Practice Manager/Financial Analyst

QUALIFICATIONS SUMMARY

Dedicated professional with over 14 years of experience in the administrative management field; more than 7 of those years providing the highest quality service in the healthcare industry. Strong problem-solver with excellent time management skills; adept at public and community relations, staff development and project management. Well-versed in operational and team leadership; manage personnel, finances, facility operations and admissions. Ability to manage multiple assignments while meeting competing deadlines. Organized, dependable resourceful and detail-oriented with exceptional planning and decision-making abilities. Effectively established and maintain working relationships; use tact; courtesy; good judgment. Proven successful in initiating, promoting and maintaining strong business relationships. Able to deal courteously, professionally, and tactfully with the general public in a variety of circumstances. Rapidly adapts to new technology and possesses advanced skills with Internet Explorer, Firefox, Windows 7/8 and Microsoft Office Suite Certified (Word, Excel, PowerPoint), Data Entry, MacPractice DDS, Quickbooks, Oracle. Core competencies include:

-Customer Relations/Client Service

-Interpersonal Skills

-Medical Billing

-Accounts Receivable/Payable/Audits

-Database Management

-Training and Mentoring

-Operations Management

Strategic Partnerships and Alliance

Bachelor of Science in Biology (Currently Pursuing)

Washington Adventist University • Takoma Park, MD

PROFESSIONAL EXPERIENCE

Virginia Cancer Specialists

US Oncology Network• Leesburg, VA

Office Manager/Patient Benefits Specialists September 2016-Current

Oversees operational activities at a practice location including business and front office functions. Responsible for office procedures, facilities management, equipment maintenance, and daily supervision of non-clinical staff. Supports and adheres to the US Oncology Compliance Program, to include the Code of Ethics and Business Standards.

•Oversees the daily activities of the business office including patient billing, collections, reimbursement and computer operations.

•Oversees daily activities of the front office including scheduling, reception and insurance authorization/verification.

•Implements reimbursement policies and procedures and assists with policy development as appropriate. Ensures all business office activities are conducted to maximize reimbursement and efficiency in accordance with all federal, state and local laws and regulations.

•Directs the preparation of monthly reimbursement and financial reports for the business office.

•Coordinates office procedures between the front office, business office and clinic to ensure smooth information flow and communication.

•Implements systems (both manual and computerized) to support office activities based upon business need.

•Ensures adherence to company Human Resources policy. Recruits hires and trains all business, front office and support staff. Recommends merit increases, promotions and disciplinary actions.

•Provides assistance and coverage for business and front office functions as needed. Oversees daily administrative and office management activities including procurement and storage of office supplies, facilities management, office machines and equipment maintenance.

•Works with vendors and suppliers as needed. Maintains storage of all medical records and office files. Plans and allocates office space and resources.

•Ensures compliance to company structure, mission statement and policies and procedures, as well as all applicable federal, state and local laws and regulations directing the oversight of medical office procedures. Directly supervises all non- clinical office staff including business office, front office and administrative support personnel.

•Assists in the creation and execution of launch access strategy to secure and maintain access, reimbursement and affordability for hematology/oncology oral and infusion medications.

•Providing face-to-face, personalized issue resolution for an in office infusion center and patient clinic for a multi-physician outpatient facility.

•Provide and enhance awareness and utilization of patient access services, ensure patients understand payer prior authorization requirements and information.

•Provide and educate patients on assistance I provide with the coding and billing process specifically to their treatment plan.

•Develops cost-benefit, cost-effectiveness, cost-utility and budget impact analysis for hematology/oncology products.

Steven A. Guttenberg DDS, MD, PLLC

Oral and Maxillofacial Surgery • Washington, DC

Office Manager/Practice Administrator/Financial Analyst November 2009 – May 27, 2016

Managed office operations and personnel matters. Provided administrative oversight and coordination for the office financial and budgetary functions, authorizations, reconciliation, general ledger reporting and analysis. Reduced expenditures by over 40% through innovative negotiating with vendors. Additional responsibilities included:

•Provided oversight for office staff of 10; Trained new employees and staff to meet all standards and guidelines. Administered new employee orientation; advised new hires on policy and initiation packets. Provided guidance and consultation to office employees on company benefits and associated renewal processes.

•Managed claims, processed accounts receivables and payables, ledger accounts, patient collection accounts, insurance claim reporting and follow up, marketing and budgeting for dental practice. Independently analyzed and managed daily, monthly, and annual reports.

•Led monthly meetings to discuss production and budget expectations; annual office staff compliance and guidance trainings and coordinated annual production analysis. Developed and implemented strategic plans to enhance dental practice services and client base.

•Analyzed financial medical records for accuracy in a high volume billing department; met filing deadlines as set forth by insurance contracts; initiated appeals for denied claims following receipt of Explanation of Benefits from insurance companies (i.e. Medicare, Carefirst Blue Cross Blue Shield, Aetna, Cigna, United Healthcare, Mamsi and other commercial insurance carriers).

•Developed standard operating procedures for the credentialing process, as well as internal policies and procedures to ensure regulatory compliance, patient satisfaction, and billing accuracy.

•Initiated assessments for pre-submitted claims received in the RealMed claims database; determined source of denial, such as incorrect Current Procedural Terminology (CPT) and International Classification of Diseases (ICD-9) codes, and applied necessary corrective actions.

•Other administrative duties included: Completed physician credentialing; submitted new claims on the Health Care Financing Administration (HCFA) 1500 forms and Uniform Bill (UB) claims forms through the RealMed claims database; collected and posted payments electronically uploaded from Dental Xchange; maintained collection account records; scheduled Orthognathic and other Maxillofacial surgery cases with associated hospitals/surgery centers; verified patient demographic information by running semi-annual reports for staff to contact patients and confirm profile data; manage commercial/government insurance verification when necessary; prepared suggested treatment plans for patients.

•Providing financial management support services to assigned organization(s).

•Budgeting experience; including but not limited to planning, programming and execution of sound fiscal budgets within an assigned organization(s).

•Programming authority related to midterm and long-range resource allocation, and financial performance goal setting.

Emergency Medicine Associates • Germantown, MD

Medical Billing Specialist October 2007 – September 2009

Provided exceptional service; handled office accounts, patient's insurance payments, and developed new strategic initiatives for billing accuracy that increased revenue by 60%. Additional responsibilities include:

•Managed claims processing and collection of patient billing including auditing, training, and oversight of claims processing staff, resolution of problems and concerns of clients, vendors and patients.

•Posted payments electronically uploaded from RealMed to the Nterprise billing system as well as posted posting payments manually from Explanations of Benefits received on paper.

•Administered consultative services to patients concerned with payments on self-pay accounts; processed payments over the phone and online; established a structured 6-month payment plan for patients to encourage hassle-free transactions.

•Oversaw initial processing of new patients; verified benefits and eligibility; collected copays and deductibles and past due balances from patients at the time of appointments.

•Worked on special reports generated by the Billing Director for outstanding claims that had no account activity.

EARLY CAREER/PART-TIME EXPERIENCE

Friend’s and Company • Hilb Rogal and Hobbs • Columbia, MD

Receptionist July 2007 – September 2007

Delivered general office management and administrative support services that included switchboard monitoring; office mail distribution; clerical support for account manager.

Aerotek Staffing

American Operations Corporation (Temporary) • Silver Spring, MD

Junior Administrative Assistant/Receptionist May 2007 – June 2007

Supported the office with answering and transferring calls; distribution of mail; office supply management; Created spreadsheets, effectively used word processing, calendar, e-mail and database software.

Key Title • Dulles, VA

Receptionist/Commitment and Policy Typist June 2004 – April 2007

Provided administrative support to settlement processors; prepared title insurance policies and commitments; ordered payoffs and home owners association dues; general office tasks (i.e. faxing, copies); processed refinance transactions; provided direct marketing support to Office Manager in opening new office that included creating flyers, talking to prospective agents and loan officers about our company and attended outings as a representative for the company in order to obtain new business.

Key Title • Reston, VA

Receptionist/Administrative Assistant (Part-Time) February 2002 – June 2004

Administered support functions that included answering phones, creating and editing spreadsheets, covering department phones, preparing correspondence and reports, filing, preparing meeting notes and other administrative tasks. Supported the Post Closer by disbursing funds and verifying wires, issued checks and loan packages to appropriate lending institution.

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