Healthcare management professional with comprehensive background in overseeing medical office functions. Proven expertise in improving operational efficiency and fostering collaborative work environment. Known for adaptability and reliability in dynamic settings, with solid focus on patient care and administrative excellence.
Overview
13
13
years of professional experience
Work History
Medical Office Manager
Mid-Florida Cardiovascular Center
Winter Haven, FL
09.2021 - Current
Oversaw day-to-day business and clinical activities by establishing goals, objectives, standards of performance and implementing policies and procedures on a daily basis.
Addressed and remedied all patient and /or team member issues.
Built relationships with physicians to create steady referral pipeline.
Responsible for all incoming and outgoing referral.
Obtain all surgery authorizations through the insurance company.
Schedule all surgery procedures with local hospitals and the patients.
Created and managed electronic patient records, encompassing data entry and administrative functions related to insurance, billing and accounts receivable.
Insurance Eligibility & Benefits Specialist
Doctor Today TLC
Lakeland, FL
01.2018 - 08.2021
Verify an estimated 150 to 200 scheduled patients insurance coverage through EMR system (ECW), telephone and online using each agency's portal to guarantee proper reimbursement of benefits and estimate patients' financial responsibilities on a daily basis.
Identified, researched and resolved billing variances to maintain system accuracy and currency.
Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances ( BCBS, Cigna, Aetna, ect.) to obtain timely and accurate eligibility information for date of service and/ or any unpaid claims and explanation as to why.
Reviewed on average 150 charts and flagged incomplete or inaccurate information on all missing HEDIS measure's so provider can re-code for proper billing procedures on a daily basis.
Medical Office Manager
Good Health Physicans
Winter Haven, FL
10.2013 - 01.2018
Oversaw fiscal operations, including scheduling on average 25 to 75 patients appointments, verifying insurance, taking vitals, documenting properly in their chart's, adhering to all HEDIS measures daily.
Created and managed electronic patient records, encompassing data entry and administrative functions related to insurance, billing and accounts receivable on daily basis.
Compliant on all processes and procedures, complying with OSHA and HIPAA regulations.
Addressed and remedied all patient or staff member issues.
Communicated effectively with staff members, physicians and patients, employing active listening and interpersonal skills at all times.