Dynamic Office Manager with extensive experience at Lauderdale Radiology Group, excelling in billing and customer relations. Proven track record in resolving insurance denials and enhancing payment processes. Skilled in data entry and account reconciliation, ensuring compliance with MIPPS requirements while fostering strong patient relationships. Committed to delivering exceptional service and financial accuracy.
MIPPS: Making sure all reports meet MIPPS requirements for Medicare
Clinical Information: Making sure all reports have appropriate indications for insurance companies to pay
Patient Inquiry: Makes sure issues are resolved with billing company
Billing Company: Help billing company receive more information from the hospitals systems
Doctors License: Make sure all license are up to date
Attorney: Reviews all accounts before patients can have a lawsuit filed
Payments: Make deposits sent to local post office box and forward all information to billing company
Audit: Audit billing company on insurance denials and try to work with billing company to get issues resolved
Daily Files: Responsible for loading files from the hospital each day and working files to make sure correct insurance information was on each patient
Denials: Worked denials from Medicaid remittances
Mail: Picked up mail from post office and made deposits
Reports: Worked reports for needed information from hospital system for insurance denials, and worked accounts for patients 18 and under and patients over 65 if we had no insurance to verify that they did not have insurance
*** This was the billing company that started billing for Lauderdale Radiology when Professional Accounts Management went out of business
Daily Files: Responsible for loading files from the hospital each day and working files to make sure correct insurance information was on each patient
Denials: Worked denials from Medicaid
Reports: Worked reports for needed information from the hospital system for insurance denials
Data Entry: Keying patient demographics, charges. payments
Coding: Coded Diagnosis codes and Procedure codes
Deposits: Made deposits at bank and responsible for making sure deposits balanced with Accounts Receivable. Also responsible for refunds to Insurance Companies and Patients
HIPPA: Made sure we had all forms required for HIPPA and correct documentation was on patients account
Denials: Worked all insurance denials
Contracts: Responsible for all contract with insurance companies and credential's for all doctors
Financial Reports: Responsible for producing financial reports for doctors and accountant
***** Same doctors owned Lauderdale Radiology
***** Florence MRI closed December 2010, I Stayed employed with Florence MRI until 2014 first closing out billing and then producing records to attorneys, and also employed with Professional Accounts Management
Financial Reports: Responsible for generating financial reports for Doctors and for the Account.
Balancing: If any problems with balancing the payments with the bank I was responsible for finding the error
Around April or May of 2005 I also started doing the refunds
**** I was working this position at the same time I was the Billing Manager for Florence MRI. The same doctors owned both companies
Claims: Responsible for filing insurance claims
Data Entry: Responsible for keying patient demographics and charges