Amy Mills
Forest City,NC
Summary
Health Care Professional with more than 23 years of experience. Extensive Medical Office Background which includes Front Desk/Patient Access Duties, Community Outreach/Patient Navigation, Medical Insurance Billing, Financial Administrative Support, Certified Medical Assistant and Practice Management.
Overview
20
20
years of professional experience
Work History
Medical Practice Manager
DLP Rutherford Physician Practices, LLC
06.2023 - Current
- Oversaw daily operations of two medical practice such as staffing schedules, Provider on-call schedules, inventory management, order office/medical supplies, office upkeep ensuring an organized work environment conducive to efficiency and patient satisfaction. Assist with the management of three additional practices when needed.
- Conducted regular staff meetings to facilitate open communication channels among team members leading to improved collaboration and problem solving.
- Maintained policies and procedures to ensure compliance with healthcare regulations, resulting in successful audits from regulatory bodies.
- Provided outstanding support to entire staff which helped improve process flow and boosted efficiency.
- Handled job duties for staff members which were unavailable or out of office (Front Office and clinical as a Certified Medical Assistant)
- Assessed processes and procedures, complying with HIPAA regulations.
- Enhanced staff productivity through implementation of effective training programs and performance evaluations.
- Evaluated practice workflows regularly to identify areas for improvement and implement necessary changes efficiently.
- Monitored key performance indicators regularly, identifying areas requiring improvement and implementing targeted action plans.
- Implemented onboarding for new employees, which enabled each to effectively learn tasks and job duties.
- Addressed patient concerns promptly and professionally, demonstrating empathy and excellent problem-solving skills.
Billing Coordinator
DLP Rutherford Physician Practices
12.2021 - 06.2023
- Works effectively with Revenue Cycle Management to ensure AR is within goal.
- Works effectively with shared billing teams to resolve claim issues and denials.
- Contact insurance companies such as Medicare, Medicaid and commerical payers to resolve claim issues for maximum reimbursement.
- Oversees the daily task of medical coders and billing specialist.
- Oversees and partake in all daily operations of the shared billing department.
- Works closely with onboarding providers to ensure payer enrollment forms are completed accurately and supporting documentation is obtained within a timely manner, for the credentialing process.
- Works effectively with the provider enrollment team and practice management to ensure providers medical license and DEA do not lapse.
- Works effectively with Transworld System to resolve patient collection disputes.
- HIPPA compliant
- Reviews reports weekly to identify and resolve trends that could affect claims processing
Clinic Coordinator
DLP Rutherford Physician Practices
06.2021 - 12.2021
- Interviewed, hired, trained, supervised staff, established and monitored goals, assisted practice manger with performance reviews.
- Overseeing that compliance of policies and procedures were maintained.
- Direct day-to-day administrative and operational functions of front office staff for all primary care offices.
- Established and updated work schedules to account for changing staff levels and expected workloads.
- Provided backup to front desk to step in to assist with various tasks whenever employee was absent or at lunch.
- Delegated tasks to front office staff to organize and improve office efficiency.
- Developed work flow strategies to maximize productivity for new call center project.
- Interviewed, hired and trained staff for office call center.
- Crossed trained staff to maintain coverage for the call center.
- Worked closely with Clinic Supervisor (for back office) to maintain full daily operational coverage. (regular hours of operation including the walk in clinic (evenings and weekends).
Patient Navigator
Blue Ridge Health
06.2014 - 05.2021
- Supervise business office and train new front desk staff.
- Interview applicants
- Train front desk staff and establish efficient front desk workflow processes for opening of new office site.
- Reconciles front desk daily deposits.
- Audit slide scale applications and supporting financial documentation.
- Maintain a Patient Navigation appointment schedule. Meeting with patients and completing patient appointments within a timely manner to efficiently maintain patient flow.
- Assist patient with understanding and completing charity care applications for area health care systems.
- Educate and enroll patients in subsidized health insurance programs.
- Coordinate and implement resources for the Patient Navigation Program to meet the needs of patients.
- Assist patients with social determinants of health (food insecurity, housing insecurity, transportation insecurity.
- Collaborate with community leaders, local agencies and other organizations to develop a plan of action to relieve potential barriers to health care.
- Super Snap enrollment (Fruit and vegetable food program).
- Community outreach events (Health fairs/COVID 19 vaccine clinics).
- SHIIP counseling.
- Insurance eligibility verification (medical and dental).
- Work rejected insurance claims for resubmission.
- Monitor front desk personnel performance and address productivity concerns and solutions.
- Maintain food pantry.
Medical Billing Specialist
Saluda Medical Center, INC.
10.2004 - 06.2014
- Reconciled daily deposit for all front desk staff
- Audit and maintain sliding fee scale applications and supporting financial documentation for grant reporting.
- Performed billing, collection and reporting functions.
- Reviewed billing claims for coding discrepancies for compliance and reimbursement accuracy.
- Filed billing claims for Medicare, Medicaid, and private Insurance (paper and electronic).
- Communicated effectively and extensively with other departments to resolve claims issues.
- Corrected denied claims for resubmission
- Maintain AR reporting
- Reconciled monthly LAB CORP. billing statements to office account for indigent patients.
- Recovered and managed collections for bad debit.
- Produce monthly financial reports for bookkeeper and financial board committee.
- Trained new front desk staff.
- Prepared billing correspondence and maintained database to organize billing information.
- Identified and resolved patient billing and payment issues.
- Evaluated patients' financial status and established appropriate payment plans.
Education
Certificate - Medical Assistant
WNC Edutech
Columbus, NC04-2024
Certificate - Medical Coding
AAPC Medical Coding
Online 10.2022
Notary Public - Certificate
Isothermal Community College
Spindale, NC02.2021
DSS Income Maintenance Case Worker - Certificate
Isothermal Community College
Spindale, NC12.2020
Certified Nursing Assistant- Certificate
Isothermal Community College
Spindale, NC04.2002
Computer Programming
Isothermal Community College
Spindale, NCHigh School Diploma -
East Rutherford High School
Forest City, NC05.1993
Skills
- EHR (GE Centricity and Athena Health)
- Medical Insurance billing (Medicare, Medicaid, Private/Commerical, Rural Health and FQHC)
- HIPPA compliant
- Excellent critical thinking skills
- Decisive judgement
- Accurate and detailed
- Strong work ethic and extremely versatile
- Self directed with excellent time management skills
- CAC certified (Marketplace Insurance coverage)
- Ability to recognize, evaluate and solve problems and correct error
- Ability to conceptualize work flow, develop plans, and implement appropriate actions
- Ability to analyze revenue changes, analyze work flows and meet deadlines
- Ability to work with people of diverse ethnic and socio-economic backgrounds
- Strong Rural Health and FQHC background
Timeline
Medical Practice Manager
DLP Rutherford Physician Practices, LLC
06.2023 - Current
Billing Coordinator
DLP Rutherford Physician Practices
12.2021 - 06.2023
Clinic Coordinator
DLP Rutherford Physician Practices
06.2021 - 12.2021
Patient Navigator
Blue Ridge Health
06.2014 - 05.2021
Medical Billing Specialist
Saluda Medical Center, INC.
10.2004 - 06.2014
Certificate - Medical Assistant
WNC Edutech
Certificate - Medical Coding
AAPC Medical Coding
Notary Public - Certificate
Isothermal Community College
DSS Income Maintenance Case Worker - Certificate
Isothermal Community College
Certified Nursing Assistant- Certificate
Isothermal Community College
Computer Programming
Isothermal Community College
High School Diploma -
East Rutherford High School
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