LiveCareer-Resume

practice manager resume example with 10+ years of experience

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Jessica Claire
Montgomery Street, San Francisco, CA 94105 (555) 432-1000, resumesample@example.com
Summary

Detail Oriented Certified Physician Practice manager with more than 20 years of experience working in multidisciplinary medical facilities. I have extensive experience in Medical Office Management, Billing/Coding, and Provider Credentialing.

Skills
  • CMA
  • Pediatrics
  • Urgent Care
  • Front Office
  • Scheduling
  • Payroll
  • EMR
  • Marketing
  • Customer Service
  • Human Resources
  • Office Management
  • Receptionist
  • Training
  • Business Operations
  • Certifications/Licenses
  • Accounting
  • Benefit administration/management
  • Insurance verification/ processing
  • EHR proficiency
  • Strong interpersonal skills
  • Clinical trial case management/ Protocols
  • Quality control
  • CPR
  • QuickBooks
  • AP/AR
  • ICD-10 / CPT coding
  • Medical billing
  • Customer Service
  • Scheduling
  • Microsoft Office
  • Outlook
  • Answer phones
  • Staff leadership and direction
  • Team leadership
  • Staffing
  • Attention to detail
  • Contract negotiation
  • Payment reconciliation
  • Patient education and counseling
  • Clinical management
  • Marketing strategies
  • Documentation review
  • Incidents management
  • Business correspondence
  • Inspections and audits
  • Performance management
  • Policy and procedure improvements
  • Credit card processing
  • Problem-solving
  • Muli-line phone operations
  • Evaluations
  • Individual and group instruction
  • Practice management
  • Invoice verification
  • Project organization
Experience
12/2018 to Current Practice Manager Brigham And Women's Hospital | Newton, MA,
  • Management of office staff and handling customer / patient concerns with service or billing issues
  • Understanding of medical billing, ability to analyze billing issues raised by patients and find errors made by billing company
  • This includes private commercial insurances, Medicare, worker's compensation and personal injury
  • Management of accounts payable using QuickBooks( proficient with QuickBooks).
  • Create staff schedule for two offices, manage sick calls and arrange coverage for sick calls
  • Liaison with accountant to furnish required documentation
  • Knowledgeable in front desk operations and able to manage and evaluate staff on an ongoing basis, HR responsibilities include hiring and terminating personnel, and ensuring employees are advised of eligibility of benefits and enrolled during appropriate time frames
  • Maintain all business expenses, and make sure bills are paid in a timely manner
  • Weekly phone conference with billing company to discuss concerns with billing, co-managed with owner and assistant manager
09/2016 to 12/2018 Assistant Office Manager Northwest Bancorp, Inc. | Syracuse, IN,
  • Assist physician during procedures/ treatments.
  • Room patients according to the schedule and treatment needs of the providers.
  • Vitalization and full patient work-ups.
  • Sterile table monitoring, properly clean, sterilize, label and log surgical instruments.
  • Terminal cleaning/ sanitizing of procedure rooms.
  • Suture removal after patient procedures.
  • Post procedure recovery protocols/ assessment, discharge criteria monitoring, assessment and assistance.
  • Review patient charts for accuracy and completeness.
  • Ensure that all supporting documents are present prior to submission of authorization requests.
  • Assess & correct physician office visit notes to account for medical necessity requirements.
  • Submit prior authorization requests for five very busy neurosurgeons (surgeries, prescriptions, imaging, testing etc.).
  • Complete Peer to Peer requests with RN and physician reviewers from insurance companies and third party vendors.
  • Process requests for pre-authorizations & ensure that they are properly and closely monitored.
  • Educates patients and/or family on surgeries, pre-op testing, medication usage, etc.
  • Contacts patients with test results, schedules office visits with providers when necessary and relays any physician instructions in a clear, concise & understandable manner.
  • Credentialing providers with insurance companies and hospitals.
  • Provide coverage for the front office staff as needed, answer phones, respond to inquires & triage patient calls as needed.
  • Respond to phone calls, emails and faxes in a timely manner.
04/2013 to 09/2016 Assistant Office Manager & Authorization Supervisor Advanced Pain Care/ ADMI | City, STATE,
  • Key Responsibilities Included:.
  • Managed, trained & supervised clinical, front office & MRI staff.
  • Assisted in the hiring and termination processes.
  • Obtained & processed patient referrals as needed.
  • Maintained Excel referral spreadsheet for PIP/LOP cases.
  • Insurance verification & Authorizations.
  • Scheduled appointments
  • Obtained Prior authorizations for procedures and MRI's.
  • Cpt & ICD-10 Coding for office visits, procedures, surgeries and MRI's.
01/2011 to 04/2013 Training Manager & Clinical Assistant Capital Vein And Laser Center | City, STATE,
  • Organized employee work schedules and assignments ensuring they met operational needs
  • Made decisions regarding hiring, corrective action and personnel matters
  • Acted on and resolved any escalated concerns
  • Identified areas in need of additional training /continuing education when appropriate
  • Assisted with clinic audits
  • Managed supply ordering for our office
  • Responsible for the new hire paperwork/onboarding completion for Medical Assistants
Education and Training
Expected in 05/2012 to to Associate of Science | Healthcare Management Frederick Community College, Frederick, MD GPA:
Expected in 2014 to to BA | Healthcare, Administration & Management Mount Saint Mary's University, Emmitsburg, MD GPA:
Activities and Honors

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Resume Overview

School Attended

  • Frederick Community College
  • Mount Saint Mary's University

Job Titles Held:

  • Practice Manager
  • Assistant Office Manager
  • Assistant Office Manager & Authorization Supervisor
  • Training Manager & Clinical Assistant

Degrees

  • Associate of Science
  • BA

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