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Practice Manager/Medical Coding and Billing Specialist Resume Example

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PRACTICE MANAGER/MEDICAL CODING AND BILLING SPECIALIST
Summary

Welcoming and intelligent worker with proven history of accuracy, efficiency and punctuality. Resourceful and outgoing professional with training in Medical Billing. Reliable team member with 16 years of experience processing payments and handling large amounts of currency. Great attention to detail and organization skills. Skilled at helping customers, balancing cash, checks and credit cards transactions and working within various departments. Expert in problem solving and leadership.

Skills
  • Strategic business planning
  • Accounting and bookkeeping
  • Contract negotiation
  • Managing files and records
  • Managing medical practices
  • Payment processing
  • Credit, check and cash transactions
  • Vendor account monitoring
  • Bank deposits
  • Bill payment
  • Accounts payable
  • Medical billing and invoicing
  • Data entry
  • Resolving discrepancies
  • Hiring and training
  • Spreadsheet development
Experience
Practice Manager/Medical Coding and Billing Specialist, Advanced Diabetes & Endocrine Medical Center, P.C., August 2010-CurrentLibertyville, IL
  • Used Amazing Charts and EZClaims to record weekly statements, including expenditures and balances.
  • Submitted and processed over 100 insurance claims per day to conduct medical code verifications and assessments.
  • Reviewed legal claims for accuracy and issues.
  • Utilized electronic charge capture systems to consolidate and streamline billing processes.
  • Performed insurance verification, pre-certification and pre-authorization.
  • Provided prompt and accurate services through knowledge of government regulations, health benefits and healthcare terminology.
  • Performed routine quality assurance audits to ensure data integrity.
  • Reviewed received payments for accuracy and applied to intended patient accounts.
  • Collected, posted and managed insurance payments.
  • Checked claims coding for accuracy with ICD-10 standards.
  • Managed benefit contract pricing, processing, policies and procedures.
  • Maintained accurate and timely charge submissions utilizing electronic charge capture practices, including billing and account receivables (EZCLAIMS) system and medical billing clearinghouse accounts.
  • Eliminated inaccuracies in accounts payable payments by verifying information prior to generating checks and electronic payment transfers.
  • Investigated past due invoices and delinquent accounts to generate revenues and reduce number of unpaid and outstanding accounts.
  • Organized information for accounts more than 200 days past due and transferred to collection agency.
  • Reviewed all claims for accurateness and appropriateness.
  • Participated in educational opportunities, including workshops, seminars and training classes to gain a stronger education in industry updates and federal regulations.
  • Prepared monthly and year-end closing statements, financial documents, and invoices.
  • Participated in educational opportunities, including workshops, seminars and training classes to gain a stronger education in industry updates and federal regulations.
  • Coordinated financial operations, including budgeting, accounting, expenses, and financial reporting.
  • Resolved conflicts promptly among physicians, nurses and other healthcare employees to keep workflows on task.
  • Recruited and hired intelligent clinical and administrative staff to bolster skills set of already talented team.
  • Implemented new hire training to further develop skills and initiate discussions on task prioritization.
Medical Coordinator, Mobile Doctors USA LLC, May 2008-August 2010Chicago, IL
  • Provided direct patient care, including stabilizing patients and determining course of action based on triage.
  • Documented all patient information, including condition or injury, treatment and medication administration.
  • Managed care in field and in-transit, including performing standard testing and administering necessary medication.
  • Coordinated workflow based on stat, schedule, or outpatient needs.
  • Conducted equipment inspections and vehicle checks in adherence with required maintenance schedules.
  • Obtained variety of blood samples through venipuncture or capillary puncture using syringes, butterfly needles, and straight needles.
  • Traveled to over 20 homes per day to collect blood specimens.
  • Prepared blood-collecting equipment to draw blood and safely store and transport samples.
Teller, CFSC Currencey Exchange, January 2003-August 2010Chicago , IL
  • Conducted special service and account transactions for customers, including cashing checks and examined checks for identification and edorsement.
  • Conducted special service and account transactions for customers, including wiring money, bill payment, Illinois Secretary of State vehicle registration, and Public Notary.
  • Balanced daily cash and vault inventory with zero error rate.
  • Counted as much as $500k in daily funds with manual and machine-assisted methods.
  • Supplied tellers with coin and currency as needed.
  • Trained employees on cash drawer operation
  • Adhered to regulatory and company security and audit procedures.
  • Offered every customer exceptional service levels by remaining friendly and professional during every transaction.
Accounting Clerk, Sam's Club, February 2004-September 2007Des Plaines, IL
  • Applied mathematical skills to calculate totals, check figures and correct problems with physical and digital files.
  • Reconciled daily cash variance reports, tracking overages and shortages through compilation of summary reports and comparing against past variances to isolate and address possible causes.
  • Provided training to store employees covering areas such as cash handling procedures and security requirements.
  • Prepared and checked cashier register tills.
  • Reconciled all expenses and accounts, including company credit cards and expense accounts.
  • Organized cash movements between offices and to or from banks.
  • Worked with company vendors to fix discrepancies in accounts payable and receivable.
  • Investigated and solved account issues to maintain current and accurate money systems.
  • Supported human resources by certifying and processing payroll, electronic deposits and pay adjustments while distributing checks with zero lag time.
  • Prepared weekly payroll for more than 200 salaried and hourly employees.
  • Handled cash and deposits using proper accounting procedures and documentation.
Education and Training
Certification DegreeMedical Assisting, Medical Biller, , , Illinois School of Health Careers - Chicago, , ChicagoILApril 2008
Some College (No Degree)General Studies, , Oakton Community College, Des PlainesIL
Certifications
  • CPR certified through American Heart Association
  • Certificate CMA
  • Certified Phlebotomists
  • Certified Medical Biller
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Resume Overview

Companies Worked For:

  • Advanced Diabetes & Endocrine Medical Center, P.C.
  • Mobile Doctors USA LLC
  • CFSC Currencey Exchange
  • Sam's Club

School Attended

  • Illinois School of Health Careers - Chicago
  • Oakton Community College

Job Titles Held:

  • Practice Manager/Medical Coding and Billing Specialist
  • Medical Coordinator
  • Teller
  • Accounting Clerk

Degrees

  • Certification Degree
    Some College (No Degree)

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