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Office Manager Resume Example

Resume Score: 80%

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SM
OFFICE MANAGER
Professional Summary

Experienced Medical Office Management with 15 years of experience optimizing productivity, efficiency and service quality across patient focused environments. Highly dependable, ethical and reliable support specialist and leader that is motivated and eager to support seamless medical office operations. Works effectively with cross-functional teams in ensuring operational and customer service excellence.

Work History
ATI Physical Therapy - Office ManagerMt. Pleasant, SC12/2015 - Current
  • Completed bi-weekly payroll for 3 employees.
  • Hired, onboarded, managed, developed and trained front office staff, established and monitored goals, conducted performance reviews and administered salaries for staff.
  • Established efficient workflow processes, monitored daily productivity and implemented modifications to improve overall effectiveness of personnel and activities.
  • Solved problems timely and effectively, ensuring customer satisfaction.
  • Consulted with company management to assess requirements and develop operational enhancements to streamline processes and increase team performance.
  • Managed 33 physical therapy offices, supervising front office workers and enhancing productivity and efficiency.
  • Oversaw office records and maintained strict document control.
  • Served as a subject matter expert with patient billing system, compliance and other front office functions.
  • Completed daily, weekly, and monthly audits of applicable front office accountabilities and addressed all issues in a timely fashion.
  • Perform random Quality Assurance visits to audit customer service, front office appearance, and Patient Service Specialists' workflow efficiency.
  • Participated in new acquisition and MSA conversion and integration activities as well as set up and ordering for denovo clinics.
Rehabilitation Centers Of Charleston - Billing DirectorMt. Pleasant, SC05/2010 - 12/2015
  • Trained and mentored staff on procedures, compliance requirements and collections techniques.
  • Reviewed billing problems, researched issues and resolved concerns.
  • Optimized organizational systems for payment collections, AP/AR, deposits and recordkeeping.
  • Helped employees with day-to-day work and complex problems by applying motivational and analytical strategies.
  • Trained 2 direct reports on department procedures and policies to maximize department effectiveness.
  • Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
  • Posted and adjusted payments from insurance companies.
  • Printed and reviewed monthly patient aging report and solicited overdue payments.
  • Located errors and promptly refiled rejected claims.
  • Accuratelyposted and sent out all medical claims.
  • Collected payments and applied to patient accounts.
  • Prepared accounts with past due balances of more than 90 days and transferred those cases to collection agency.
  • Analyzed medical records to satisfy insurance company mandates.
  • Processed insurance company denials by auditing patient files, researching procedures and diagnostic codes to determine proper reimbursement.
  • Orchestrated day-to-day operations of billing department, including medical coding, payment posting, accounts receivables and collections for 8 physical therapy clinics.
  • Prepared billing statements for patients and verified correct diagnostic coding.
  • Participated in workshops and other training opportunities to remain current on billing procedures, regulations and industry updates.
  • Submitted electronic and paper claims to insurance companies including Medicare and Medicaid to collect medical payments.
  • Communicated with insurance providers to resolve any denied claims and resubmit.
  • Assisted patients by determining financial assistance available and setting up payment plans.
  • Received and processed medical records requests.
Rehabilitation Centers Of Charleston - Insurance Verification/Authorization SpecialistCharleston, SC09/2005 - 05/2010
  • Assured timely verification of insurance benefits prior to patient eval or appointments.
  • Accurately inputted all patient and insurance information into company's computer system using Therasist and PMIS.
  • Documented patient medical information, case histories and insurance details to facilitate smooth appointments and payment processing.
  • Scheduled, rescheduled and handled cancelled appointments for PT, OT, Work Hardening, and FCE patients.
  • Coordinated patient scheduling, check-in, check-out and payments for billing.
  • Balanced all patient payments at end of day.
  • Responded to correspondence from insurance companies to verify patient's coverage.
  • Adeptly managed multi-line phone system and pleasantly greeted all patients.
  • Kept clinic neat and organized at all times by cleaning tables, removing trash and washing and folding laundry.
  • Reviewed insurance coverage for patients to determine which party was liable for payment.
  • Reached out to insurance carriers to obtain prior authorization for PT, OT, Work Hardening, FCE, and DME.
  • Fielded telephone inquiries on authorization details from plan members and medical staff.
  • Completed skilled administrative work to support all clinic staff and operational requirements for a fast paced PT clinic.
Skills
  • Documentation and control
  • Policy and Procedure Modification
  • Team Leadership
  • Organizational skills
  • Clear oral/written communication
  • Excellent multi-tasking ability
  • Payroll and budgeting
  • Staff Management
  • Credit and collections
  • Healthcare coding
  • Insurance billing procedures
  • Workflow planning
  • Patient care advocacy
  • Communication skills
  • Understanding of medical ethics
  • MS Office
  • Customer service
Education
05/2004College of CharlestonCharleston, SCBachelor of Arts: Biology
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Resumes, and other information uploaded or provided by the user, are considered User Content governed by our Terms & Conditions. As such, it is not owned by us, and it is the user who retains ownership over such content.

Resume Overview

Companies Worked For:

  • ATI Physical Therapy
  • Rehabilitation Centers Of Charleston

School Attended

  • College of Charleston

Job Titles Held:

  • Office Manager
  • Billing Director
  • Insurance Verification/Authorization Specialist

Degrees

  • Bachelor of Arts : Biology

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