Clinic Supervisor with a track record of managing personnel, finances, facility operations with attention to patients receiving the highest quality of care. Maintaining charge entry & claims filing process to ensure revenue for the clinic.
Scrubbed claims for ICD-10 coding errors for electronic submission
Appealed insurance rejected claims
Made appointments & obtained authorizations for testing at other facilities
Obtained authorizations for testing done in clinic by outside technicians
Assisted patients with billing & insurance questions
Appealed rejected claims
Made coding corrections on rejected claims
Assisted patients with billing & insurance questions
Filed secondary claims
Confirmed eligibility on insurance
Provided patients with prices for services
Prepared refunds & processing refund checks
Accessed patient information through variety of office software applications, maintaining strict confidentiality to remain compliant with HIPAA regulations
Scheduled patient appointment and procedures with GE Centricity
Examined claims for errors, corrected issues and mailed out in a timely manner
Conducted analysis to address collections for all testing which led to increased daily revenue
Prepared weekly reports for Chief Administrative Officer containing totals of weekly deposits & percentages of weekly collections for co-pays & co-insurance for all cardiac related testing
Supervised staff for the front office, telephone operators, eligibility & benefits, billing & coders
Interviewed & hired staff
Conducted yearly performance evaluations, monitoring progress and productivity
Identified and corrected performance and personnel issues negatively impacting team and business operation.
Provided necessary corrective action per HR
Terminated staff per HR policies
Custodian of all money utilized by front staff
Appealed rejected claims
Made coding corrections on rejected claims
Assisted patients with billing & insurance questions
Filed secondary claims
Confirmed eligibility on insurance
Provided patients with prices for services
Prepared refunds & processing refund checks
Provided support & direction for starting a new clinic
Directed the installation of work methods and procedures to achieve clinic objectives
Provided supervision for day-to-day operations of facility
Maintained CAQH updates
Handled accounts receivable & accounts payable transactions
Researched and resolved billing and invoice problems
Supervised staff up to 30+, clerical & clinical
Provided assistance to physicians
During this time period, supervised 2 clinics, West & Southwest
Instrumental in having injection administration fee increased from $11 to $30, therefore creating additional revenue for all of Covenant Medical Group
Maintained office & clinical supplies
Provided guidance in coding & charge entry
Interviewed & hired clerical & clinical staff
Identified and corrected performance and personnel issues negatively impacting team and business operations
Terminated staff per HR policies
Acquired skills to assist occupational medicine staff (collection of specimens, completing required documentation, providing proof of required testing)
Prepared accounts payable for payment
Filled in when short staffed whether clerical or clinical
Conducted yearly performance evaluations of office staff to monitor progress and productivity and recommend promotions, corrective or disciplinary action
Obtained referrals & prior authorizations for 11 pediatricians
Obtained pre-certifications for hospital admissions
Experience in communications with all commercial carriers & Medicaid
Continued position with Dr. Asmussen
Scheduled & maintained appointments for schedule
Managed the receptionist area, including greeting visitors and responding to telephone and in-person requests for information
Collected co-pays or fees for service
Filed insurance claims & handled appeal process
Maintained paper charts
Dispersed incoming mail to correct recipients throughout the office
Made copies, sent faxes and handled all incoming and outgoing correspondence
Scheduled & maintained appointments for schedule
Managed the receptionist area, including greeting visitors and responding to telephone and in-person requests for information
Collected co-pays or fees for service
Filed insurance claims & handled appeal process
Maintained paper charts
Dispersed incoming mail to correct recipients throughout the office
Made copies, sent faxes and handled all incoming and outgoing correspondence
Obtained skills to room patients, taking vitals & reason for visit
Obtained skills for medication refills
Staffing management