Organized Healthcare Administrator proved to deliver an exemplary level of healthcare service delivery to patients. Background coordinating admission and discharge of patients. Planning and implementing strategies for developing improved health care management. Proven problem solver and an excellent communicator. Strong organizational skills with a great understanding of data collection and performance metrics. Company recognized for staff development leading to high-performing teams.
Overview
5
5
years of professional experience
Work History
Practice Administrator
Circular Community Care
Frederick, Maryland
08.2019 - Current
Developed and distributed employee work schedules based on operational needs and employee requests.
Communicated with doctors, nurses, patients and other employees to identify and resolve healthcare needs.
Remained educated on emerging healthcare technologies and wrote proposals for possible purchases of new equipment to stay at forefront of innovation.
Kept records of expenses and monitored budget while recommending opportunities for cost savings.
Monitored and notified senior management on expenditures and plans concerning budget and fiscal matters.
Represented office during board and community meetings, delivering supporting information and announcing new facility programs and initiatives.
Maintained up-to-date information in electronic medical records software.
Developed and updated department goals and achievements throughout fiscal year.
Billing Specialist
Maryland Treatment Centers Inc.
Rockville, Maryland
10.2017 - 08.2019
Contacted clients with past due accounts to formulate payment plans and discuss restructuring options.
Identified, researched and resolved billing variances to maintain system accuracy and currency.
Entered invoices requiring payment and disbursed amounts via check, electronic transfer or bank draft.
Reviewed applications for different aid programs and determined which qualification criteria for individuals.
Input all patient data regarding claims and prior authorizations into system accurately.
Reached out to insurance carriers to obtain prior authorization for testing and procedures.
Obtained and logged accurate patient insurance and demographic information for use by insurance providers and medical personnel.
Created and maintained spreadsheets detailing medical procedures and insurance denials and approvals.
Researched denied claims and contacted insurance companies to resolve these issues.
Prepared and distributed denial letters, detailing reasons for denial and possible appeal measures.
Verified eligibility and compliance with authorization requirements for service providers.