Highly accomplished healthcare professional with over 35 years' management/operational experience in administration, billing and coding expertise seeks to take next career step with a respected organization. Skilled in creating communication pipelines and improving staff morale though effective communication, employee relations and team leadership. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals.
Overview
35
35
years of professional experience
Work History
Business Manager
Carroll County Digestive Disease Center
10.2019 - Current
Communicated with customers and vendors positively with particular attention to problem resolution.
Created, managed, and executed business plan and communicated company vision and objectives to motivate teams.
Assisted with hiring process and training of new employees.
Processed vital documentation, completed forms and obtained appropriate insurance verification and authorization for services.
Improved business profits through innovative cost containment and revenue generation techniques.
Proficient with G-Med/G-gastro, NextGen, Excel, Word, SNAP
Drafted reports and documents to improve correspondence management, schedule coordination and recordkeeping.
Trained and guided team members to maintain high productivity and performance metrics.
Assisted in recruiting, hiring and training of team members.
Implemented innovative programs to increase employee loyalty and reduce turnover.
Strong Human Resources Management/Payroll
AR/AP Management
Scheduling and managing front desk
Assist with AAAHC survey, CMS survey and audits.
Physician credentialing
Billing Specialist
Maryland Primary Care Physicians
10.1988 - 10.2019
Developed and implemented improvements to billing system to maximize efficiency, reduce delinquency and increase accuracy.
Worked effectively with medical payers such as Medicare, Medicaid, commercial insurances.
Generated and submitted invoices based upon established financial schedules.
Identified process improvements in day-to-day functioning of departments.
Participated in unit-based Quality Assurance Program.
Researched and resolved billing discrepancies to enable accurate billing.
Maintained good communication between department heads, medical staff and governing boards by attending board meetings and synchronizing interdepartmental functions.
Created and maintained computerized record management systems to record and process data and generate reports.
Trained new staff on quality control procedures.
Implemented new floor assignments based on evaluation of staffing requirements.
Reviewed customer survey information to prioritize areas of improvement.
Achieved high staff morale and retention through effective communication, prompt problem resolution, proactive supervisory practices and facilitating proactive work environment.
Cooperated and communicated effectively with physicians to ensure client satisfaction and compliance with set standards.
Continually improved knowledge, skills and performance based on feedback and self-identified professional developmental needs.
Assigned employee areas, scheduled staff breaks and authorized overtime.
Interpreted and communicated new or revised policies to staff.
Assisted in resolving and satisfying client requests and internal operational issues.
Oversaw financial operations, producing invoices, processing payments and preparing deposits.
Coordinated with other internal departments and customers to keep operations running smoothly and solve both routine and complex problems.
Protected patient confidentiality by adhering to HIPAA and practice policies.
Worked directly with NEW specialists to implement their hospital cards and assign CPT's and ICD9 & 10 coding for their in-office procedures as well as hospital procedures.
Credentialed new providers with all participating insurances.
Implemented corrective action plans to mitigate coding-related claim denials and rejections.
Implemented all refunds to patients and insurances
Performed account reconciliations and resolved variances.
Education
Certificates In Coding -
Coding
Carroll Community College, MD
10.1992
High School Diploma -
Woodlawn Senior High School
1801 Woodlawn Drive
1988
Data Entry/Data Processing -
Western Vo-Tech
Catonsville, MD
1988
Skills
Healthcare billing and collection practices
Excellent organizational skills
Payment processing
Financial Management
Staff Development and Mentorship
Team Leadership
Cost Management
Employee Motivation
Financial Forecasting
Business Administration
Staff Management
Accounting Techniques
Proficient with NextGen, G-gastro, Word, Excel
Timeline
Business Manager
Carroll County Digestive Disease Center
10.2019 - Current
Billing Specialist
Maryland Primary Care Physicians
10.1988 - 10.2019
Certificates In Coding -
Coding
High School Diploma -
Woodlawn Senior High School
Data Entry/Data Processing -
Western Vo-Tech
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