Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy.
Overview
25
25
years of professional experience
Work History
Clincal Coordinator
Aspirus Plastic Surgery & Aestetics
09.2008 - Current
Efficient demographic entering, posting and deposits of payments, pre-certify, pre-authorize office and surgical procedures, schedule all surgical procedures, office and follow up appointments, answer billing and procedure related calls or questions, generate daily, monthly, year end reports, monitor and work all accounts receivable
Assess clinical policies and procedures for compliance with changing regulations.
Establish and maintain effective communication with staff, physicians and community organizations.
Establish workflow processes, monitored daily productivity, and implemented modifications to improve overall performance of personnel.
Coordinate special projects and managed schedules.
Maintained professional demeanor by staying calm when addressing unhappy or angry patients or providers
Collection Manager
Radiology Associates of Wausau, S.C.
09.2003 - 05.2008
Ensure the accurate and timely collection of medical insurance claims, contact patient, set up payment plans outsource to collection agency if all methods of recovery are lost, resolve all issue with claim denial or delay via the patient or insurance company, electronically submit billing statements and answer all billing related calls, post and deposit personal, medical assistance, collection payments, process all legal requests, immediate back-up scheduler to the Imaging Center and Open MRI of Wausau, HIPPA compliant
Customer Service
Walgreen Health Initiative
03.2003 - 08.2003
Provided customer service, meet/greet and responded to customer needs for durable medical equipment, worked with insurance companies ensuring proper billing and payment
Case Manager III
Wausau Insurance
08.1998 - 01.2003
Under limited supervision, opened and maintained a large volume of claims filed until resolution or conclusion, determined compensability and all necessary investigation in a thorough and timely manner, conducted telephone interviews and took recorded statements, set claim reserves, settlement values, issue temporary/total/permanent disability payments to the claimants, knowledge of legal liability/disability/general insurance policy coverage and State Workers Compensation Act
Education
Medical Secretary Program -
Northcentral Technical College
01.1991
General Studies/Spanish -
D.C. Everest Senior High School
01.1990
Skills
Clinical Documentation
Patient Confidentiality
Patient Education
Team Collaboration
Ethical Conduct
Decision Making
Time Management
HIPAA Compliance
Relevant
Ample experience and training in handling health care claims - demographics Compentencies to payment
Exceptional skills in communicating with patients, insurance companies, attorneys and other professionals
Ability to analyze liability and initiate collection activity against parties
PRACTICE MANAGER at FLORIDA INSTITUTE OF PLASTIC SURGERY & MANHATTAN PLASTIC SURGERY NYCPRACTICE MANAGER at FLORIDA INSTITUTE OF PLASTIC SURGERY & MANHATTAN PLASTIC SURGERY NYC