Energetic Practice Manager offering wealth of experience in patient relations and personnel management. Well-versed in inventory control and supply ordering. Looking for exciting role managing busy family practice.
Overview
17
17
years of professional experience
Work History
Medical Practice Manager
Family Medical Center
05.2023 - Current
Provided outstanding support to entire staff which helped improve process flow and boosted efficiency.
Communicated effectively with staff members, physicians, and patients, employing active listening and interpersonal skills.
Addressed and remedied all patient or team member issues.
Consulted with healthcare professionals on business decisions.
Developed close working relationships with front office and back office staff.
Implemented onboarding for new employees, which enabled each to effectively learn tasks and job duties.
Handled job duties for staff members which were unavailable or out of office.
Created and implemented organizational policies and procedures.
Trained interns and newly hired team members on office procedures and computer system.
Developed policies and procedures for effective practice management.
Ordered all office supplies and kept check on inventory levels.
Assisted with regulatory issues such as compliance.
Supervised team of 10 office personnel.
Assessed processes and procedures, complying with OSHA, and HIPAA regulations.
Oversaw accounting, budgeting, and financial reporting.
Communicated closely with patients, ensuring medical information was kept private.
Developed and maintained electronic record management systems to analyze and process data.
Promoted patient health and general wellness by coordinating and encouraging participation in health events.
Recommended ways to reduce overhead and cut printing costs, effectively saving practice $[Amount].
Managed daily practice operations to optimize appointment scheduling, patient records management and billing functions.
Provided supervision and management to team of support personnel.
Boosted staff morale by offering constructive feedback and specific direction.
Developed and implemented strategies to improve patient access, satisfaction and care quality.
Established and maintained effective communication with staff, physicians and community organizations to promote high quality patient care.
Recruited, hired and trained all staff, providing direct supervision, ongoing staff development and continuing education to employees.
Liaised with other healthcare professionals to develop comprehensive patient care plans and provide highest quality of care.
Developed and updated policies and procedures, maintaining compliance with guidelines relating to HIPAA, benefits administration and general liability.
Conducted routine facility inspections, identifying areas needing improvement and eliminating hazards posed to staff and residents for continued compliance with associated regulations.
Monitored and inspected staff processes to eliminate hazards posed for both residents and staff while ensuring continuous compliance with regulations.
Ordered all pharmacy supplies and kept check on inventory levels.
Billing Analyst
Palm Beach Orthopaedic Institute
10.2022 - Current
Maintained strict confidentiality with all personal data as per company guidelines.
Submitted alternate billing for clients belonging to special demographics using Athena software portal, reconciled EOBs or denied claims and conducted accounts receivable follow-up.
Functioned as key point of contact for billing data integrity matters for clients, vendors and various internal departments.
Analyzed payment information and applied changes correct customer accounts.
Reviewed full history of past due accounts and contacted client or attorney regarding collection, implementation of payment plan or pursuit of legal remedies on unpaid accounts.
Kept tabs on customer contracts outside typical billing schedule.
Evaluated aging reports to identify members to be included in monthly outbound collection calls.
Assisted clients and attorneys with requests for invoice copies, ledger details and explanation of accounts receivable amounts owed.
Designed and produced reports to highlight and explain collection issues and balances due, working with clients and attorneys simultaneously.
Researched portals issues related to non-payment within e-billing vendor portals.
Conducted monthly pre-billing review and data quality analysis to verify complete accuracy of invoices delivered to customers and providers.
Monitored customer accounts to identify and rectify billing issues.
Researched and resolved billing discrepancies to enable accurate billing.
Worked with multiple departments to check proper billing information.
Processed and verified invoices to secure accuracy of billing information.
Assisted with billing inquiries and provided timely responses to enhance customer satisfaction.
Provided excellent customer service, developing and maintaining client relationships.
Identified, researched, and resolved billing variances to maintain system accuracy and currency.
Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
Reviewed and reconciled customer accounts to manage accuracy of payments.
Identified payment trends and adjusted billing processes accordingly to retain customers.
Contacted clients with past due accounts to formulate payment plans and discuss restructuring options.
Responded to customer concerns and questions on daily basis.
Audited and corrected billing and posting documents for accuracy.
Handled account payments and provided information regarding outstanding balances.
Monitored outstanding invoices and performed collections duties.
Collaborated with customers to resolve disputes.
Maintained accurate records of customer payments.
Utilized various software programs to process customer payments.
Processed payment via telephone with focus on accuracy and efficiency.
Kept vendor files accurate and up-to-date to expedite payment processing.
Level II Medical Billing AR Representative
NYU Langone Medical Center FGP Billing
02.2021 - 10.2022
Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
Precisely evaluated and verified benefits and eligibility.
Posted and adjusted payments from insurance companies.
Precisely completed appropriate claims paperwork, documentation and system entry.
Confidently and adeptly handled claim denials and/or appeals.
Diligently filed and followed up on third party claims.
Promptly sent out and posted all medical claims.
Actively maintained current working knowledge of CPT and ICD-9 coding principles, government regulation, protocols and third party requirements regarding billing.
Performed billing and coding procedures for ambulance, emergency room, impatient, and outpatient services.
Communicated with insurance providers to resolve denied claims and resubmitted.
Verified insurance of patients to determine eligibility.
Analyzed complex Explanation of Benefits forms to verify correct billing of insurance carriers.
Posted payments and collections on regular basis.
Reviewed patient diagnosis codes to verify accuracy and completeness.
Delivered timely and accurate charge submissions.
Generated reports and analyzed trends to maximize reimbursement and reduce claim denials.
Adhered to established standards to safeguard patients' health information.
Used data entry skills to accurately document and input statements.
Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.
Audited and corrected billing and posting documents for accuracy.
Utilized various software programs to process customer payments.
Entered invoices requiring payment and disbursed amounts via check, electronic transfer or bank draft.
Reconciled accounts receivable to general ledger.
Utilize CBO Pathways as guide for determining actions needed to resolve unpaid or incorrectly paid claims and/or for authorizing procedures in assigned work queue(s) using payer websites, billing system information and training within expected timeframe
Adhere to general practices and FGP guidelines on compliance issues and patient confidentiality.
Participate in workgroups and meetings. Attend all required training classes. Escalate issues to management as needed. Maintain confidentiality. Read and apply policies and procedures to make appropriate decisions. Coordinate functions and work cooperatively with others. Explain processes and procedures to others; performs other related duties as assigned.
Responsible for assisting the professional billing staff within the CBO with difficult and escalated issues.
Appeal complex denials through review of payer policies, coding, contracts, and medical records. Utilize subject matter experts as needed
Customer Service Representative
NYU Langone Medical Center FGP
08.2020 - 02.2021
Handled customer inquiries and suggestions courteously and professionally.
Actively listened to customers, handled concerns quickly and escalated major issues to supervisor.
Answered constant flow of customer calls with minimal wait times.
Answered customer telephone calls promptly to avoid on-hold wait times.
Updated account information to maintain customer records.
Maintained customer satisfaction with forward-thinking strategies focused on addressing customer needs and resolving concerns.
Offered advice and assistance to customers, paying attention to special needs or wants.
Investigated and resolved customer inquiries and complaints quickly.
Exhibited high energy and professionalism when dealing with clients and staff.
Perform billing tasks assigned by management which includes answering calls, logging call data into Customer Relationship Management (CRM) software, entering data, making outbound calls to patients and following-up on open issues, processes credit card payments, and/or other related responsibilities. Routes calls to other teams as needed.
Identify payer and provider credentialing issues and address them with management.
Follow workflows provided in training classes and request additional training, management assistance, and medical coding expertise as needed.
Utilize CBO Pathways as guide for determining actions needed to resolve patient balances and/or questions.
Enter account notes using standard formatting in Epic CRM and/or other systems.
Communicate with providers, patients, coders, collection agencies, or other responsible persons to ensure that claims are correctly processed by third party payers
Review unpaid balances and unresolved patient inquiries and make outbound calls to patients following established protocols.
Level II Corporate Billing Associate
MD Now Medical Centers
10.2019 - 08.2020
Functioned as key point of contact for billing data integrity matters for clients, vendors and various internal departments.
Researched portals issues related to non-payment within e-billing vendor portals.
Submitted alternate billing for clients belonging to special demographics using eClinicalworks software portal, reconciled EOBs or denied claims and conducted accounts receivable follow-up.
Assisted clients and attorneys with requests for invoice copies, ledger details and explanation of accounts receivable amounts owed.
Reviewed full history of past due accounts and contacted client or attorney regarding collection, implementation of payment plan or pursuit of legal remedies on unpaid accounts.
Evaluated aging reports to identify members to be included in monthly outbound collection calls.
Updated pricing on orders in system to promote invoice accuracy for special items, agreements, substitutions and unauthorized deliveries.
Partnered with billing analyst department to investigate and remedy any gross margin trend issues.
Researched and resolved billing discrepancies to enable accurate billing.
Assisted with billing inquiries and provided timely responses to enhance customer satisfaction.
Monitored customer accounts to identify and rectify billing issues.
Worked with multiple departments to check proper billing information.
Processed and verified invoices to secure accuracy of billing information.
Developed and maintained billing procedures to make timely payments.
Generated and submitted invoices based upon established accounts receivable schedules and terms.
Contacted clients with past due accounts to formulate payment plans and discuss restructuring options.
Prepared and submitted monthly billing reports to management for financial overview.
Identified payment trends and adjusted billing processes accordingly to retain customers.
Used data entry skills to accurately document and input statements.
Audited and corrected billing and posting documents for accuracy.
Handled account payments and provided information regarding outstanding balances.
Collaborated with customers to resolve disputes.
Monitored outstanding invoices and performed collections duties.
Utilized various software programs to process customer payments.
Entered invoices requiring payment and disbursed amounts via check, electronic transfer or bank draft.
Produced and mailed monthly statements to customers and assisted with related requests for information and clarification.
Reconciled accounts receivable to general ledger.
Kept vendor files accurate and up-to-date to expedite payment processing.
Generated accounts payable reports for management review to aid in financial and business decision making.
Created improved filing system to maintain secure client data.
Processed vendor and supplier payments on weekly basis.
Conducted monthly pre-billing review and data quality analysis to verify complete accuracy of invoices delivered to customers and providers.
Corporate Client Relations Specialist
MD Now Medical Centers
01.2019 - 09.2019
Delivered exceptional customer service to every customer by leveraging extensive knowledge of products and services and creating welcoming, positive experiences.
Delivered prompt service to prioritize customer needs.
Met customer call guidelines for service levels, handle time and productivity.
Maintained up-to-date knowledge of product and service changes.
Responded proactively and positively to rapid change.
Promoted superior experience by addressing customer concerns, demonstrating empathy, and resolving problems swiftly.
Followed up with customers about resolved issues to maintain high standards of customer service.
Educated customers about billing, payment processing and support policies and procedures.
Provided excellent customer care by responding to requests, assisting with product selection and handling ordering functions.
Collaborated with staff members to enhance customer service experience and exceed team goals through effective client satisfaction rates.
Enhanced productivity levels by anticipating needs and delivering outstanding support.
Increased efficiency and team productivity by promoting operational best practices.
Used consultative sales techniques to understand customer needs and recommend relevant products and services.
Provided accurate information about promotions, customer programs, and products, helping drive high customer retention.
Logged call information and solutions provided into internal database.
Forged and nurtured impactful relationships with customers to cultivate loyalty.
Improved sales abilities and product knowledge on continuous basis to provide optimal service and achieve quotas.
Liaised with sales, marketing, and management teams to develop solutions and accomplish shared objectives.
Create Escreen and corporate accounts
Record, report and track all corporate account services
Obtain new corporate accounts
Ensure all documents are completed and signed before reporting out to corporate accounts
Manager of The Marrow Donor program
Worker's Comp Billing Associate
MD Now Medical Centers
09.2017 - 12.2018
Functioned as key point of contact for billing data integrity matters for clients, vendors and various internal departments.
Researched portals issues related to non-payment within e-billing vendor portals.
Submitted alternate billing for clients belonging to special demographics using EClinicalworks software portal, reconciled EOBs or denied claims and conducted accounts receivable follow-up.
Evaluated aging reports to identify members to be included in monthly outbound collection calls.
Researched and resolved billing discrepancies to enable accurate billing.
Assisted with billing inquiries and provided timely responses to enhance customer satisfaction.
Provided excellent customer service, developing and maintaining client relationships.
Worked with multiple departments to check proper billing information.
Processed and verified invoices to secure accuracy of billing information.
Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances to obtain timely and accurate payments.
Collaborated with customers to resolve disputes.
Processed payment via telephone and in person with focus on accuracy and efficiency.
Generated monthly billing and posting reports for management review.
Entered invoices requiring payment and disbursed amounts via check, electronic transfer or bank draft.
Reconciled accounts receivable to general ledger.
Kept vendor files accurate and up-to-date to expedite payment processing.
Conducted monthly pre-billing review and data quality analysis to verify complete accuracy of invoices delivered to customers and providers.
Post payments for all work comp claims for 46 locations; checks, efts, credit cards, ACH payments
Prepare and submit electronic/paper claims to insurance companies or invoices to corporate accounts.
Review encounters received for all pertinent information: patient information, insurance information, service I descriptors, diagnosis codes and managed care authorization requirements.
Sales Associate Part Time
Sears Outlet Store
02.2017 - 12.2017
Organized racks and shelves to maintain store visual appeal, engage customers, and promote specific merchandise.
Helped customers locate products and checked store system for merchandise at other sites.
Rotated stock and restocked shelves to maintain product availability and store appearance.
Managed returns, exchanges and refunds in accordance with store policy.
Answered customer questions about sizing, accessories, and merchandise care.
Maintained calm demeanor and professionally managed issues in busy, high-stress situations.
Provided positive first impressions to welcome existing, new, and potential customers.
Engaged with customers to build rapport and loyalty.
Solved customer challenges by offering relevant products and services.
Accurately processed POS transactions, returning coin, currency, payment cards, and receipts to customers.
Assessed customer needs and utilized suggestive selling techniques to drive sales.
Engaged with customers to effectively build rapport and lasting relationships.
Educated clients on current promotional offerings and products using persuasive selling tactics.
Generated new sales leads to achieve and exceed monthly sales goals.
Stocked merchandise, clearly labeling items, and arranging according to size or color.
Answered customer questions about products and services, helped locate merchandise, and promoted key items.
Engaged in friendly conversation with customer to better uncover individual needs.
Listened to customer needs and desires to identify and recommend optimal products.
Managed efficient cash register operations.
Built customer loyalty and retention by delivering excellent shopping experiences.
Delivered energetic responses to customers in-store and by telephone, going above and beyond to serve needs.
Created inviting environment for customers by maintaining store organization and cleanliness.
Provided exceptional services and pleasant shopping experiences to retail customers.
Developed strong rapport with customers and created positive impression of business.
Maintained up-to-date knowledge of store sales, payment policies and security standards.
Used in-store system to locate inventory and place special orders for customers.
Worked to meet or exceed special targets for credit card applications, special donations and specific product promotions.
Monitored customers for signs of security concerns and escalated issues to management.
Medical Front Office Receptionist
MD Now Medical Centers
04.2017 - 09.2017
Checked patient insurance, demographic, and health history to keep information current.
Coordinated patient scheduling, check-in, check-out and payments for billing.
Helped patients complete necessary medical forms and documentation.
Organized paperwork such as charts and reports for office and patient needs.
Managed multi-line phone system and pleasantly greeted patients.
Adhered to strict HIPAA guidelines to protect patient privacy.
Supported office staff and operational requirements with administrative tasks.
Used computer programs and registration systems to schedule patients for routine and complex procedures.
Completed clerical duties and tasks for clinic administration.
Maintained current and accurate medical records for patients.
Verified and updated demographic and other personal information for clients with respect to personal boundaries when asking for important details.
Fielded concerns surrounding patients and care, liaising between physician, patient, and insurance company.
Kept waiting room neat and organized by stacking magazines, removing trash, and cleaning glass.
Transcribed phone messages and relayed to appropriate personnel.
Notified manager of incidents and potential incidents relating to patients and staff for swift action.
Invoiced patients accurately in line with charging guidelines.
Obtained payments from patients and scanned identification and insurance cards.
Answered telephone calls to offer office information, answer questions, and direct calls to staff.
Greeted and interacted with patients to provide information, answer questions and assist with appointment scheduling.
Performed various administrative tasks by filing, copying and faxing documents.
Completed administrative patient intakes with case histories, insurance information and mandated forms.
Frequently double-checked patient histories and current information while scheduling follow-ups and other appointments.
Organized and maintained patient chart filing system to promote quick data finding for staff.
Registered and verified patient records before triage with most up-to-date information.
Managed office logistics by scheduling appointments, maintaining files and collecting payments.
Knowledge Services
Florida Department Of Agriculture
05.2016 - 02.2017
Responded to customer inquiries quickly and professionally to increase satisfaction.
Provide information regarding the variety of firearms and security licenses offered.
Answer and direct incoming calls to appropriate department
Create appointments and advise license holders on their status and fees.
Assistant Store Manager
Family Dollar
01.2016 - 05.2016
Managed opening and closing procedures and recommended changes to enhance efficiency of daily activities.
Rotated merchandise and displays to feature new products and promotions.
Walked through store areas to identify and proactively resolve issues negatively impacting operations.
Maintained positive customer relationships by responding quickly to customer service inquiries.
Supervised and evaluated staff to help improve skills, achieve daily objectives, and attain advancement.
Processed payments for credit and debit cards and returned proper change for cash transactions.
Responded to customer concerns, working with manager to significantly raise customer satisfaction ratings.
Created and maintained safe and secure work environments for employees.
Reconciled daily sales transactions to balance and log day-to-day revenue.
Interviewed, hired, and trained staff associates and equipped to comply with company policies and procedures.
Verified inventory counts remained within monthly tolerance levels and compiled financial data in compliance with budget.
Coached sales associates in product specifications, sales incentives, and selling techniques, significantly increasing customer satisfaction ratings.
Provided weekly work schedules to employees to accommodate business demands and vacation requests.
Analyzed customer feedback and implemented strategies to improve customer experience.
Developed and maintained strong relationships with vendors to facilitate timely product delivery.
Trained new employees on proper protocols and customer service standards.
Monitored daily cash discrepancies, inventory shrinkage and drive-off.
Assisted in recruiting, hiring and training of team members.
Scheduled employees for shifts, taking into account customer traffic and employee strengths.
Trained and guided team members to maintain high productivity and performance metrics.
Interacted well with customers to build connections and nurture relationships.
Tracked employee attendance and punctuality, addressing repeat problems quickly to prevent long-term habits.
Reported issues to higher management with great detail.
Reduced operational risks while organizing data to forecast performance trends.
Mitigated business risks by working closely with staff members and assessing performance.
Daily Bank Deposits
Administration and General Manager
Alornic Ltd Dba The London Clothing Company
06.2014 - 09.2015
Developed and implemented strategies to increase sales and profitability.
Monitored financial performance, set budgets and controlled expenses to provide financial stability and long-term organizational growth.
Managed budget implementations, employee reviews, training, schedules, and contract negotiations.
Drove year-over-year business growth while leading operations, strategic vision, and long-range planning.
Maximized efficiency by coaching and mentoring personnel on management principles, industry practices, company procedures, and technology systems.
Implemented operational strategies and effectively built customer and employee loyalty.
Formulated policies and procedures to streamline operations.
Maximized operational excellence mentoring personnel on management principles, industry practices, and company procedures.
Managed budget implementations, employee evaluations, and contract details.
Developed and maintained relationships with customers and suppliers through account development.
Introduced new methods, practices, and systems to reduce turnaround time.
Interacted well with customers to build connections and nurture relationships.
Trained new employees on proper protocols and customer service standards.
Trained and guided team members to maintain high productivity and performance metrics.
Monitored daily cash discrepancies, inventory shrinkage and drive-off.
Managed purchasing, sales, marketing and customer account operations efficiently.
Tracked employee attendance and punctuality, addressing repeat problems quickly to prevent long-term habits.
Cultivated and strengthened lasting client relationships using strong issue resolution and dynamic communication skills.
Reduced operational risks while organizing data to forecast performance trends.
First Woman & Individual in the entire Caribbean to manage the first Magento Community E-commerce Platform introduced initially to Trinidad & Tobago.
Communicate with and lead a team of 26 members. 6 Managers and 20 customer service representatives.
Oversee the daily functions of the administrative office, which included monthly inventory and reporting
Director of all Marketing campaigns and photoshoots
Branch Manager
CLM Photo Ltd./ Photoworld Trincity
09.2006 - 05.2014
Maintained friendly and professional customer interactions.
Assessed employee performance and developed improvement plans.
Met deadlines by proactively managing individual and team tasks and streamlining processes.
Engaged employees in business processes with positive motivational techniques.
Created strategies to develop and expand existing customer sales, resulting in increase in annual sales.
Interviewed and hired talented individuals with top-level strengths, improving organizational talent, and skill set.
Consulted customers to boost product sales and services.
Resolved various issues impacting sales management and business operations.
Generated financial and operational reports to assist management with business strategy.
Enhanced branch production rates by handling staff conflicts, evaluations, hiring, and termination processes and coaching employees on company protocol and payroll operations.
Forecasted trends and recommended improvements based on financial risk analyses.
Launched new training program to boost employee skills and staff retention rate.
Performed banking, business administration and financial tasks.
Developed strategic plans for day-to-day financial operations.
Established internal audit procedures to validate and improve accuracy of financial reporting.
Analyzed business processes to identify cost savings and operational efficiencies.
Prepared cash flow projections, cost analysis and monthly, quarterly and annual reports.
Collaborated with C-level executives and stakeholders to develop long-term financial plans.
Education
Associate - Medical Insurance Billing & Coding
Florida Career College
Boynton Beach, FL
09.2016
Diploma - Stores Management
University of The West Indies
Carapichaima Trinidad & Tobago
07.2013
Diploma - Television Broadcasting
Institute of Broadcasting Careers
Chaguanas Trinidad & Tobago
08.2011
High School Diploma -
Lakshmi Girls Hindu College
St. Augustine Trinidad & Tobago
07.1994
Skills
Payroll Administration
Budget Oversight
Workflow Planning
New Hire Training
Practice Management
Workflow Management
Supplies Ordering
File and Record Management
Employee Issue Resolution
Strategic Planning
Training Program Implementation
Medical Personnel Recruitment
Resource Management
Staff Supervision
Patient Engagement
Staff Guidance
Insurance Verification
Bookkeeping
Patient Service
Electronic Health Records
Policy and Procedure Development
Performance Metrics
Office Procedures
Mentoring and Coaching
Policy Development
Accomplishments
Used Microsoft Excel to develop inventory tracking spreadsheets.
Achieved 22% increase in sales by completing managing with accuracy and efficiency.
Employee retention
Increased sales yearly between 2006-2014
Took company from 2006-2014 from Million $ to Multi-Million
Author of The Psychology in Customer Service
First person, Woman and Manager in entire Caribbean to manage the Magento E-Commerce Platform
Certified in Community Criminal Justice with DOJ & WPBPD