ANGELA CONNER

• Cosmetic Reconstruction and Dermatology (Mohs)
• Outpatient and In-Office services
• Coordinated with Medical Assistants and Surgeon
• Coordinated Operating Room reservations with 5 hospitals
• Handled fee for service consults with patients
• Billing: Handled all process to include appeals, denials, rejections, appeals, pre-authorizations, record requests, requests for medical records, etc.
• Coding: Assessed CPT, ICD 10, modifiers, and clinical documentation for accurate claim reporting; ModMed.
• Negotiated and executed contracts on behalf of department.
• Created and/or assessed processes and procedures, complying with OSHA, and HIPAA regulations.
• Managed daily administrative tasks to ensure smooth operations within the medical office environment.
• Maintained strict confidentiality of sensitive patient information, adhering to HIPAA guidelines and safeguarding against potential data breaches.
• Created and managed electronic patient records, encompassing data entry and administrative functions related to insurance, billing, and accounts receivable.
• Maintained up-to-date knowledge of healthcare regulations and policies, ensuring the practice remained in compliance at all times.
• Increased revenue by optimizing billing processes and ensuring timely collection of payments from both patients and insurance companies.
• Improved patient satisfaction by implementing efficient scheduling and appointment management systems.
• Streamlined office operations for increased efficiency and productivity through effective staff training and delegation of tasks.
• Oversaw accounting, budgeting, and financial reporting; revenue reporting.
• Oversaw appointment scheduling and itinerary coordination for both clients and personnel.
• Cultivated strong relationships with vendors and partners supporting administrative operations; Responsible for surgical supply ordering
• Created reports, presentations and other materials for executive staff.

• Managed all billing for 5 Oklahoma locations, one Colorado location, and one non-profit location for more than 40 clinicians.
• Oversaw daily operations of the department, ensuring smooth workflow and timely completion of tasks.
• Collaborated with other departments to achieve organizational goals, fostering teamwork across various functions.
• Conducted performance evaluations for staff members, identifying areas of improvement and guiding professional development plans.
• Implemented safety protocols to minimize workplace accidents and maintain compliance with industry standards.
• Identified operational inefficiencies and implemented corrective measures to increase effectiveness.
• Optimized customer experience by delivering superior services and effectively troubleshooting issues.
• Generated reports detailing findings and recommendations.
• Created and implemented processes and procedures to streamline operations.
• Billing: Handled all process to include appeals, denials, rejections, appeals, pre-authorizations, record requests, requests for medical records, etc.
• Coding: Assessed CPT, ICD 10, and modifiers for accurate claim reporting; Milan, NueMD, ICANotes, TheraNest, CollaborateMD.
• Management: Interviewed, trained, and supervised other billing associates.
• Understaffed Assistance: Occasionally assigning clinicians to patients based on insurance and patient needs, managed staff meetings for all billing updates, assisted the Medication Management Department in prescription monitoring through the Bureau of Narcotics and Dangerous Drugs Control of Oklahoma: PMPAware.

EPRP (Jan 2022 – April 2022)

• Creating Excel spreadsheets to include daily rosters of patient demographics and scheduled appointment times for the COVID-19 testing sites; creating a workbook with patient demographics and testing information with results from the Qualtrics system and the Regional Medical Laboratory (RML) system; and a workbook for tracking purposes.
• Reporting all final results to other departments for patient correspondence
• Contacting patients with demographic changes or testing results as needed; contacting lab for result requests as needed
• Inventory count with spreadsheet creation to house data and enter data into Airtable.

MRC (Mar 2022 – April 2022)

• Created multiple Excel spreadsheets that include PivotTables, formulas, functions, links, and validations that will house volunteer information for the COVID-19 response
• Inventory count with spreadsheet creation to house data in Excel.

FINANCE (Apr 2021 – Jan 2022)

• Filed electronic claims for the administration fee of the COVID-19 vaccine
• Provided support to administrative staff by ensuring proper handling of sensitive patient data according to HIPAA regulations.
• Updated and maintaining all Excel spreadsheets.

ASSOCIATED ANESTHESIOLOGISTS, INC. (March – April 2021; 3-week assignment)

• Correctly coded and billed anesthesia claims for various hospitals; Saint Francis Hospital/South Hospital, Natalie Ambulatory Surgery Center, and the Oklahoma Surgical Hospital.
• Reduced claim denials through meticulous verification of patient eligibility and coverage benefits before claim submission.

Billing and Insurance Manager and Paralegal

• Communicated with insurance providers to resolve denied claims and resubmitted.
• Managed appeals process for denied claims, resulting in successful reimbursements from insurance companies.
• Ensured timely payments from insurance providers through submission of accurate and complete claims.
• Collected payments and applied to patient accounts.
• Collaborated with healthcare providers, ensuring accurate documentation for seamless billing operations.
• Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
• Supported efficient scheduling practices by verifying patient eligibility and coverage prior to appointments.
• Improved patient satisfaction levels with clear explanations of their financial responsibilities and available payment options.
• Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.
• Reviewed outstanding balances owed by patients; initiated collection actions if necessary resulting in improved account recovery efforts.
• Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.
• CAQH provider credentialing.
• Scheduling and administering mental health evaluations for personal or court-ordered use.
• Corresponding with attorneys and scheduling meetings regarding cases, collecting retainers, and keeping cases up-to-date.
• Assisted front office when necessary answering a multi-line phone system, scheduling, and payment processing.

• Training for 8 weeks to General Manager over 24 team members
• Spot and solve all operational and personnel issues
• Drive and grow the revenue of the store
• Leadership and staff development
• Managed purchasing and inventory control with vendors to ensure sufficient high-quality products while eliminating waste
• Awarded the top quarterly profit-sharing bonuses for quality food and labor control
• Monitored compliance with safety, sanitation, and food preparation standards
• Consistently passed health inspections and company standards
• Analyzed financial data to ensure profitability including the payroll and profit and loss data
• Supervised, trained, and coached daily to improve procedures ensuring company goals and stats were met guarding the 6 weeks in a row, number one spot, for top make times and order accuracy stats.
• Conducted business-to-business marketing weekly

SME (Feb 2014 – Sept 2015)

• Vast knowledge of the company and client relations
• Supervised, audited, trained, coached, and mentored 23 agents
• Created justification for the number of agents required to complete tasks and auditing tasks
• Created, trained, and supervised all 37 task and audit processes and procedures
• Streamlined processes to increase efficiency, enabling teams to complete tasks ahead of schedule.
• Compiled and analyzed audit findings for reporting
• Researched and resolved data and documentation discrepancies
• Created multiple Excel spreadsheets using PivotTables, formulas, functions, validations, and charts to house data
• Managed all form creations for front-line and back-office work with Word
• Created the forecast for the client to set expectations for the department

Customer Care Professional (Jul 2012 – Feb 2014)

• 6 weeks of training and an additional 6 weeks of on-the-job training
• Promoted to Coach within 2 weeks of on-the-job training
• Took inbound calls for American Express cardholders
• Filed electronic insurance claims and acted as exceptional and accurate liaison between cardholder and adjuster
• Provided additional assistance to trainees and tenured agents after Coach promotion
• Maintained the highest rating as a G1 agent receiving $400 bonuses monthly
• Temporarily promoted to Supervisor in January of 2014 and supervised, coached, and mentored 10 agents for 30 days