LiveCareer-Resume

practice manager i resume example with 5+ years of experience

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Jessica Claire
, , 100 Montgomery St. 10th Floor (555) 432-1000, resumesample@example.com
Summary

Accomplished and energic supervisor with a solid history of achievement in efficiency. Motivated leader with 17 years in healthcare with strong organizational abilities. Effective at improving revenue, team productivity, and policies to keep the facility operating at a sustainable and profitable level. Areas of expertise include communication, team building, and a positive work environment.

Skills
  • Operations Support
  • Self-Motivated
  • Leadership
  • Problem Solving
  • Decision Making
  • Fast Learner
  • Knowledgeable in Athena
  • Multi-Tasking
  • Claim Review
  • Team Building
Experience
12/2022 to Current Practice Manager I Advantage Dental | Riddle, OR,
  • Created and implemented policies and procedures for effective practice management.
  • Ensure the practice's performance in effective value-based care, including completion of AWV's.
  • Communicated with patients with compassion while keeping medical information private.
  • Complied with OSHA and HIPAA regulations.
  • Oversaw 16 assistants, front desk specialists, and providers.
  • Responsible for bi-weekly completion of clinical employee payroll.
  • Monitor the patient flow to identify gaps and partner with nursing leadership to address them appropriately.
  • Provide clear and consistent communication with employees
  • Develop and implement staffing plan for shift based on patient acuity, patient census and available staff.
  • Provide immediate follow-up, documentation, and communication to employees.
  • Conducts clinical staff meetings and huddles.
  • Regularly attends pertinent meetings as required for position/office.
  • Promotes staff education opportunities and coordinates training.
02/2021 to Current Medical Billing Supervisor University Of California | Agriculture And Natural Resources, CA,
  • Reviewed claims for coding accuracy
  • Coordinated communications between patients, billing personnel, and insurance carriers
  • Contacted insurance providers to verify insurance information and obtain billing authorization
  • Reviewed account information to confirm that patient and insurance information was accurate and complete
  • Act as the initial point of escalation for staff and patients
  • Provide clear and consistent communication with employees
  • Manage a team of 6 employees
  • Completed and submitted appeals for denied claims
  • Applied HIPAA privacy and security regulations while handling patient information
  • Delegate job responsibilities and duties to the team
  • Ensure huddles are performed successfully
  • Report pending encounters to eight physicians every week
  • Monitor the Front-End Follow-up bucket for the Front Desk
  • Responsible for bi-weekly completion of team member payroll
  • Assist with onboarding of contractors
  • Ensure the practice performance with AWV and quality gaps
  • Quickly respond to staff and patients regarding billing and coding
  • Assigned additional diagnosis codes based on specific clinical findings
  • Report coding errors to the Director of the Revenue Cycle
  • I trained new staff on correct procedures, compliance requirements, and performance strategies
  • Create claims and charges for office visits, DME, and surgeries performed by the podiatrist
  • Review accounts for accuracy and submits refund requests to the finance team
  • Reviewed and refiled claims to insurance carriers
  • Assist the Dallas/Houston Market with questions and concerns regarding billing and the front desk tasks
  • Check patients in and out of practice
  • Schedule follow-up appointments
  • Process referrals for patients
  • Managing and Batching of Time-of-Service Money
  • Review insurance discrepancy two days before the appointment.
04/2019 to 02/2021 Business Office/Front Desk Supervisor Bunzl Distribution | North Las Vegas, NV,
  • Generated and submitted over 100 claims daily for 7 Internists and 1 Podiatrist
  • Processed refunds on credit balances to patients
  • Contacted patients to obtain past-due payments
  • Assigned procedure and diagnosis codes for billing using Athena and Aprima
  • I researched claim denials, identified causes, and resolved issues to promote prompt insurance payments
  • Use CCI edit software to check bundling issues, modifier appropriateness, and LCD/NCDs for medical necessity
  • Assigned diagnosis codes and modifiers to claims based on clinical findings
  • Corrected patient issues promptly with knowledgeable and friendly service
  • Handled payment processing and provided customers with receipts, itemized receipts, proper bills, and changes
  • Managed customer complaints and rectified issues to complete satisfaction
  • I have mentored new staff on correct procedures, compliance requirements, and performance strategies
  • Completed financial audits on a scheduled basis.
03/2017 to 04/2019 Accounts Receivable Specialist Associates In Medicine, P.A | City, STATE,
  • Evaluated open accounts to look for past-due balances and pursue collection strategies
  • I posted and verified entries to logs, spreadsheets, or reports to update department records and accounting systems
  • Improved billing and month-end reporting processes
  • Applied HIPAA privacy and security regulations while handling patient information
  • Completed and submitted appeals for denied claims
  • Reviewed claims for coding accuracy
  • Posted EOBs from numerous insurances
  • Processed claims and forwarded information to Government and Commercial insurance companies
  • Organized information for past-due accounts and transferred it to a collection agency
  • Handled billing calls, questions, and concerns from patients, doctors, and third-party carriers
  • I researched chargebacks and write-offs
  • Check patients in and out of the office
  • Verify patient benefits for upcoming appointments
  • Process referrals.
Education and Training
Expected in 05/2005 to to Certificate in Medical Billing And Coding | Bryman College, New Orleans, LA GPA:
Expected in to to | Health and Physical Education The University of Louisiana, Some College, Lafayette, LA GPA:

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Resume Overview

School Attended

  • Bryman College
  • The University of Louisiana, Some College

Job Titles Held:

  • Practice Manager I
  • Medical Billing Supervisor
  • Business Office/Front Desk Supervisor
  • Accounts Receivable Specialist

Degrees

  • Certificate in Medical Billing And Coding

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