Judy Lewis
Baytown,TX
Summary
Efficient Medical Office Manager with experience in billing, coding and overseeing office operations, managing staff, and developing policies to improve organizational efficiency. Skilled in coordinating administrative procedures, streamlining workflow processes, and implementing cost-saving measures. Demonstrated ability to enhance communication between departments, resulting in optimized operational workflows. Committed to maintaining high standards of organization and operational excellence.
Overview
25
25
years of professional experience
Work History
Medical Office Manager
Baytown Internal Medicine Associates
Baytown, TX
11.2023 - Current
- Managed accounts receivable for the practice, ensuring timely payments from insurance companies and patients.
- Reviewed employee time sheets for accuracy before submitting them for payroll processing.
- Monitored inventory levels of supplies necessary for daily operations of the office.
- Maintained accurate patient data, including medical history, laboratory results
- Provided support to physicians by organizing patient charts prior to scheduled appointments.
- Coordinated with insurance companies to verify coverage of services rendered, referrals amd precert meds
- Created and maintained office policies and procedures to ensure smooth operations and compliance with all state regulations.
- Implemented an electronic health record system that streamlined workflow across departments.
- Conducted regular audits of medical records to ensure accuracy and completeness of documentation.
- Handled telephone inquiries from patients regarding appointment scheduling or general questions about the practice's services.
- Assisted in resolving conflicts between staff members and addressing any issues that arose related to patient care or safety concerns.
- Recruited qualified candidates for open positions within the practice when necessary.
- Oversaw day-to-day operations of the front desk area to ensure efficient flow of patients through check-in and checkout processes.
- Trained new staff on office procedures, software programs and customer service protocols.
- Ensured timely filing of all claims within established guidelines.
- Identified trends in denials and worked collaboratively with clinic staff to reduce denials.
- Prepared financial statements that summarize account activity over a period of time.
- Tracked details such as authorizations, pre-certifications or referrals required prior to service delivery.
- Resolved denied claims by researching payer requirements and preparing appeals.
- Submitted claims to insurance companies electronically or by mail.
- Worked closely with physicians to obtain additional clinical information when needed for accurate coding assignments.
- Collaborated with healthcare providers to verify necessary documentation for coding accuracy.
- Maintained positive working relationship with fellow staff
- Coordinated communication between providers and payers while managing the entire credentialing process from start to finish.
Medical Office Manager
Carrie Burns MD(retired/sold to current employer)
Baytown, TX
07.2006 - 11.2023
- Managed accounts receivable for the practice, ensuring timely payments from insurance companies and patients.
- Reviewed employee time sheets for accuracy before submitting them for payroll processing.
- Developed and implemented a new filing system for medical records, resulting in improved patient care.
- Monitored inventory levels of supplies necessary for daily operations of the office.
- Maintained accurate patient data, including medical history, laboratory results, billing information and other relevant documents.
- Provided support to physicians by organizing patient charts prior to scheduled appointments.
- Coordinated with insurance companies to verify coverage of services rendered.
- Implemented an electronic health record system that streamlined workflow across departments.
- Created and maintained office policies and procedures to ensure smooth operations and compliance with all state regulations.
- Participated in budgeting activities for the practice by analyzing cost trends over time.
- Conducted regular audits of medical records to ensure accuracy and completeness of documentation.
- Handled telephone inquiries from patients regarding appointment scheduling or general questions about the practice's services.
- Assisted in resolving conflicts between staff members and addressing any issues that arose related to patient care or safety concerns.
- Recruited qualified candidates for open positions within the practice when necessary.
- Trained new staff on office procedures, software programs and customer service protocols.
- Managed staff scheduling and set patient scheduling policy.
- Ensured timely filing of all claims within established guidelines.
- Responded promptly to requests from insurance companies regarding clarification on claim submissions.
- Verified accuracy of patient information and insurance data in billing system.
- Tracked details such as authorizations, pre-certifications or referrals required prior to service delivery.
- Reviewed medical records and identified diagnosis codes, procedures, services and supplies for coding.
- Resolved denied claims by researching payer requirements and preparing appeals.
- Maintained current CPT, HCPCS codes library as well as ICD-9, 10 CM diagnostic codes.
- Reconciled accounts receivable to ensure accuracy of payments received.
- Worked closely with physicians to obtain additional clinical information when needed for accurate coding assignments.
- Submitted claims to insurance companies electronically or by mail.
- Monitored aging accounts receivable report weekly to identify unpaid balances due.
- Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
- Entered coded data into electronic health record (EHR) systems.
- Developed and implemented credentialing processes for new providers.
Medical Assistant
Dr. Medhat Bedros (moved to another state)
Baytown, TX
05.2000 - 07.2006
- Assisted with pre-operative preparation of patients including providing instruction about post-operative care plans.
- Performed basic laboratory tests such as urinalysis and blood glucose levels under direct supervision of a physician or registered nurse.
- Conducted EKGs, spirometry testing, audiograms and other diagnostic tests as requested by the physician.
- Organized patient charts before each day's clinic sessions began.
- Assisted physicians with patient care by taking vital signs, patient histories and preparing patients for examinations.
- Administered injections, medications and treatments as directed by the physician.
- Responded to patient callbacks and phone-in prescription refill requests.
Education
Medical Assistant Certification -
Academy of Healthcare Professions
Houston, TX05-2000
Skills
- Revenue Cycle Management
- Knowledgeable in eMDs, EPIC, Trizetto, Availity
- Performance Improvement
- Strong Work Ethic
- Team Leadership
- Conflict Resolution
- Attention to Detail
- Medical Practice Operations
- EMR Software
- Medical billing software
- Medical Billing, claims and payment processing
References
- Carrie Burns MD- 281-620-5451
- Kyle Mays PA-C- 832-483-2979
Timeline
Medical Office Manager
Baytown Internal Medicine Associates
11.2023 - Current
Medical Office Manager
Carrie Burns MD(retired/sold to current employer)
07.2006 - 11.2023
Medical Assistant
Dr. Medhat Bedros (moved to another state)
05.2000 - 07.2006
Medical Assistant Certification -
Academy of Healthcare Professions
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