Glynis Bussey
Bremen,GA
Summary
Seasoned Practice Manager with a proven track record at Southern Crescent Pediatrics, excelling in policy implementation and staff management. Expert in HIPAA and OSHA regulations, I significantly enhanced operational efficiency and employee engagement. Skilled in insurance claims and medical personnel recruitment, my leadership ensures compliance and fosters a positive, productive workplace. Efficient professional in insurance claims and policy processing, known for high productivity and the ability to complete tasks with precision. Specialized in analyzing claim details, navigating policy databases, and managing customer communications. Excel in problem-solving, adaptability, and teamwork, leveraging these soft skills to navigate complex situations and achieve positive outcomes.
Overview
40
40
years of professional experience
Work History
Claims Representative
Advance Rehabilitation
Rome, GA
05.2022 - 10.2024
- Called insurance companies to ascertain pertinent information regarding policies and payment benefits for patients.
- Collaborated with other departments to resolve billing disputes or address customer concerns quickly.
- Participated in training sessions designed to improve overall job performance.
- Assisted claimants, providers and clients with problems or questions regarding claims.
- Filed appeals on behalf of customers when necessary after denial of a claim due to insufficient evidence.
- Reviewed and verified claim information to ensure accuracy of data and compliance with established policies.
Practice Manager
Southern Crescent Pediatrics
Stockbridge, GA
06.1998 - 03.2022
- Implemented policies and procedures related to patient care delivery in accordance with organizational standards.
- Monitored compliance with HIPAA regulations concerning patient privacy rights.
- Coordinated work activities and scheduling of medical, nursing and physical plant staff.
- Maintained records management system to process personnel information and produce reports.
- Complied with OSHA and HIPAA regulations.
- Maintained awareness of government regulations, health insurance changes and financing options.
- Ordered supplies needed and kept tabs on inventory levels.
- Kept informed of advances in medicine and computerized diagnostic and treatment equipment.
- Recruited, hired and trained new medical and facility staff.
- Researched customer accounts to ensure that all payments were properly applied and reconciled.
- Coordinated with external vendors on matters related to vendor payments.
- Helped with employee transfers and referrals.
- Developed and implemented HR strategies to improve employee engagement and retention.
- Prepared reports summarizing recruitment activities, turnover rates, absenteeism trends.
- Recruited applicants for vacancies to fill open positions with qualified staff.
- Assisted in employee recruitment, hiring and interview processes.
- Managed full-cycle human resource operational activities to maximize HR employee performance.
- Completed day-to-day duties accurately and efficiently.
Front Desk Receptionist
Southern Crescent Pediatrics
Stockbridge, GA
11.1995 - 06.1998
- Explained policies and procedures to visitors.
- Reconciled daily financial transactions against cash receipts at the end of each day's business activity.
- Answered multi-line phone system and managed calls by routing to proper extensions or taking messages.
- Assisted with scheduling appointments for clients and visitors.
- Maintained a clean and organized reception area to uphold company image.
- Performed data entry into computer systems to maintain accurate records of customer information.
Dog Groomer and Sales
Creature Comforts Veterinary Hospital
Stockbridgw, GA
03.1985 - 11.1995
- Scheduled grooming and veterinary appointments for animals.
- Delivered excellent service to pet owners to drive repeat business.
- Developed long-term relationships with clients and bonded with animals through regular contact.
- Bagged or packaged purchases and wrapped gifts.
- Created price tags and merchandise signs for new items.
- Tracked inventory levels throughout the day and restocked items as needed.
- Kept calm and applied strong problem-solving and interpersonal skills to resolve conflicts.
- Greeted each customer and offered assistance in finding requested items, helping boost customer satisfaction and retention.
- Ticketed, arranged and displayed merchandise to promote sales.
Education
High School Diploma -
Stockbridge High
Stockbridge, Ga06-1977
Skills
- Accident review
- Documentation research
- Settlement agreements
- Insurance regulations
- Insurance claims review
- HIPAA and OSHA regulations
- Medical personnel recruitment
- Policy and procedure development
- Electronic health records
- New hire training
- Policy implementation
- Staff management
- Hiring medical personnel
- Practice management
- Human resources
References
References available upon request.
Timeline
Claims Representative
Advance Rehabilitation
05.2022 - 10.2024
Practice Manager
Southern Crescent Pediatrics
06.1998 - 03.2022
Front Desk Receptionist
Southern Crescent Pediatrics
11.1995 - 06.1998
Dog Groomer and Sales
Creature Comforts Veterinary Hospital
03.1985 - 11.1995
High School Diploma -
Stockbridge High
Similar Profiles
Elizabeth Drew CravenElizabeth Drew Craven
Physical Therapy Student Intern at Advance RehabilitationPhysical Therapy Student Intern at Advance Rehabilitation
Dominiq MondonedoDominiq Mondonedo
License Vocational Nurse at Advance Rehabilitation of TustinLicense Vocational Nurse at Advance Rehabilitation of Tustin
Kelly VarelaKelly Varela
SUPERVISOR OF REHABILITATION at Orlando Health - Advance Rehabilitation Institute OutpatientSUPERVISOR OF REHABILITATION at Orlando Health - Advance Rehabilitation Institute Outpatient