Objective:
Seeking a long term permanent position that will utilize my medical experience, education and skills.
Skills: CPT/ICD9 coding, customer service, account receivables, appeals, contract negotiations, credentialing, prior authorizations/verifications, appointment scheduling, collections, data entry charges, payments and adjustments, receptionist duties.
Employment History:
United Home Care of Newnan, Union City, GA Administrative Assistant (Team Assistant) April 2010-present Responsibilities included data entry of patient demographic information. Screened appropriate referrals and assigned new referrals to nurses, homehealth aides and therapist. Telephone management. Requested home health orders from referring physicians. Verified Medicare benefits using DDE software from Medicare. Employee visit scheduling for nursing, physical therapist, occupational therapist, social workers and speech therapist. Created oasis and 485 forms in Horizon software. Created medical records. Receptionist duties as needed.
Prometheus Group, Newnan, GA Account Manager Dec 2006-Dec 2009 Responsibilities included data entry patient demographic information and charges for Medicare, Medicaid and commercial insurance companies. Verified CPT/ICD9 coding on charges slips by physicians on hospital, ER and office medical charge slips for pulmonologist, internal medicine, and two sleep labs. Process, print and mail monthly patient invoice statements. Requested referrals, insurance benefits, prior authorizations and appeals as needed. Followed-up on accounts receivable reports on claims over 30-45 days. Posted payments and adjustments. Weekly meetings with medical providers to report trends in coding errors submitted by providers. Credentialing for physicians with Medicare, Medicaid and commercial insurance companies.
S&T Assessment and Counseling Services, Inc., Newnan, GA Administrative Assistant, Bookkeeper, Account Manager, May 2006-Dec 2006 Responsibilities included perform administrative office duties in support of Executive Director, Assistant Director and Clinical Psychologist. Schedule and maintain calendars. Created and maintained Standard Operating Procedure (SOP) manual for business procedures/job descriptions. Payroll responsibilities for 10 office employees and 50 statewide independent contractors (and mileage reimbursement). Prepared and maintain contracts for current contracted and prospective agencies.
World Class Aviation/World Class Accessory, Peachtree City, GA Bookkeeper, Human Resources, Account Manager, Oct 2005-May 2006 Responsibilities included perform administrative and general office duties in support of company president for both companies. Process payroll. Maintain support files for clients worldwide. Accounts payable duties to include coordinate month end closing and maintain AP journal entries documentation sent to company accountant. Account receivable invoicing and collections procedures. Management of employee sick/vacation hours, complete enrollment/cancellation procedures for employees related to company benefits programs. Coordinate with sales staff to resolve customer issues while providing quality customer service for both companies.
Spartanburg Regional Healthcare System, (Network Geriatric Services Department) Spartanburg, SC Practice Manager, Account Manager, Apr 2001-Nov 2004 Responsibilities included perform practice manager/office manager duties in the daily operation of medical practice for 8 physicians and nurse practitioners. Supervision of home based medical billing employees. Account Manager (home biller) for nursing home patients in North Carolina and South Carolina.
Comforce Staffing Services (client: Medical Business Associates) Etowah, NC Account Manager, Oct 1999-Feb 2001 Responsibilities included data entry of patient information, and claims processor for internal medicine and dermatology medical claims, while providing quality customer service to all clients.
Felicia Brabham, MD, Hendersonville, NC Office Manager, Account Manager, Jan 1999-Oct 1999 Responsibilities included daily operations of the medical office including purchasing new computer system, conversion of patient information, space utilization, secretarial support, and mail. Coordinate procedures with medical records, data entry, claims review, and personnel functions to ensure efficiency and accuracy in operations and coordinate staff replacement as needed. Promote compliance with all fiscal intermediaries with Medicare, Medicaid and third party payers through staff education. Prepare account receivable reports. Claims processing/transmission daily, post all payments, adjustments, denials, work account receivables/collections. Patient scheduling for office visits and in/out patient hospital procedures.
Hospice of Rutherford County, Forest City, NC Accou...
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