Summary
Overview
Work History
Education
Skills
References
Timeline
Generic

Patricia Fulton

Wolfe City

Summary

Dynamic Billing Manager with proven expertise in claims management and medical coding at Optical Gallery. Enhanced revenue cycle efficiency, achieving a 60% increase in insurance revenue. Skilled in staff training and customer service excellence, ensuring compliance and accuracy in all billing processes. Committed to optimizing productivity and fostering strong team collaboration.

My last employer sold his private practice to a corporation that had its own billers. I thought I would take some time off, but my husband got cancer and has passed away.

Overview

33
33
years of professional experience

Work History

Billing Manager

Optical Gallery
Mesquite
05.2012 - 04.2022
  • Managed claims from initiation to completion in both office and remote settings.
  • Assisted two doctors with scrubbing and coding claims, ensuring accuracy and compliance.
  • Processed payments, addressed denials, and analyzed aging reports for timely resolution.
  • Demonstrated fluency with Texas insurance plans and Officemate system.
  • Monitored customer account details for non-payments, delayed payments, and other irregularities.
  • Reviewed patient records to identify diagnosis and procedure codes for billing purposes.
  • Prepared bills according to established procedures, including correct coding techniques.
  • Monitored accounts receivable aging report to ensure prompt payment from patients or their insurance carriers.
  • Conducted regular audits of medical records to ensure proper coding accuracy.

Optician

Frisco Eye Clinic
Frisco
01.2009 - 01.2010
  • Processed all claims and posted payments accurately and efficiently.
  • Managed selling and dispensing of eyewear to enhance customer satisfaction.
  • Conducted pretesting to ensure optimal fitting and performance of eyewear.
  • Prepared comprehensive sales reports to track performance metrics.
  • Ordered contact lenses and coordinated job orders with labs for timely fulfillment.
  • Adjusted eyewear for proper fit and comfort level.
  • Explained the benefits of various types of eyewear protection options such as anti-glare coating or UV protection.

Sales Detailer

Younger Optics
Torrence
08.2006 - 06.2008
  • Built robust relationships with ECPs across Texas, Oklahoma, Arkansas, and New Mexico.
  • Executed strategic product presentations at events to enhance brand visibility.
  • Distributed product samples to ECPs, raising brand awareness.
  • Collaborated with fellow reps to effectively promote cross-selling opportunities.

Optician/Insurance Specialist

Family Vision
Terrell
01.2004 - 01.2007
  • Ordered all contacts and maintained contact area.
  • Ordered all optical materials for patients by best price point.
  • Recovered insurance and patient debt over $60,000.
  • Increased insurance revenue by 60%.
  • I managed all aspect of the insurance both medical & vision.

Administrative Assistant/Insurance Specialist

Dr. Michael Bolish
Garland
01.2003 - 01.2004
  • Increased insurance revenue, optical sales and dispensing.
  • All pretesting and visual field testing.
  • Consolidate all bills.

Optician/Lab Technician

Garland Family Vision
Garland
01.2002 - 01.2003
  • Dispensing eyewear, order uncut lenses, edge, tint and mount lenses.
  • Worked with safety accounts.
  • Filed all VSP claims.

Optician/Insurance Specialist

Lumberton Eye Center
Lumberton
01.2001 - 01.2002
  • Improved average sales, ordered all frames and lenses.
  • All optician duties including fitting and dispensing.
  • All visual field testing.
  • Filed all claims.

General Manager

Eye-Mart
Beavercreek
01.1993 - 01.2000
  • All aspects of store management.
  • Highest average ticket sales and continued growth year to year.
  • Trained employees from multiple stores on various sales techniques and other tasks.
  • Did all computer training for all 6 locations.

Optician

Lenscrafters
Dayton
01.1989 - 01.1993
  • All optician duties.

Education

High School -

Butler High School
Dayton, OH
06-1984

Skills

  • Insurance verification and claims
  • Claims management
  • Medical coding
  • Payment processing
  • Revenue cycle management
  • Staff training and development
  • Payment posting
  • Coding proficiency
  • Sales expertise
  • Customer service excellence
  • Organizational skills
  • Productivity enhancement
  • Office software proficiency
  • HIPAA compliance

References

  • Dr. Catherine Hall, Optical Gallery, (972) 279-2020
  • Tammi Newby, Optical Gallery, Manager, (214) 684-3149
  • Arcely Almanza, Billing Specialist, (214) 909-2714
  • Tessa Landrith, TE Billing Solutions, Biller, (903) 513-5298
  • Donna Helvey, Hoya, Rep, (903) 413-0263

Timeline

Billing Manager

Optical Gallery
05.2012 - 04.2022

Optician

Frisco Eye Clinic
01.2009 - 01.2010

Sales Detailer

Younger Optics
08.2006 - 06.2008

Optician/Insurance Specialist

Family Vision
01.2004 - 01.2007

Administrative Assistant/Insurance Specialist

Dr. Michael Bolish
01.2003 - 01.2004

Optician/Lab Technician

Garland Family Vision
01.2002 - 01.2003

Optician/Insurance Specialist

Lumberton Eye Center
01.2001 - 01.2002

General Manager

Eye-Mart
01.1993 - 01.2000

Optician

Lenscrafters
01.1989 - 01.1993

High School -

Butler High School

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