WENDY L. NEAL
EARLTON,NY
Summary
Seeking an administration level position in the medical field.
Customer service oriented professional with expertise in office and staff management, medical billing, admissions, cash applications human resource management and scheduling. Recognized as an initiator who consistently performs above expectations with a positive attitude. Well versed in handling healthcare and legal policies, procedures, and HIPAA guidelines with a high level of sensitivity.
Overview
25
25
years of professional experience
Work History
Medical Billing Supervisor
ST PETERS SURGERY AND ENDOSCOPY CENTER
01.2010 - Current
- Prevented financial delinquencies by working closely with managers to resolve billing issues before becoming unmanageable.
- Managed, developed and trained staff, established and monitored goals, conducted performance reviews and administered salaries for staff.
- Organized regular team meetings to review performance metrics, discuss challenges, and share best practices for continuous improvement efforts.
- Reduced claim denials by maintaining up-to-date knowledge of insurance policies and regulations.
- Coordinated individual duties after careful evaluation of each employee's skill level and knowledge.
- Managed a team of medical billers, providing guidance and support for their professional development.
- Reviewed patient records, identified medical codes, and created invoices for billing purposes.
- Analyzed medical records to satisfy insurance company mandates.
- Participated in workshops and other training opportunities to remain current on billing procedures, regulations and industry updates.
- Built highly-efficient administrative team through ongoing coaching and professional development opportunities.
- Increased revenue by identifying underpayments and errors, ensuring proper reimbursement from insurance companies.
- Developed strong relationships with insurance representatives, facilitating smoother negotiations when resolving disputes over claims payments.
- Interceded between employees during arguments and diffused tense situations.
- Adhered to established standards to safeguard patients' health information.
- Provided backup to front desk to step in to assist with various tasks whenever employee was absent or at lunch.
- Reviewed outgoing bills for eligibility and accurateness.
- Championed efforts to stay current with changes in medical coding standards and requirements, keeping the department up-to-date on industry trends.
- Collected payments and applied to patient accounts.
- Maintained current accounts through aged revenue reporting.
- Improved efficiency in the medical billing process by streamlining workflows and implementing best practices.
- Implemented project management techniques to overcome obstacles and increase team productivity.
- Conducted regular audits to ensure compliance with federal, state, and industry guidelines.
- Submitted electronic and paper claims to insurance companies, Medicare and Medicaid to collect medical payments.
- Devised new methods to improve billing workflows.
Executive Secretary
NYS Office of the Attorney General, Department of Law Library
10.2007 - 12.2009
- Creates documents, correspondence, memoranda and forms
- Answers telephone and greets visitors
- Maintains Access databases
- Facilitates interviewing, hiring and orientation of library employees
- Facilitates Lexis and Westlaw training and requests Id’s and passwords
- Maintains appropriate files
- Maintains library calendar and Chief of Library personal calendar
- Facilitates staff evaluations
- Handles travel, lodging, and reimbursement arrangements for staff
- Prepares periodic library reports based on statistical information.
Administrative Assistant
NYS Department of Health – Hepatitis Surveillance Officer
08.2007 - 08.2008
- Data entry of patients demographics and test results into database
- Send out questioners to physicians and patients
- Read blood test results to determine if acute case that needs immediate attention
- Prepare the Hepatitis Surveillance manual for upcoming classes
- Surveillance of NYS Department of Correction inmates.
Medical Office Secretary
COMMUNITY CARE PHYSICIANS
07.2004 - 04.2007
- Serve in multi-faceted support role within the offices of Dr
- Theodore Zeltner and the Albany Family Practice Group
- Scheduling and Switchboard
- Provide service to 80-100 patients each day
- Maintain complex schedules for multiple physicians
- Utilize IDX and internal scheduling systems
- Triage calls, take messages and transfer urgent calls using a high level of discretion and good judgment
- Medical Records
- Pull files and charts for physicians and nurses
- Organize all records and keep all documentation accurate and confidential
- Maintain copies and files of all lab work and results
- Process requests for records from 3rd parties
- Helped implement use of Touchworks system
- Medical Billing
- Verify insurance coverage of patients
- Oversee payment collections and billing issues
- Check balances of patient and vendor accounts
- Follow up with insurers to resolve discrepancies and ensure payments
- Utilize EMR and IDX systems
- Check in/Check out Procedures
- Collect co pays upon checkout
- Complete and/or collect referrals from other practices
- Schedule new appointments
- Accommodate urgent care needs for walk-in patients.
Customer Service /Account Representative
LINCARE
07.2003 - 07.2004
- Handled inbound sales calls and orders for oxygen supply firm
- Gathered patient demographics, insurance information and appropriate authorizations to process orders
- Inputted billing information in order to generate invoices
- Followed up on a “held sales list” of accounts requiring Certificates of Medical Necessity (CMN)
- Result: Reduced accounts receivable by 80k in 30 days as a direct result of this effort
- Ensured pharmaceutical needs related to each patient
- Obtained related authorizations to serve clients in a timely manner
- Dispatched all emergency calls.
Charge Entry and Cash Application Specialist
DOWNEAST COMMUNITY HOSPITAL
02.2000 - 02.2001
- Promoted from medical records role based on performance and initiative
- Followed strict procedures to properly process all related charges
- Applied dollars from insurance to appropriate patient accounts
- Batched and entered all data into internal system
- Utilized Saint System, applied appropriate ICD-9 medical codes, and used UB-92 forms
- Printed out reports and billing statements
- Ensured all statements were balanced, and resolved any discrepancies
- Served as a project manager for system transition.
Medical Records Associate
DOWNEAST COMMUNITY HOSPITAL
02.1999 - 02.2000
- Pulled client files in time for appointments
- Filed all radiology lab reports and results of ER visits
- Processed office requests for 3rd parties
- Assisted with the transition to new systems.
Education
High School Diploma -
Clayton A Bouton High School
Voorheesville, NY06.1982
Skills
- Windows
- MS Office; Access, Excel, Word 2003, 2007,365
- EMR
- ADVANTX
- SIS
- WAYSTAR
- SURGICAL NOTES
- Adobe
- QuickBooks
- Medical Billing
- Patient Billing Procedures
- Electronic Claims
- Insurance claims processing
- Quickbooks
- Accounts Payable and Receivable
- Documentation and Recordkeeping
- Organizational capabilities
- Staff Training
- Claim submission
- ICD-10 Knowledge
- Claims Processing
CPT Coding Familiarity
- Accounts Receivable
- Worker's Compensation Knowledge
- Insurance Claims
- Patient Billing
- CPT Coding Familiarity
- Medical claims submission
- HIPAA Compliance
- Employee Supervision
- Customer Service
- Decision-Making
- Policy and procedure modification
- Claims review
- Data Entry
- Phone and Email Etiquette
- Handling Complaints
- Medicare and Medicaid process
Additional Expertise
Prior experience in bookkeeping, A/P, A/R, payroll.
Timeline
Medical Billing Supervisor
ST PETERS SURGERY AND ENDOSCOPY CENTER
01.2010 - Current
Executive Secretary
NYS Office of the Attorney General, Department of Law Library
10.2007 - 12.2009
Administrative Assistant
NYS Department of Health – Hepatitis Surveillance Officer
08.2007 - 08.2008
Medical Office Secretary
COMMUNITY CARE PHYSICIANS
07.2004 - 04.2007
Customer Service /Account Representative
LINCARE
07.2003 - 07.2004
Charge Entry and Cash Application Specialist
DOWNEAST COMMUNITY HOSPITAL
02.2000 - 02.2001
Medical Records Associate
DOWNEAST COMMUNITY HOSPITAL
02.1999 - 02.2000
High School Diploma -
Clayton A Bouton High School
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