Joanie Gordon
Riceville
Summary
I am a highly motivated & ambitious individual with plenty of years experience and would be a great asset to any company. My experience is in Precertification and Authorizations, Managing Offices, and Medical Billing. I am a take charge person with excellent problem solving and decision-making skills and always have the tendency to go above and beyond. I am also extremely organized, detail oriented and I am a great multi- tasker. I have been working remotely for the past year and a half and I also have a CHAA certification for Certified Healthcare Access Associate.
Overview
5
5
years of professional experience
Work History
Insurance Authorizations/Insurance Verification
SkyRidge Medical Center/ Tennova Healthcare/Bradley Medical Center
03.2011 - 03.2016
- Authorization / Precertification of High-Tech Imaging Tests, Sleep Studies, Infusion drugs and Surgery
- Verification of Insurance Benefits for Outpatients
- Creating Estimates of patient liability for patient procedures
- Training
Director of Operations
Elifecare TRM Solutions / Cleveland RCM
- Started as a medical biller and worked up to the Director of Operations
- Managed all medical billing for a multi-specialty group of clients
- Overseeing all departments, gathering and analyzing data and reporting
- Working closely with software IT issues and a large amount of problem solving
- Worked directly with clients, reorganizing and revamping every department
- Identifying, analyzing, and solving any issues or problems that may be occurring
- While at this newly established company, with new software, I uncovered numerous errors in the structure of reporting & sending claims.
- I contacted the system designer looking for the correct means of reporting & processing claims.
- This resulted in at least a 50-60% increase in work flow.
Office Manager / Bookkeeping
Lisa Stout Bail Bonds
- I continued doing all bookkeeping on the side for this office for 15 years after leaving the state
Medical Billing & Precertifications/ Authorizations
Gulf West Medical Associates
- Ran the entire billing and collections department
- Precertification and Authorizations of Outpatient diagnostic testing
- Charge entry, payment posting, refunds, statements, filing claims, & appeals
- Extremely fast paced office where multi-tasking was a necessity
- After taking over this billing department, I found approximately 250 unpaid claims that were way past timely filing.
- After a year of resolving and appealing these claims, I was able to recover about 90% of them resulting in around $75,000.
Education
Paralegal Program -
Pinellas Technical Education Center
Clerical Courses -
Schwettman Adult Education Center
Skills
- Typing 40-45 wpm
- Data Entry
- Microsoft Word
- Excel
- Accounting and Bookkeeping
- Epic
- Med Master
- Nextgen
- Cerner
- Misys
- AS400
- Medisoft
- Medical Manager
- Medical Terminology
- Intro to Coding
- Certified Healthcare Access Associate
Phone
cell, 727-389-2315
Timeline
Insurance Authorizations/Insurance Verification
SkyRidge Medical Center/ Tennova Healthcare/Bradley Medical Center
03.2011 - 03.2016
Clerical Courses -
Schwettman Adult Education Center
Paralegal Program -
Pinellas Technical Education Center
Medical Billing & Precertifications/ Authorizations
Gulf West Medical Associates
Office Manager / Bookkeeping
Lisa Stout Bail Bonds
Director of Operations
Elifecare TRM Solutions / Cleveland RCM