I want to use my skills and knowledge to help the organization grow and prosper. I have an extensive knowledge of various medical computer systems, medical coding and billing, and management of medical offices. I also have proven success in A/R collections, 4010/5010 loop and segment EDI claims. I have worked in the medical field for 20 years.
Duties: CPC for multi-specialty physical medicine practice I am responsible for coding, billing, posting, credentialing, and implementing policy and procedures, training staff, and setting up and maintaining EHR system. I currently am responsible for four offices I am the billing manager for the office in Spartanburg, and Thornblade in SC. I am responsible for Ironton and Cincinnati in, Ohio. I work on EMR systems Eclipse, ChiroTouch, Soren, Eclipse and Gateway EDI. I am responsible for all licensing for providers as far as paying them with the company credit card, and keeping them up to date. I also handle Medical provider contracts for employment and the guidelines between the physicians and mid-level providers. I have implemented a practice from the ground up and helped with the DME accreditation. I have seven billing specialists that report to me directly and handle all project management such as software implementation, setting up new practices, training staff, creating training documents maintain all contracts for payers, and clearinghouses. I also work with the clinical staff on creating EMR macros and verifying that all documentation required for compliance is added. Our department does all audits and sends out all records request. I work very closely with the practice attorney on issues with any documentation and making sure that we stay abreast of the many changes occurring in the medical field on a day to day basis.
Duties: CPC for multi-specialty practice, coding, billing, credentialing, DME Inventory and Control, all supply ordering. I was responsible for management of the office, end of month close out, deposits, and bank balancing, all stats for office and employees using a software system by the name of management by statistics. I paid all office bills with checks or the office credit card. I handled all personal injury billing and worked one on one with multiple attorney offices to collect balances. I handled all professional licensing, DEA, and malpractice insurance policies. I worked on EMR systems Platinum, Compusystems, and Zirmed. I was also responsible for all DME ordering and billing.
Duties: I was sent out to help practices catch up on billing, posting, A/R, or anything assigned to me.
- Duties- Electronic claims for groups 4, 5 ,6, , 8 working with the practices to correct edits and sent claims electronically, maintaining insurance and provider records in Citrix, EClinical Works, MedAssets, and Healthport. Responsible for preparing monthly audit reports of claims and errors to the GE Centricity department, also accounting for and balancing claims on a day to day basis and preparing the financial audit reports on a monthly and yearly basis. I was responsible for technical computer issues with claims, and worked on a team with the IT department to solve problems with our computer issues when claims did not go out correctly. We met every week to work on current issues. I worked on Microsoft applications such as Word, Excel, Powerpoint, Outlook, and Publisher.
- I billed and corrected EDI claims for many groups that are physician practices owned by GHS. I have experience in OB, Dermatology, Ambulance Billing, Physical Therapy Billing, Orthopedics, Family Practice Billing, Podiatry and Foot and Ankle Surgery, Chiropractic, and Opthamology.
Duties- Interviewing employees, filing and posting of all insurance claims and payments, appeals, maintaining monthly financial reports along with monthly office budget, payroll, assisting in surgery, x-rays of the feet and ankles scheduling surgeries at three hospitals, posting surgery charges, handling employee issues, billing all secondary claims, write-offs, all pre-certifications of surgeries, filling in any position needed, paying practice bills and bank statements, ordering of all supplies medical and office, backing up phone lines, HIPAA coordinator, and OSHA compliance coordinator. I was also responsible for obtaining NPI and implementing changes necessary to ease transitions, correcting all Medicaid edits, and all credentialing for two practices. I was responsible for all computer issues and technical problems with our software. I scheduled all of the surgeries and ordered all hardware to be placed during the surgery and made sure that it was there the day of surgery. I handled ordering of all DME and the billing of it.