Energetic Clinic Manager with 15 years of healthcare experience. Recruits and hires clinic staff to support exceptional patient care standards. Maintains strong rapport with healthcare providers, staff and patients.
Overview
9
9
years of professional experience
1
1
Certification
Work History
Clinic Manager
Harris Pediatric Care
Sylva, NC
01.2023 - Current
Managed daily operations of the clinic, including scheduling appointments and assigning staff.
Developed policies and procedures for the clinic to ensure quality service delivery.
Monitored clinic activities, such as billing, coding, and medical records maintenance.
Collaborated with physicians and other staff members to improve clinical processes and patient outcomes.
Resolved customer complaints in a timely manner by following up on issues and taking corrective action when necessary.
Ensured compliance with regulatory requirements related to health insurance plans, HIPAA regulations.
Performed regular audits of patient charts to ensure accuracy of information recorded in medical records system.
Oversaw recruitment of new personnel for the clinic, conducting interviews and making hiring decisions.
Oversaw ordering, purchasing and maintenance of clinical equipment.
Developed relationships with healthcare providers to sustain strong referral pipeline.
Tracked, organized and counted clinic stock and supplies.
Supervised internal and external communications by answering queries and complaints.
Built work schedules and staff assignments, taking workload, space and equipment availability into consideration.
Recruited, hired and trained new medical and facility staff.
Directed, supervised and evaluated medical, clerical or maintenance personnel.
Reviewed patient medical records for accuracy, completeness and compliance with coding regulations.
Maintained up-to-date knowledge of coding changes, updates, and new rules.
Ensured timely resolution of denials due to incorrect code assignments or missing information in the claim form.
Read through patient health data, histories, physician diagnoses and treatments to gain understanding for coding purposes.
Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
Front Office Coordinator/ Billing Specialist
Harris Women’s Care
Sylva, NC
06.2016 - 01.2023
Verified patient information, including medical history and insurance coverage, to ensure accuracy of coding and billing.
Researched denied claims to determine the cause of denial and corrected errors as needed.
Reviewed physician orders, laboratory results, diagnostic images, clinical statements and other health care provider services for completeness and accuracy.
Assigned appropriate codes using ICD-10-CM for diagnosis, CPT for procedures, HCPCS for supplies and modifiers as required by payers.
Facilitated payment arrangements with patients and guarantors who were unable to make full payment at time of service.
Provided customer service support via phone or email regarding account balances or other inquiries related to billing issues.
Updated patient demographics information within practice management system.
Reviewed account information to confirm patient and insurance information is accurate and complete.
Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
Applied coding rules established by American Medical Association and Centers for Medicare and Medicaid Services for assignment of procedural codes.
Maintained current working knowledge of CPT and ICD-10 coding principles, government regulation, protocols and third-party billing requirements.
Maintained positive working relationship with fellow staff and management.
Released information to persons or agencies according to regulations.
Front Office Assistant
Harris Women’s Care
Sylva, NC
06.2015 - 06.2016
Answered incoming calls promptly, efficiently processed callers' inquiries, and transferred calls to appropriate personnel when necessary.
Verified patient demographic information at time of check-in and check-out.
Greeted patients and visitors in a friendly and professional manner.
Assisted with scheduling appointments, verifying insurance coverage, collecting co-payments, and updating patient information in the electronic medical records system.
Processed payments for services rendered using cash register or point-of-sale system.
Scanned documents into the practice's EMR system as needed.
Responded to emails from patients inquiring about appointments or other matters related to their care.
Assisted with administrative tasks such as filing, faxing, copying documents.
Followed HIPAA guidelines when handling confidential patient information.
Reconciled daily payments received against charges billed on each account.
Resolved customer service issues in a timely manner while maintaining professionalism.
Called patients to confirm scheduled appointments and obtain additional details.
Straightened up waiting room to maintain neat and organized space.
Carried out daily tasks by professionally communicating with physicians, nursing staff, technicians and medical assistants.
Licensed Practical Nurse at ACH Pediatric Home Care- Complex Care Airway NeedsLicensed Practical Nurse at ACH Pediatric Home Care- Complex Care Airway Needs
ACA Insurance Coordinator/Certified Application Counselor at Cherokee Indian Hospital AuthorityACA Insurance Coordinator/Certified Application Counselor at Cherokee Indian Hospital Authority