Work Preference
Summary
Overview
Work History
Education
Skills
Timeline
Generic
Open To Work

Sheila Moose

Medical billing
Statesville,NC

Work Preference

Desired Job Title

Medical Biller and CoderMedical Office ManagerMedical Office Manager

Work Type

Full Time

Location Preference

Remote
Location: Statesville, NC, US
Open to relocation: Yes

Salary Range

$45000/yr - $200000/yr

Important To Me

Work-life balanceHealthcare benefitsWork from home optionPaid time offPaid sick leave401k match4-day work weekCareer advancement

Summary

Dynamic Medical Office Manager with extensive experience at Harmony Medical Care and Community Health Systems, excelling in revenue cycle management and HIPAA compliance. Proven track record in optimizing billing processes, enhancing patient satisfaction, and fostering team collaboration. Skilled in ICD-10 coding and adept at resolving complex insurance claims, ensuring timely reimbursements and operational efficiency. Work remotely with Piedmont Healthcare.

Overview

18
18
years of professional experience

Work History

Medical Biller and Coder

Piedmont HealthCare
08.2022 - Current
  • Assisted in coding medical diagnoses and procedures using ICD-10 and CPT guidelines.
  • Maintained accurate patient records to support billing processes and insurance claims submission.
  • Collaborated with healthcare providers to verify patient information and ensure coding accuracy.
  • Utilized electronic health record (EHR) systems for efficient data entry and retrieval of patient information.
  • Learned compliance regulations related to HIPAA to maintain confidentiality of patient information.
  • Participated in training sessions to enhance knowledge of medical terminology and coding practices.
  • Worked closely with physicians to accurately assign ICD-10 diagnostic codes for optimal reimbursement rates from insurance companies.
  • Reviewed patient charts to better understand health histories, diagnoses, and treatments.
  • Resourcefully used various coding books, procedure manuals, and on-line encoders.
  • Reviewed, analyzed, and managed coding of diagnostic and treatment procedures contained in outpatient medical records.
  • Played a pivotal role in maintaining positive cash flow within the organization by ensuring timely submission of clean claims and diligent follow-ups on outstanding payments.
  • Expedited payment processing by promptly addressing any discrepancies or issues raised by insurance carriers.
  • Provided support to administrative staff by ensuring proper handling of sensitive patient data according to HIPAA regulations.
  • Collaborated with healthcare providers to ensure accurate documentation, leading to timely reimbursements for services rendered.
  • Streamlined billing processes by implementing efficient coding practices, resulting in reduced errors and improved revenue generation.
  • Interacted with physicians and other healthcare staff to ask questions regarding patient services.
  • Collaborated with other billing professionals during team meetings to exchange best practices and strategies for overcoming common challenges in the industry.
  • Enhanced compliance with industry regulations by staying up-to-date on changes to medical billing and coding guidelines.
  • Increased accuracy in medical claims submissions by conducting thorough reviews of patient records and insurance information.
  • Reviewed outpatient records and interpreted documentation to identify diagnoses and procedures.

Medical Office Manager

Community Health Systems, CHS
02.2016 - 08.2022
  • Oversaw daily operations to ensure efficient patient flow and service delivery.
  • Managed scheduling for medical staff, optimized resource allocation, and reduced appointment wait times.
  • Implemented electronic health record (EHR) systems to enhance data accuracy and accessibility.
  • Developed and maintained office policies, ensuring compliance with healthcare regulations and standards.
  • Trained and mentored administrative staff, fostering a collaborative work environment and improving team performance.
  • Analyzed workflow processes, identifying areas for improvement to increase operational efficiency.
  • Coordinated billing and insurance claims processes, ensuring timely submissions and reducing discrepancies.
  • Led initiatives to enhance patient satisfaction through improved communication and service quality measures.
  • Assessed processes and procedures, complying with OSHA, and HIPAA regulations.
  • Managed daily administrative tasks to ensure smooth operations within the medical office environment.
  • Maintained strict confidentiality of sensitive patient information, adhering to HIPAA guidelines and safeguarding against potential data breaches.
  • Created and managed electronic patient records, encompassing data entry and administrative functions related to insurance, billing, and accounts receivable.
  • Completed bi-weekly payroll for 15 employees.
  • Managed 20 employees with various personalities and from different cultures for 4 offices with total of 7 providers.

Medical Office Manager

Harmony Medical Care
10.2007 - 02.2016
  • Assisted physicians with clinical documentation to ensure complete and accurate records for each patient visit.
  • Addressed and remedied all patient or team member issues.
  • Communicated effectively with staff members, physicians, and patients, employing active listening and interpersonal skills.
  • Enhanced patient care by establishing strong relationships with medical professionals, including physicians, nurses, and technicians.
  • Maintained up-to-date knowledge of healthcare regulations and policies, ensuring the practice remained in compliance at all times.
  • Increased revenue by optimizing billing processes and ensuring timely collection of payments from both patients and insurance companies.
  • Coordinated regular staff meetings to address challenges, discuss solutions, and share best practices within the team.
  • Provided proper scheduling of patients, ensuring timely, and effective allocation of resources and calendars.
  • Consulted with healthcare professionals on business decisions.
  • Ensured a safe, comfortable environment for patients by promptly addressing any concerns or issues that arose during their visits.
  • Assisted with regulatory issues such as compliance.
  • Implemented new processes for managing patient flow, minimizing wait times while maintaining high-quality care standards throughout the practice.
  • Developed close working relationships with front office and back office staff.
  • Created and implemented organizational policies and procedures.
  • Implemented onboarding for new employees, which enabled each to effectively learn tasks and job duties.
  • Developed comprehensive employee training programs to enhance staff performance and improve overall office procedures.
  • Managed 7 employees with various personalities and from different cultures for 2-physician practice.

Education

No Degree - Medical Insurance Coding

US Career Institute
Fort Collins, CO
06.2007

High School Diploma -

North Iredell High School
Olin, NC
06.1993

Skills

  • HIPAA compliance
  • Payment posting
  • ICD-10 proficiency
  • Medicare and medicaid billing
  • CMS-1500 form completion
  • Appeals processing
  • Procedural coding
  • Commercial insurance billing
  • Workers' compensation billing
  • UB-04 form completion
  • Denial management
  • CPT coding
  • HCPCS level II coding
  • Claims processing

Timeline

Medical Biller and Coder

Piedmont HealthCare
08.2022 - Current

Medical Office Manager

Community Health Systems, CHS
02.2016 - 08.2022

Medical Office Manager

Harmony Medical Care
10.2007 - 02.2016

No Degree - Medical Insurance Coding

US Career Institute

High School Diploma -

North Iredell High School

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