Manager Medical

ANNETTE M. ROBERTS, CPC

*** ***** ***** *****

Stockbridge, Georgia 30281

E-mail: ************@*********.***

QUALIFICATIONS SUMMARY

Established experience in Medical Office as Billing Manager with extensive

knowledge of billing, collections, Medicare, Medicaid guidelines, CPT, ICD9

and HCPCS codes. Please find attached my Individual Work Style Report. I

am a person that can visualize the full picture of an organization and am

capable of increasing your collections. Experienced with Medical Manager

(11 years), Intergy (1 year), NextGen 5.5 (2 years), and TrakNet (1 year)

software. Experience with the setup and conversion of data between Medical

Manager and Intergy 5.0 software systems. Experienced with computer

network, hardware, and software triage. Familiar with HIPAA guidelines and

code sets. Familiar with physician credentialing processes and paperwork.

Business Office Associate

American Foot & Leg Specialists 2011 to present

Responsible for scrubbing claims for three offices with 5 physicians.

Reviewed encounters for correct CPT & ICD9 coding and linkage. Spoke with

physicians regarding documentation requirements and proper code selections.

Transmitted claims electronically thru Gateway. Corrected all claim

rejections at clearinghouse for resubmission. Worked denials received on

EOB's. Responsible for follow-up of accounts over 31 days old.

Business Office manager 2009 To 2011

Piedmont ENT & Related Allergy Atlanta, Georgia

Responsible for supervision of insurance verifications, check-in, check-

out, surgical precertification, radiology precertification, medical

records, billing and collections. Responsible for 12 employees, hiring,

evaluations and firing. Performed credentialing to hospitals and insurance

networks. Practice has five physicians and one mid-level. Also,

supervised billing for Allergy Dept, Sleep Studies, Hearing Aids and

Durable Medical Equipment. Practice also owned a Facial Plastics ancillary

service for which I supervised collection of revenue. Performed billing of

laboratory services in association with Quest services.

Billing Manager 2002 to 2008

Eagle's Landing Family Practice McDonough, Georgia

Maintained billing and collections for a multi-million dollar practice with

eight satellite offices including 32 physicians and mid-level providers.

Practice open seven days per week with extended office hours. Practice was

able to open three satellite offices within the last two years of my

employment. Revamped collections department and re-organized positions in

the practice to create a central billing office. Hired and trained staff

to post charges, insurance and patient payments, maintained electronic and

hard copy claim forms, follow-up on outstanding claims and denial EOB's,

generated patient statements. Performed daily/monthly closings and

maintained reports. Updated providers and staff on billing changes.

Maintained insurance website administration with user log-ins. Maintained

computer network, hardware and software support.

BILLING COORDINATOR 1997 TO 2002

EAGLE'S LANDING OB/GYN STOCKBRIDGE, GEORGIA

Maintained billing and collections for six physicians, three mid-wives and

two mid-level providers. Posted all charges for office, hospital, delivery

and surgery. Trained staff to post charges, payments, performed

electronic billing, follow-up on claims and submitted hard copy to

insurance companies with follow-up. Completed daily and monthly closings

including data backup and printing monthly reports. Supported front office

check-in and check-out positions. Assisted with chart preparation for next

day's appointments and printed encounter forms. Responsible as a back-up

to the front office staff when help needed.

2

BILLING COORDINATOR 1995 TO 1997

HI-TECH HEALTHCARE, INC. NORCROSS, GEORGIA

Performed data entry of all new orders for durable medical equipment.

Generated request to physicians' office for completion of medical

necessity. Performed daily billing of charges to insurance companies for

rental and sale of medical equipment. Posted insurance and patient checks,

follow-up on EOB's and A/R. Completed daily and monthly backups including

printing daily and monthly closing reports.

PEDIATRIC SERVICES OF AMERICA 1985 TO 1995

NORCROSS, GEORGIA

OFFICE MANAGER (1993 to 1995): Managed operation of satellite office for

receiving and processing orders for delivery of durable medical equipment.

Generated requests for completion of medical necessities to ordering

physician. Maintained serial numbers for inventory purposes. Handled

phone calls and orders for additional supplies. Prepared paperwork for

submission to corporate office for billing and collections. Experienced

with JCAHO implementation.

BILLING SPECIALIST (1985 to 1993): Worked accounts receivables reports,

contacted insurance companies regarding status of claims, resubmitted

claims and transferred responsibility of charges to guarantor. Assisted co-

collectors with solutions and suggestions to handle follow-up on

outstanding claims.

PRUDENTIAL MEDICARE PART B 1981 TO 1985

BUFORD, GEORGIA

Processed claims for physician's offices, Chronic Renal Failure providers,

Durable Medical Equipment and responded to request for reviews. Submitted

appeals to Medical Director for a determination and corresponded with

physician's office as to the findings.

References available upon request.

ProStyle - Individual Work Style

Annette Roberts

Copyright 2006 and beyond, neoPsy Systems.

Your Work Style

Independent Driver

This style is characterized by a need to outlast others and persevere when

others

have given up. Independent Drivers demonstrate self-confidence and strive

to

gain a complete understanding in all endeavors. When making decisions, they

rely on intuition and keep the big picture in mind. Independent Drivers

prefer to

make decisions by themselves and not have their work depend on others.

Optimal Environments:

Independent Drivers will thrive in environments that provide opportunities

to

demonstrate success and perseverance. They also prefer working with

colleagues

who are self-sufficient and do not need a lot of hand holding.

At Work You Tend To

Compelled to extract meaning from even the most complex array of numbers or

other objective information; eschews opinions and insisting instead of

digging into the data to find the answers; insists on having the facts and

formulates conclusions based entirely on the data -- ignoring observations

or case report information; holds off coming to conclusions to making

recommendations until all the data are considered.

To him/her, fixing problems quickly is more important than finding the most

elegant solution. Impatient with talking about a fix - jumps in and starts

doing something. Believes best ideas are simple and easy to implement.

More concerned with getting results than with methods used.

Shows confidence in his/her abilities where some basis for it exists; takes

on challenges with little thought about whether he/she possesses the

requisite skills or experience; sees himself/herself as unusually capable

and highly skilled; avoids admitting vulnerabilities and aggressively

avoids taking on the role of a victim -- striving tirelessly

to find some aspect of the situation over which he/she can get mastery.

Pays attention to even the smallest detail; ensures things are done

perfectly; challenges assumptions; relatively intolerant of sloppy

thinking; detects and removes errors or imperfections; does whatever

necessary to ensure only the best quality is produced.

Strives to be of service to others, subserves own needs to those of others,

puts the priorities of others first, dedicates self to the welfare of

others; goes above and beyond the call of duty in service of some noble

purposes.

Seeks authority and position power; enjoys directing the action and

ensuring the efforts of others are properly aligned and making progress;

yields fairly readily to others willing and able to move things along to

make progress.

Many times has very useful ideas just pop into his/her mind; has a great

fondness for eloquent descriptions of solutions to sometimes complex

problems over more mundane ones; scans a set of data or a collection of

facts and finds himself/herself struck by patterns or themes regarding what

they could mean that proves correct.

Tolerates some discussion about what needs to be done before feeling a need

to do something; pushes others to hurry along so that something can get

done while showing some understanding of those wanting more clarity.

Pushes to be included and in the middle of most activities; people often

seek him/her out for the latest information about what's going on; makes

the effort to keep up-to-date with the latest going on's but not always the

one people seek as most 'in the know.'

Enjoys the occasional opportunity to persuade others from their point-of-

view; once opinions are formed, finds it somewhat challenging to change

position; seeks the occasional chance to sell some idea or product; finds

many negotiations enjoyable.

Contact this candidate