Summary
Overview
Work History
Education
Skills
Timeline
SoftwareEngineer

Michele Skene

Mooresville,NC

Summary

Resourceful Medical Administrator maintains smooth office operations and patient flows. Detail-oriented approach to organizing files, scheduling appointments and assisting patients. Organized individual brings background in medical office settings handling patient needs.

Overview

19
19
years of professional experience

Work History

Medical Office Receptionist

Sacred Heart Dermatology
Baltimore, NC
06.2022 - 01.2024
  • Greet patients and visitors in person or on the telephone, answering or referring inquiries.
  • Scheduled patient appointments, collected co-pays and verified insurance coverage.
  • Assisted with check-in, check-out procedures for all incoming, outgoing patients.
  • Processed referrals from primary care providers to specialists within the health care network.
  • Answered multi-line phone system; directed calls accordingly to appropriate personnel or department.
  • Collected information, verified insurance and collected co-payments for patients as part of check-in process.
  • Developed plans to streamline patient flows, increase office and patient care efficiency and generate new revenues.
  • Monitored and maintained account balances, processed payments, and reconciled discrepancies in a timely manner.

Guest Service Representative

Target Corporation
Ellicott City, MD
10.2016 - 06.2022
  • Promoted high customer satisfaction by resolving problems with knowledgeable and friendly service.
  • Identified needs of customers promptly and efficiently.
  • Approached customers and engaged in conversation through use of effective interpersonal and people skills.
  • Exceeded customer satisfaction by finding creative solutions to problems.
  • Cross trained and worked on every department including front end, warehouse, stocking, backstocking, and visual merchandizing.

Medical Billing and Collections Specialist

Anne Arundel Dermatology
Severna Park, MD
12.2013 - 08.2016
  • Reviewed, coded, and submitted claims to insurance companies and government payers.
  • Followed up on unpaid or denied claims in a timely manner.
  • Processed medical billing with a 99% accuracy rate.
  • Researched discrepancies between billed charges and payments received from insurance companies or other third party payers.
  • Performed daily reconciliation of accounts receivable with payment postings on the computer system.
  • Performed follow up activities on unpaid claims with insurance companies or other third party payers by phone or written correspondence.
  • Identified cause of rejected claims which led to a change in process and significant increase in accuracy for the Billing Department.
  • Trained front office staff of multiple providers in processes to improve workflow and accuracy of information collected from patients.

Medical Billing and Collections Administrator/Office Manager

Gabriel A.Martinez, M.D/Ambulatory Surgery Cente
Severna Park, MD
06.2009 - 11.2013
  • Delegated front office responsibilities to staff.
  • Assisted in the development of new administrative systems, procedures and policies.
  • Processed professional billing and ASC billing, ensuring claims are accurate, timely and clean
  • Followed up on unpaid claims using various methods to collect monies due.
  • Posted insurance payments
  • Oversaw that front office policy and procedures are followed
  • Obtained prior authorizations for surgical procedures
  • Verification of patient health insurance benefits
  • Conducted weekly review of ASC patient charts for CMS compliance.
  • Responsible for monitoring ASC compliance with state and federal regulations.
  • Coordinated yearly projects required for Quality Improvement Compliance

Medical Billing and Office Procedure Consultant

Michael Zimring M.D.
Baltimore, MD
01.2008 - 12.2010
  • Processed billing for Internal Medicine physician
  • Trained staff in best practice office procedures to ensure daily efficiency and cash flow through verification of insurance benefits prior to patient appointments, patient co-pay collections at the time of service and follow up on insurance receivables
  • Responsible for payment posting, follow up with insurance companies, and the investigation of unpaid claims, maintain receivables within 30 days

Lead Office Administrator

Hanger Orthopedic Group
Towson, MD
01.2005 - 12.2008
  • Executed daily operations of insurance billing and claims status follow up with payers.
  • Processed insurance correspondence, denials, appeals, and refunds
  • Applied payments to patient's accounts, delivered bank deposits, and maintained accurate documentation of A/R, following SOX compliance
  • Trained and managed administrative staff in workflow implementation and achieved significantimprovements in their productivity
  • Supervised office staff regarding Medicare compliance to ensure that all aspects of billing, receivables and clinical documentation were followed

Education

Associate of Science - Health Sciences

The Community College of Baltimore County
Catonsville, MD
05-2000

Skills

  • Patient Relations
  • Insurance Verification
  • Medical Software Applications
  • Insurance Billing Procedures
  • Customer Service Background
  • Medical Billing / Account Receivables
  • Office Administration
  • Front Desk Operations
  • Knowledge of Medical Terminology
  • Accounts Receivable
  • Multitasking
  • Interpersonal Communication

Timeline

Medical Office Receptionist

Sacred Heart Dermatology
06.2022 - 01.2024

Guest Service Representative

Target Corporation
10.2016 - 06.2022

Medical Billing and Collections Specialist

Anne Arundel Dermatology
12.2013 - 08.2016

Medical Billing and Collections Administrator/Office Manager

Gabriel A.Martinez, M.D/Ambulatory Surgery Cente
06.2009 - 11.2013

Medical Billing and Office Procedure Consultant

Michael Zimring M.D.
01.2008 - 12.2010

Lead Office Administrator

Hanger Orthopedic Group
01.2005 - 12.2008

Associate of Science - Health Sciences

The Community College of Baltimore County

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