Summary
Overview
Work History
Education
Skills
Timeline
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Mary "Beth" Pitts

Jefferson,GA

Summary

My name is Mary "Beth" Pitts, I am a highly motivated, detail oriented person. I have been in Ophthalmology for over 26 years with primarily the same practice. Throughout my career I have worked many positions within the practice, affording me the opportunity to learn check in procedures, check out procedures, surgical coordinating, charge entry, benefits and eligibility verification, payment posting, financial counselor as well as working Accounts Receivable.

Overview

51
51
years of professional experience

Work History

Revenue Cycle Management- Charge Entry

EyeSouth Partners
Atlanta, GA
10.2002 - Current
  • Supported clinical team members with revenue cycle procedures and addressed issues.
  • Assessed current revenue cycle procedures and implemented improvements to foster efficiency.
  • Posted Insurance EFT payments.
  • Billed Vision Plan claims.
  • Worked to correct and resubmit unpaid claims for payment.
  • Process encounters and submit claims for payment.
  • Correct and resubmit rejected claims from Clearinghouse and payers.
  • Assure all pending encounters are accounted for and processed.
  • Apply any unapplied payments to accounts.
  • Assist clinics with patient account issues and correct accordingly.

Surgery Coordinator

EyeSouth Partners
Lawrenceville, GA
08.1995 - 04.2021
  • Maintained efficient surgery schedule by monitoring daily activities and resolving potential conflicts.
  • Documented and collected patient data in ICP to maintain accuracy and security.
  • Counseled patient about personal financial responsibility and collaborated with billing to resolve patient accounts.
  • Communicated with patients on phone and in person to enter and update medical history in database.
  • Coordinated testing, labs and other diagnostic data for proper clearance prior to surgery.
  • Collaborated with patient, referring physician and surgical specialist to coordinate pre- and post-operative care for surgical procedures.
  • Verified insurance coverage and benefits and communicated directly with patient for timely scheduling of clinic appointment and surgery procedure.
  • Expertly managed planning, scheduling and coordination of outpatient procedures.
  • Verified insurance coverage and obtained pre-authorizations.
  • Educated patients about surgeries and provided treatment plan documentation.
  • Reviewed medical histories and current information to provide accurate information to surgeons.
  • Coordinated with facilities to set up surgeries.
  • Received, recorded and addressed incoming and outgoing communication via telephone and email.
  • Organized patient files and streamlined operations to improve efficiency.
  • Ran IOL calculations.
  • Collected all Pre-Operative paperwork and assured surgery center received.
  • Coordinated Pre and Post op eye drop prescriptions to Pharmacy.
  • Answered all patient questions prior to surgery regarding IOL choices, finances, etc.
  • Answered and triaged all patient post operative calls
  • Posted Surgery Charges in ICP
  • Posted Surgery Payments in Nextgen
  • Nextgen Super User
  • Liaison between Physician, patient and surgery center

Front Desk Receptionist

Ed Shannon, Jr OD
Gainesville, GA
10.1989 - 08.1995
  • Answered multi-line phone system to respond to inquiries and transfer calls to correct departments and personnel.
  • Maintained files and records by implementing effective filing systems that boosted efficiency and organization.
  • Transcribed phone messages and relayed to appropriate personnel.
  • Monitored office supplies by checking inventory and placing orders.
  • Greeted and checked in patient's.
  • Performed Auto Refraction on patient prior to seeing OD.
  • Performed NCT on patient prior to seeing OD.
  • Checked and recorded prescription in current glasses of patient.
  • Collected payment from patient upon check out.
  • Instructed patient with contact lens insertion and removal.



Education

High School Diploma -

Johnson High School
Gainesville, GA
06.1989

Skills

  • Prioritizing and Planning
  • Adaptable to Changing Conditions
  • Customer Accounts Management
  • Proactive and Focused
  • Social Perceptiveness
  • Conflict Resolution Tactics
  • Problem Anticipation and Resolution
  • Revenue Cycle Management
  • Continuous Improvement Process
  • Accounts Payable and Accounts Receivable
  • Past Due Account Management
  • Time Management
  • Team Player

Timeline

Revenue Cycle Management- Charge Entry

EyeSouth Partners
10.2002 - Current

Surgery Coordinator

EyeSouth Partners
08.1995 - 04.2021

Front Desk Receptionist

Ed Shannon, Jr OD
10.1989 - 08.1995

High School Diploma -

Johnson High School

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Mary "Beth" Pitts