SUSAN DESIMONE
Brunswick,OH
Summary
Well-qualified Medical Administrative professional successful at helping patients navigate medical office procedures while maintaining smooth and efficient business operations. Offering over 20 years of related experience, diligent nature and expertise in billing management and physician credentialing.
Overview
22
22
years of professional experience
Work History
Medical Office Manager
William E. Crowe, M.D., Inc.
Parma, OH
02.2002 - 09.2023
- Improved patient satisfaction by implementing efficient scheduling and appointment management systems
- Streamlined office operations for increased efficiency and productivity through effective staff training and delegation of tasks
- Enhanced patient care by managing all prior authorizations of procedure and specialty rheumatology medications
- Increased revenue by optimizing billing processes and ensuring timely collection of payments from both patients and insurance companies
- Maintained up-to-date knowledge of healthcare regulations and policies, ensuring the practice remained in compliance at all times
- Managed daily administrative tasks to ensure smooth operations within the medical office environment including procedure and medication prior authorizations
- Assisted physicians with clinical documentation to ensure complete and accurate records for each patient visit
- Managed financial aspects of the office including budgeting, forecasting, and expense tracking to optimize profitability
- Implemented new processes for managing patient flow, minimizing wait times while maintaining high-quality care standards throughout the practice
- Maintained strict confidentiality of sensitive patient information, adhering to HIPAA guidelines and safeguarding against potential data breaches
- Assessed processes and procedures, complying with OSHA, and HIPAA regulations
- Oversaw accounting, budgeting, and financial reporting
- Developed policies and procedures for effective practice management
- Assisted with regulatory issues such as compliance
- Improved medical billing processes by streamlining workflows and implementing efficient systems
- Enhanced revenue cycle management by overseeing timely and accurate claims submission
- Reduced denied claims through diligent review, correction, and resubmission of errors
- Increased patient satisfaction by addressing billing inquiries promptly and professionally
- Monitored compliance with industry regulations to mitigate risks associated with audits and penalties
- Collaborated with providers and staff to ensure accurate coding for billing purposes
- Developed strong relationships with insurance companies through effective communication and negotiation skills, enhancing payment turnaround times
- Streamlined claim appeals process by creating clear documentation guidelines and templates for staff use
- Evaluated vendor contracts for external services such as collections agencies or clearinghouses, negotiating favorable terms that improved bottom-line results
- Reviewed billing problems, researched issues, and resolved concerns.
Education
Associate of Applied Science - Nursing
Cuyahoga Community College
Skills
- Insurance Eligibility and Verification
- Strong Work Ethic
- Physician Group Management
- Business Administration
- Policy and Procedure Modification
- Payroll Oversight
- Administrative Management
- Policy Management
- Contract Administration
- Healthcare Compliance Knowledge
- Insurance Verification Proficiency
- HIPAA Regulations Understanding
- Customer Service Excellence
- Medical Coding Familiarity
- Patient Demographics
- Medical Practice Operations
Timeline
Medical Office Manager
William E. Crowe, M.D., Inc.
02.2002 - 09.2023
Associate of Applied Science - Nursing
Cuyahoga Community College
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