Office Manager Resume Example

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OFFICE MANAGER
Professional Summary
I have 25 years of experience, including as an Office Manager, as a Billing Manager and as a Reimbursement Specialists in industries including Wholesale Trade-Non-Durable Goods, Wholesale Trade-Non-Durable Goods and Health Services. Most recently, I worked as an Office Manager at Central Wyoming Oxygen, llc from January 2008 to August 2013. I am studying Accounting at University of Phoenix, and recently earned my Associates degree, and now working on a Bachelor's degree. I have also studied at Casper College and BYU Idaho.
Skill Highlights
  • Maintains strict confidentiality
  • Knowledge of HMOs, Medicare and Medi-Cal
  • Medical Manager Software
  • Managed care contract knowledge
  • Electronic Medical Record (EMR) software
  • ICD-9 coding
  • CPT and HCPCS coding
  • HIPAA compliance
  • Medical billing software
  • Strong planning skills
  • Patient-focused care

  • Strong work ethic
  • Team player with positive attitude
  • Deadline-driven
  • Good written communication
  • Exercises good judgment
Professional Experience

Thoroughly investigated past due invoices and minimized number of unpaid accounts.Recorded and filed patient data and medical records.Carefully reviewed medical records for accuracy and completion as required by insurance companies.Strictly followed all federal and state guidelines for release of information. Examined diagnosis codes for accuracy, completeness, specificity and appropriateness according to services rendered.Acquired insurance authorizations for procedures and tests ordered by the attending physician.Acquired insurance authorizations for procedures and tests ordered by the attending Scheduled patient appointments.Monitored shared email in-boxes and ensured inquiries were addressed.Accurately entered procedure codes, diagnosis codes and patient information into billing software.physician.

Office Manager
April 2009 to September 2013
Company NameCity, State

Thoroughly investigated past due invoices and minimized number of unpaid accounts.Recorded and filed patient data and medical records.Carefully reviewed medical records for accuracy and completion as required by insurance companies.Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses.Strictly followed all federal and state guidelines for release of information.Directed patient flow during practice hours, minimizing patient wait time.Examined diagnosis codes for accuracy, completeness, specificity and appropriateness according to services rendered.Acquired insurance authorizations for procedures and tests ordered by the attending physician.Scheduled patient appointments.Monitored shared email in-boxes and ensured inquiries were addressed.Completed registration quickly and cordially for all new patients.Accurately entered procedure codes, diagnosis codes and patient information into billing software.Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information.Received, organized and maintained all coding and reimbursement periodicals and updates.Appropriately and correctly identified errors and re-filed denied/rejected claims as they were received from the Patient Account Representative.Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.Analyzed and interpreted patient medical and surgical records to determine billable services.Interpreted medical reports to apply appropriate ICD-9, CPT-4 and HCPCS codes.Thoroughly reviewed remittance codes from EOBS/AR's.Confirmed patient information, collected copays and verified insurance.Evaluated the accuracy of provider charges, including dates of service, procedures, level of care, locations, diagnoses, patient identification and provider signature.Completed appeals and filed and submitted claims. Posted charges, payments and adjustments.Applied payments, adjustments and denials into medical manager system.Submitted refund requests for claims paid in error.Carefully prepared, reviewed and submitted patient statements.Meticulously tracked and resolved underpayments.Consistently informed patients of their financial responsibilities prior to services being rendered. Performed quality control of the data entry system to verify that claims and payments were posted correctly.Prepared and attached all required claims documentation including referrals, treatment plans or other required correspondence to reduce incidence of denials.

Office Manager
September 2000 to April 2009
Company NameCity, State
Reimbursement Specialists
March 1989 to August 2000
Company NameCity, State
Education and Training
Associate of Science : Accounting, CurrentUniversity of PhoenixCity, State

3.6 GPA.

General March, 1 1989Casper CollegeCity, StateGeneral March
General September, 1 1979BYU IdahoCity, StateGeneral September
Skills

10-key, office equipment, typing, medical billing software, computer skills

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Resume Overview

School Attended

  • University of Phoenix
  • Casper College
  • BYU Idaho

Job Titles Held:

  • Office Manager
  • Reimbursement Specialists

Degrees

  • Associate of Science : Accounting , Current
    General March , 1 1989
    General September , 1 1979

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