving and validating accurate HCC information.
  • Contacted patients for unpaid claims for HMO, PPO and private accounts and performed friendly follow-ups to ensure proper payments were made according to contracts.
  • Reviewed and verified benefits and eligibility with speed and precision.
  • Determined prior authorizations for medication and outpatient procedures.
  • Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
  • Prepared and attached all required claims documentation including referrals, treatment plans or other required correspondence to reduce incidence of denials.
  • Contacted insurance providers to verify correct insurance information and obtain authorization for proper billing codes.
  • Prepared billing statements for patients, ensuring correct diagnostic coding.
  • Posted charges, payments and adjustments.
  • Collaborated closely with other departments to resolve claims issues.
  • Precisely completed appropriate paperwork and system entry regarding claims.
  • Performed quality control of data entry system to verify proper posting of claims and payments.
  • Kept detailed and accurate documentation of payments, charges and write-ups of cardiovascular procedures.
  • Posted and adjusted payments from insurance companies.
  • Completed appeals and filed and submitted claims.
  • Reviewed patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under policies.
  • Applied payments, adjustments and denials into medical manager system.
  • Consistently informed patients of financial responsibilities prior to services being rendered.
  • Billed all lab claims with attached lab slips.
Insurance Verification Specialist, 10/2017 to 12/2018
Beth Israel Lahey HealthLynnfield, MA,
  • Examined claims, records and procedures to grant approval of coverage.
  • Instructed clients on amounts covered under benefits plans in easy-to-understand terminology.
  • Followed specific security rules and guidelines to protect sensitive data, including patient medical records and payment card information.
  • Updated all patient and insurance data regularly and carefully inputted changes into company's computer system.
  • Verified that patients had the proper insurance coverage prior to any procedures or appointment scheduling.
  • Handled billing related activities focused on medical specialties.
  • Checked documentation for appropriate coding, catching errors and making revisions.
  • Retained strong medical terminology understanding in effort to better comprehend procedures.
  • Employed online tracking systems to manage medical supply inventory, insurance records, patient charts and company files.
  • Oversaw collection of admission, billing and processing documents to meet organizational expectations.
  • Answered phone calls to provide assistance, information and medical personnel access to maximize office efficiency.
  • Conducted patient intake interviews to collect medical information and insurance details.
  • Compiled physical and digital documents, charts and reports to meet business and patient need.
  • Supported administrative and healthcare staff, providing order fulfillment and inventory management services to ease operations.
  • Updated group medical records and technical library to support smooth office operations.
  • Created and maintained accurate and confidential patient files according to regulatory mandates.
  • Updated patient financial information to promote accurate record keeping.
  • Contacted other medical facilities to confirm medical histories and prevent inaccurate diagnoses.
Medical Records Assistant, 04/2012 to 10/2013
Patuxent Rehabilitations CenterCity, STATE,
  • Disseminated information to correct department, individual or outside location.
  • Updated daily logs to track information movements.
  • Kept department clean, organized and professional.
  • Wrote reports, emails, memoranda, letters and releases.
  • Scanned incoming documentation.
  • Obtained information by contacting appropriate personnel or patients.
Education and Training
Associate of Applied Science: Health Information Technology, Expected in 10/2013 to DeVry University - Downers Grove, IL
GPA:
Associate of Applied Science: Health And Social Care, Expected in 05/2003 to Lewisham College - London , UK
GPA:

By clicking Customize This Resume, you agree to our Terms of Use and Privacy Policy

Your data is safe with us

Any information uploaded, such as a resume, or input by the user is owned solely by the user, not LiveCareer. For further information, please visit our Terms of Use.

Resume Overview

School Attended

  • DeVry University
  • Lewisham College

Job Titles Held:

  • Medical Supervisor
  • Medical Billing Specialist
  • Insurance Verification Specialist
  • Medical Records Assistant

Degrees

  • Associate of Applied Science
  • Associate of Applied Science

By clicking Customize This Resume, you agree to our Terms of Use and Privacy Policy

*As seen in:As seen in: