Fronchiel Stell

Work History

Medical Office Manager

Prime Rheumatology Clinic Of Houston

The Woodlands , TX

05.2019 - Current

Consult with healthcare professionals on business decisions.
Leverage patient feedback and perform continuous process improvements to streamline day-to-day business operations and patient satisfaction.
Manage employees with various personalities and from different cultures for physician practice.
Communicate effectively with staff members, physicians, and patients, employing active listening and interpersonal skills.
Implement onboarding for new employees, which enable each to effectively learn tasks and job duties.
Maintain close working relationships with front office and back office staff.
Develop policies and procedures for effective practice management.
Address and remedy all patient or team member issues.
Create and implement organizational policies and procedures.
Provide proper scheduling of patients, ensuring timely, and effective allocation of resources and calendars.
Assess processes and procedures, complying with OSHA, and HIPAA regulations.
Create and manage electronic patient records, encompassing data entry and administrative functions related to insurance, billing, and accounts receivable.
Oversee accounting, budgeting, and financial reporting.
Analyze and solve multi-faceted problems that effect executive leaders and business initiatives.
Coordinate office events, seminars and meetings for staff and clients.
Cultivate strong relationships with vendors and partners supporting administrative operations.

Intake Team Lead

IntraFUSION

Houston , TX

08.2009 - 04.2019

Verified patient benefits, obtained authorizations/pcp referrals as required by insurance plans to ensure provider reimbursement for IV Infusion therapy/multiple drugs for various specialties.
Contacted patients to discuss benefits & their out-of-pocket costs prior to services being rendered, also assisted with securing financial assistance when applicable.
Reviewed payor guidelines to make sure patient was meeting medical necessity, prepared letters of medical necessity-LMNs.
Assisted billing team in resolving claims issues/rejections from clearinghouses/payors & aided collections dept as needed to get claims paid/reprocessed, by providing medical records as needed, requested re- authorizations for ongoing services.
Resolved nurse/provider issues; communicated effectively with sites-infusion centers and internal team members, facilitated ongoing training of new employees, as carrier guidelines updated.
Coached team members in various techniques necessary to complete job tasks.
Trained new team members by relaying information on company procedures and requirements.
Minimized resource and time losses by addressing employee or production issues directly and implementing timely solutions.
Evaluated employee skills and knowledge regularly, performed training, and mentorship to individuals with lagging skills.
Developed monthly and daily production output plans to deliver on customer service and financial metrics.
Monitored time and attendance, enforcing compliance with company procedures relating to absenteeism.
Assisted in recruitment of new team members, hiring highest qualified to build team of top performers.
Promoted high standards through personal example to help each member understand expected behaviors and standards.
Held weekly team meetings to inform team members on company news and updates.

Case Worker

Health And Human Services Commission

Houston , TX

09.2008 - 08.2009

Interviewed clients to accurately determine eligibility for Medicaid, TANF and /or foodstamp services.
Verified information provided was true and accurate according to program guidelines, assisted working parents with securing affordable child care, explained program benefits and requirements, reviewed eligibility of clients for ongoing services, processed changes to client status
Assessed needs of each client and recommended appropriate services and resources.
Monitored case progress for timely completion and compliance with applicable regulations.
Assisted clients in developing and setting realistic goals to promote positive change.

Administrative Assistant

Northwest Cancer Center

Houston , TX

03.2006 - 04.2008

Accountable for successful maintenance of patient records.
Made sure ROI request were fulfilled and charts copied timely through outsourced company.
Pre-cert and insurance verification when needed, insurance credentialing as needed.
Front desk duties to include: check in/out patients, collect co-pays, verify and register demographic information, reconcile daily close, screen phone calls, page physicians, handle consults and admits, scheduled/cancelled appointments.
Medical billing for oncology, made sure claims billed out according to timely filing deadlines, re-bill claims rejected by clearinghouses and insurance companies, work transmission and error reports, sent medical records to insurance companies upon request to get claims paid promptly, assisted collectors with getting unpaid claims worked and paid.
Developed strategies to streamline and improve office procedures.
Assisted development and implementation of new administrative procedures.

Summary

Overview

Work History

Medical Office Manager

Intake Team Lead

Case Worker

Administrative Assistant

Education

CPB & CPC Certifications - Medical Billing & Coding

Some College (No Degree) - Health and Human Services

Some College (No Degree) -

Medical Business Office Certificate - Medical Business Specialist

Skills

Timeline

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