Manager Medical
Resume:
Jo-Anne browN, CPC
** ****** **** ( Goshen, NY 10924 845-***-**** ( *********@*****.***
Medical Coding & Billing Manager
Dedicated and technically skilled medical professional with a versatile
administrative support skill set developed through experience as an
administrator, billing manager, compliance officer, practice management and
EMR software implementation specialist and trainer, and practice
consultant.
Excellent in resolving practice challenges with innovative solutions,
systems and processes proven to increase efficiency, quality of patient
care, office flow, and maximize reimbursements.
Advanced computer skills in MS Office Suite, Practice Management and EMR
systems (such as Medical Manager, IDX, Allscripts, Elligence, AdvancedMD,
Advantx), Salesforce.com, Fund-EZ, EPACES, and NYEIS
Vice President of AAPC Middletown, NY Chapter 2012-2013 Term
Adjunct Instructor - Dutchess Community College Spring 2012 - Medical
Billing / Coding & Terminology
Key Skills
|Management: |Healthcare Specifics: |Medical Billing: |
|Teambuilding & |HIPAA Compliance |ICD-9 & CPT-4 Coding |
|Supervision |Credentialing & Auditing |Charge Entry/Payment |
|Staff Development & |Software Trainer and |Posting |
|Training |Administrator |Commercial &Government |
|Policies & Procedures |Private and Faculty |Billing |
|Manuals |Practice Experience |Charge Capture |
|Human Resource Management|Non-Profit - Article 28 & |Revenue Cycle Management|
| |Article 16 | |
|General Operational | | |
|Management | | |
Experience
|Inspire - Orange County Cerebral Palsy Association | |
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|Director Program Revenue | |
|09/2010-Current | |
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|Manage billing and collections staff & billing intern | |
|Accounts Receivable management | |
|Oversee billing processes for preschool, Dental Clinic, Article 28 & Article | |
|16 Clinics, related services, social work and home health programs through | |
|DOH, OPWDD, OMH | |
|Streamline practice from paper billing to electronic formats | |
|Assist with 5010 and ICD-10 transitions | |
|Assist Compliance Office with audits | |
|Assist providers with coding compliance | |
|Assist VP Finance and Senior VP with projects | |
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|mdINR, Lincare Corporation | |
Operations Manager 09/2008-
09/2010
|Billing advisor & testor for ongoing development of | |
|Coagutrak software | |
|Center HIPAA Compliance Officer | |
|Manage daily operations & customer service personnel | |
|Certified Trainer for clinicians and patients on PT/INR| |
|meters | |
|Insurance credentialing for laboratory | |
|Insurance verification and precertification for | |
|patients | |
|Liaison between center and corporate office | |
|Responsible for reporting panic PT/INR values to | |
|providers | |
|Insurance and patient billing & coding for PT/INR | |
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|BAW Medical Management - New Windsor, NY | |
General Manager 05/2008-
07/2009
. Managed Coding & Billing staff in various client locations, functioned
as primary liaison to clients and ensured a consistently positive
customer experience.
. Earned reputation for maintaining a positive attitude and producing
high-quality work
. Successfully transitioned client to new software application system,
coordinated project and trained client's staff
. Conducted medical chart audits and met with physicians and hospital
administrators regarding medical coding guidelines - results were in
increased reimbursements & compliance
. Coordinated front desk procedures for clients with multiple locations
to improve charge capture, office flow, continuity, and adherence to
governmental guidelines
. Developed billing & collections procedures to ensure all client's
billable services were captured and reimbursed, insurance
credentialing
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|MDx Medical Management | |
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|Medical Practice Consultant | |
|05/2005-05/2008 | |
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|Manage coding & billing and collections staff for MDx and its clients - | |
|Multi-specialty groups including surgery | |
|Conduct billing and coding orientations for clients newly hired physicians | |
|Liaison between clients and senior management | |
|Manage Billing and Practice Management Software: updates, build templates | |
|(for both clients and MDx ) Consultative services: front desk procedures, | |
|office flow, medical billing and coding | |
|Medical Practice Start-up | |
|Audit Medical Charts | |
|Manage Software Implementation projects: EMR and Practice Management | |
|Update and develop new superbills for clinicians | |
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|iLIANT Medbill, - Suffern, NY | |
Medical Billing Supervisor 02/2002-
05/2005
. Team supervisor for several major clients multispecialty groups
. Earned reputation for maintaining a positive attitude and producing
high-quality work
. Increased electronic claims submission filing rates by reducing errors
on claims prior to submission and developing team responsibilities
covering all aspects that inhibit claims from processing
. Met with client billing manager and practice manager to review
reimbursements, billing updates, and month end reporting
. Month End close - accounts were closed and to date by the first day of
the new month
. Charge entry, payment posting, accounts receivable follow-up
. Developed billing & collections procedures to ensure all client's
billable services were captured and reimbursed - Increased
reimbursement rates by 30% and reduced outstanding receivables by 20-
50% in the first three months of acquiring an account
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|Montefiore Medical Center - Bronx, NY | |
Receptionist 12/1997-
02/1998
Site Administrator & Billing Manager
02/1998-02/2002
. Transitioned paper scheduling to automated system - no disruptions to
patient appointments or clinical work schedule
. Earned reputation for maintaining a positive attitude and producing
high-quality work
. Building & Supply Maintenance, Vendor relations, Budgeting,
Bookkeeping, payroll, accounts payable, accounts receivable, purchase
orders
. Human resource liaison for center - new hires, terminations,
interviews, performance evaluations, scheduling
. Month End close - accounts were closed and to date by the third day of
the new month
. Charge entry, payment posting, accounts receivable follow-up
. Surgical bookings, precertification, referrals & authorization
. Credentialing, hospital & insurance
. OHSHA, HIPAA, DOH, JCAHO Compliance and Inspections, Internal audits
. Manage medical billing & collections staff, CPT-4 & ICD-9 Coding -
developed charge capture system with internal auditor which
precipitated departmental change
. Created structure to separate secretarial, billing, & office manager
functions that were copied within the department
. Administrative assistant to medical director
Education/ Studies
|Suny Orange - Middletown, NY | 2008-2012 |
Studies: Liberal Arts - Health & Human Services
|Empire State College - Center for Distance Learning | 1997-1999 |
Studies: Interdisciplinary Studies
|Rockland Community College - Suffern, NY | 1983-1985 |
Studies: Computer Science / Accounting
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