OLIVIA MCFALL
Hammond,LA
Summary
Clinic Office Manager with a solid foundation in healthcare administration, specializing in optimizing clinic operations and enhancing revenue cycle management. Skilled in staff training, patient relations, and financial oversight, ensuring timely billing processes and effective communication with insurance providers.
Overview
11
11
years of professional experience
Work History
Office Manager
Fairway Pediatrics
Covington, LA
10.2023 - Current
- Managed daily clinic operations, supervised staff, coordinated scheduling and workflow to ensure efficient clinic function.
- Oversaw hiring, onboarding, performance management, and termination processes for clinic staff.
- Processed payroll and managed accounts payable, financial records and monthly reconciliation in QuickBooks.
- Oversaw billing operations, managed accounts receivable, and resolved insurance claims and denials to maintain financial health.
- Ensured timely provider documentation, coding accuracy, and claim submission.
- Acted as liaison between clinic, hospitals, physicians, and external partners to streamline communication and collaboration.
- Maintained current payer contracts and served as primary contact with insurance companies and provider representatives.
Lead Biller
Fairway Pediatrics
Covington, USA
07.2022 - 10.2023
- Applied appropriate units, modifiers, and coding edits to maximize reimbursement accuracy.
- Audited provider documentation and coded patient visits to ensure accurate billing and compliance with coding guidelines.
- Managed electronic fund transfers (EFTs) and insurance payment postings to ensure accurate and timely processing.
- Collaborated with physicians regarding reimbursement concerns, documentation requirements, and claim issues.
- Ensured providers completed clinical documentation and encounter notes in a timely manner.
- Oversaw daily claim submissions, corrected rejected claims, and monitored claim status to facilitate timely reimbursements.
- Streamlined billing operations by transitioning manual workflows to automated processes, enhancing operational efficiency and accuracy.
- Educated physicians and clinical staff on coding updates, payer requirements, and insurance policy changes to maintain compliance and optimize revenue cycle performance.
Billing Clerk
Fairway Pediatrics
Covington, USA
05.2021 - 07.2022
- Managed accounts receivable functions, ensuring timely follow-up on outstanding claims and patient balances.
- Posted patient and insurance payments accurately and timely within the billing system.
- Communicated directly with insurance companies to resolve claim issues and secure reimbursement.
- Resolved insurance denials by identifying root causes and submitting corrected claims or appeals to secure reimbursements.
- Corrected claim submission errors, enhancing clean claim rates and minimizing payment delays.
- Processed and obtained prior authorizations to ensure coverage approval for services and medications.
- Managed billing department phone line and assisted patients with billing questions and payment concerns.
Receptionist
Fairway Pediatrics
Covington, USA
11.2020 - 05.2021
- Scheduled appointments and managed calendars for 5 providers in a fast-paced clinical environment.
- Managed high-volume inbound calls, addressed patient inquiries, and coordinated communication between patients and clinical staff.
- Checked patients in and out, ensuring accurate demographic, insurance, and billing information in EMR system for streamlined patient processing.
- Verified insurance eligibility and benefits, facilitating accurate billing and minimizing claim issues.
- Delivered excellent customer service while optimizing front office operations and enhancing patient flow.
Lead Receptionist
Children's Clinic of SWLA
Lake Charles, USA
09.2018 - 10.2020
- Handled high-volume phone calls, providing courteous and efficient service to enhance patient experience.
- Checked in and checked out patients, verifying demographic and billing information for accuracy.
- Scheduled appointments for 17 providers across four locations.
- Trained and mentored new receptionists in clinic procedures and protocols.
- Supported administrative duties in fast-paced, multi-provider environment to ensure smooth clinic operations.
Kitchen Manager
Pentecostal Student Center
Lake Charles, USA
01.2015 - 09.2018
- Oversaw kitchen operations, food prep, and daily meal service to ensure smooth functionality.
- Sustained ServSafe-certified environment and cleanliness standards to promote food safety.
- Implemented sanitation protocols for utensils, surfaces, and equipment to ensure compliance and safety.
Education
High School Diploma -
Alfred M. Barbe High School
Lake Charles, LA05-2013
Skills
- Accounts receivable management
- Billing processes
- Revenue cycle optimization
- Insurance verification
- Healthcare administration
- Clinic operations management
- Leadership and supervision
- Organizational skills
- Multitasking and coordination
- Problem solving
- Customer service excellence
- Interpersonal communication
- Microsoft 365
Timeline
Office Manager
Fairway Pediatrics
10.2023 - Current
Lead Biller
Fairway Pediatrics
07.2022 - 10.2023
Billing Clerk
Fairway Pediatrics
05.2021 - 07.2022
Receptionist
Fairway Pediatrics
11.2020 - 05.2021
Lead Receptionist
Children's Clinic of SWLA
09.2018 - 10.2020
Kitchen Manager
Pentecostal Student Center
01.2015 - 09.2018
High School Diploma -
Alfred M. Barbe High School