Summary
Overview
Work History
Education
Skills
References
Timeline
Generic

Kirby McCard

Opelika,All

Summary

Experienced office manager and administration professional with several years of experience in overseeing wide variety of essential functions in bustling business. Analytical in optimizing productivity, efficiency and service quality across various offices within diverse environments. Highly organized with strengths in prioritizing tasks and managing deadlines.

Overview

20
20
years of professional experience

Work History

Office Manager

Auburn Therapy and Learning Center
Auburn, Alabama
01.2022 - Current
  • Developed and implemented office policies and procedures.
  • Assisted with the preparation of budgets, forecasts and financial statements.
  • Supervised staff members, organized schedules and delegated tasks.
  • Ordered supplies and equipment to maintain adequate inventory levels.
  • Provided administrative support to management team including preparing reports and presentations.
  • Created spreadsheets in Excel to track data such as vacation requests, sick days .
  • Answered phone calls, responded to emails, routed mail and coordinated courier services.
  • Managed front desk operations including greeting visitors, answering questions or directing them to appropriate personnel.
  • Tracked invoices and payments to ensure accuracy of accounts receivable and payable information.
  • Initiated collection efforts on unpaid accounts by contacting insurance companies or patients directly via phone or mail.
  • Provided customer service support to patients who had questions about their bills or payments due.
  • Researched complex billing issues involving multiple providers or services rendered over a period of time.
  • Submitted appeals for denied claims when appropriate according to the insurance company's criteria.
  • Processed credit card payments from patients in accordance with office policy.
  • Worked closely with clinical staff to ensure accurate coding practices were followed.
  • Ensured HIPAA compliance by maintaining confidentiality of all patient information.
  • Developed strategies for improving collections performance while reducing bad debt write-offs.
  • Reviewed patient records for accuracy and completeness of information in medical billing system.
  • Resolved discrepancies between insurance companies and patients regarding payment of bills.
  • Reviewed patient medical records for accuracy, completeness and compliance with coding regulations.
  • Coded diagnoses and procedures from patient medical records using ICD-10-CM and CPT-4 codes.
  • Maintained up-to-date knowledge of coding changes, updates, and new rules.
  • Prepared reports summarizing coding trends or areas where additional training is needed.
  • Verified patient insurance coverage, including eligibility, benefits and authorizations for medical services.
  • Coordinated with other departments to obtain additional information needed for prior authorization.
  • Processed appeals in a timely manner as per policy guidelines.
  • Interpreted benefit language in order to determine covered services under each plan type.
  • Educated healthcare professionals on how to properly submit a request for pre-authorization.
  • Performed detailed medical reviews of prior authorization request, following established criteria and protocols.
  • Assessed and evaluated business procedures and implemented structure to improve day-to-day operations.

Front Office Coordinator

Therapy South
Auburn, AL
01.2019 - 01.2022
  • Greeted and welcomed guests upon arrival.
  • Answered telephones, screened calls, and directed inquiries to the appropriate staff member.
  • Maintained accurate records of all incoming and outgoing correspondence.
  • Processed payments from clients in a timely manner.
  • Prepared invoices, letters, memos, and other documents as required by management.
  • Monitored inventory levels of office supplies and placed orders when necessary.
  • Took initiative to resolve customer complaints quickly and efficiently.
  • Developed strong relationships with customers to ensure satisfaction with services provided.
  • Reviewed referrals from physicians for appropriateness of services provided by the department.

Billing Coord, Coder

Auburn University Speech and Hearing Clinic
12.2016 - 01.2019
  • Billing and coding for Audiology and Speech Clinic
  • Making sure all billing sheets are filled out correctly and that proper ICD 10 codes are assigned correctly
  • Billing insurance claims within 2-3 days of the visit and collecting co-payments, co-insurance, and deductibles at time of service
  • Keeping up to date with all the new information Medicare, Medicaid and BCBS puts out
  • Making sure, all of our remittance come back from the insurance companies in a timely matter and that we are paid at the right rate
  • Keep the sliding scale fee updated with the newest poverty guidelines
  • Send out all invoices to patient's and make sure they are paying there bill on time
  • Getting new contracts with different insurance companies and always looking to see how we can better our clinic
  • Looking at Fee schedules to make sure our charges are correct
  • Verifying patient insurance to see their Audiology and Speech therapy benefits and notify the patients of any deductible, copayment or co-insurance
  • Answering a multi-line phone, scheduling patients, making sure our EHR Practice Perfect is up to date on all updates and making sure our clinician’s and students know any changes and always keep them up to date with ways Practice Perfect is improving
  • Implementing a new HER system, troubleshooting the system and training all users
  • Opening up the clinic for our students and clinicians
  • Answering student questions and helping them understand billing and coding
  • Putting material together, for Professor to use in their class and I occasionally go talk to different classes
  • Sending medical records to other outside physicians
  • Auditing of patients medical records to make sure there is a clinician's signature, the current diagnosis codes matches what is on the billing sheet that is turned in and that the documentation is done properly
  • Keep up with every patient that needs a referral and all Medicare patient's that need referral or orders from their physicians
  • Help our Master and Doctorate students with billing and coding questions they may have and make sure they understand the billing and coding process
  • Teach 1 class on billing, coding and insurance, 1 class a semester
  • Print reports off for our clinician's each semester of how many patient's they saw and how much revenue they brought into the clinic
  • Have looked at some policies and procedure to see how we can change things to make the clinic better

Medical Assistant

Auburn University Medical Clinic
07.2012 - 12.2016
  • Coordinated appointments, insurance authorizations, and procedures at East Alabama Medical Center
  • Responded to patient inquiries regarding the Follow My Health portal
  • Super user in Allscripts
  • Crafted templates tailored for clinic use
  • Coder for Chriopractor, Dr. Miller
  • Contacting allscripts when there is a problem and troubleshooting our EKG and Spirometry machine when they are not working property
  • Helps facilitates the rabies and flu clinics each year
  • Working patients up for the doctor and taking vital signs, documenting into an EMR system known as allscripts, working with the physicians as need for procedures, can draw blood if needed we just do not do it at my current place of employment

Coder

Auburn University Medical Clinic
08.2015 - 12.2016
  • Chiropractic Coding for Dr
  • Miller
  • Making sure the physician’s code the correct CPT codes and diagnosis codes and what is on the superbill matches the chart
  • Coding charts in our EMR system as we are still on paper billing
  • Looking at Fee schedules to make sure our charges are correct
  • Checking patient insurance to see their chiropractic benefits
  • Help the receptionist schedule and precet test as needed

Administrative

Auburn University Medical Clinic
07.2010 - 07.2012
  • Excelled in role requiring the ability to handle a variety of customer service and administrative tasks and resolve customer issues with expediency
  • Demonstrated proficiencies in multi-line telephone and helped out at front-desk reception within a high-volume environment
  • Defused escalated customer interactions and addressed grievances
  • Accelerated at data input, excel, word and PowerPoint
  • Created various documents, forms, and correspondence for doctors
  • Conducted patient satisfaction surveys
  • Buyer for all medical and office supplies
  • Maintains all office equipment and building maintenance
  • AP/AR invoices, notary, and process payroll for all employees
  • Recording secretary transcribes legal correspondence, sorts and delivers mail, faxes; maintains security for e-mail and building access codes and provides support staff as needed to other areas of clinic and other duties within the organization as needed
  • Maintains social media sites, maintains employee and doctors records, maintains and updates CAQH files, work table at Camp War Eagle and all other events
  • I am very versatile and can work at our front desk checking patients in and scheduling new appointments, can work back in medical records if needed

Nursing Resource Associate

East Alabama Medical Center
06.2009 - 07.2010
  • Payroll process for employees in ICU, 5th telemetry, Progressive Care Unit, Renal/dialysis, Cardiac Special Care, Surgery Center, all areas of Surgery, Endoscopy, and Central Sterile
  • Was involved with all the KRONOS timekeeping system updates
  • Supported Secretarial work for all above departments
  • Check references, write letters of apology, and would type memo up for all staff
  • Took minutes at all staff meetings for above departments
  • Formatted and printed departmental schedules, checked job references, worked with each unit on making the unit a LEANER environment

Multi-care Tech and Unit receptionist

East Alabama Medical Center
08.2008 - 06.2009
  • Was a unit receptionist for 6th telemetry
  • Was responsible for answering multi-line phone, greeting patients and visitors when getting off the elevator
  • I would take off doctor’s orders, put orders into the system and call doctors when necessary
  • Was a tech on the floor as needed taking vital signs, making sure the patients were comfortable and had what they needed in their rooms and taking care of the patient
  • I also was able to draw blood for daily lab testing
  • I also would fill in on the transition unit when it opened as either the unit clerk or MCT
  • Did payroll processing for 6th telemetry
  • Then I was asked if I would like to apply for the nursing resource associate job since I had already had some experience

Radiology Clerk

East Alabama Medical Center
10.2006 - 08.2008
  • Answered file room phone
  • Printed out all medical records in x-ray for patients
  • Sent out films
  • Filed x-ray jackets back in warehouse and went and pulled file for daily schedules x-rays
  • Worked at the front desk checking patients in and scheduling appointments
  • Would also print out the necessary paper work that the patient needed such as consents
  • Worked in the doctors reading room as needed
  • I would answer the phones, call other doctors for the radiologist to talk to and make sure they had previous film to compare the new film to
  • Processed film in the dark room as needed

Care Assistant

East Alabama Medical Center
04.2005 - 10.2006
  • Assisted in patient care
  • Assisted with daily tasks including bathing and bed-making
  • Handled weekend reception duties, including phone management and visitor greeting
  • Assisted in organizing patient activities

Education

Bachelor’s Degree - Healthcare Administration

University of Phoenix Online Campus

CPC -

AAPC Coding Certificate

Medical Billing Specialist -

U.S. Career Institute

Skills

  • Multi-Line Phone Management
  • Reception Management
  • Customer Support Expertise
  • Records Management
  • Executive Support
  • Administrative Support
  • Reports
  • Spreadsheets
  • Billing
  • Office Management
  • Policy and procedure modification
  • Credit and collections
  • Organizational Skills
  • Training and coaching
  • Office management software
  • Customer Complaint Resolution
  • Accurate Data Entry
  • Social Media
  • Ordering Office Supplies
  • Healthcare Coding
  • Word
  • Excel
  • PowerPoint
  • Access
  • Outlook
  • Windows Vista
  • Windows XP
  • Windows 7
  • Allscripts EMR
  • Practice Perfect
  • Documentation in EMR
  • Patient care
  • Lab Results Communication
  • Appointment scheduling
  • Pre-certification
  • Insurance referrals
  • Test Scheduling

References

  • Available upon request

Timeline

Office Manager

Auburn Therapy and Learning Center
01.2022 - Current

Front Office Coordinator

Therapy South
01.2019 - 01.2022

Billing Coord, Coder

Auburn University Speech and Hearing Clinic
12.2016 - 01.2019

Coder

Auburn University Medical Clinic
08.2015 - 12.2016

Medical Assistant

Auburn University Medical Clinic
07.2012 - 12.2016

Administrative

Auburn University Medical Clinic
07.2010 - 07.2012

Nursing Resource Associate

East Alabama Medical Center
06.2009 - 07.2010

Multi-care Tech and Unit receptionist

East Alabama Medical Center
08.2008 - 06.2009

Radiology Clerk

East Alabama Medical Center
10.2006 - 08.2008

Care Assistant

East Alabama Medical Center
04.2005 - 10.2006

Bachelor’s Degree - Healthcare Administration

University of Phoenix Online Campus

CPC -

AAPC Coding Certificate

Medical Billing Specialist -

U.S. Career Institute
Kirby McCard