Manager Medical
Resume:
Denise McKeon
Email: abozf1@r.postjobfree.com
Address:
City: Gardnerville
State: NV
Zip: 89460
Country: USA
Phone: 775-***-****
Skill Level: Any
Salary Range:
Primary Skills/Experience:
Accomplished professional with strong proven skills in physician or hopsital environment.
Educational Background:
High School Dipolma from Grossmont College, La Mesa CA 1/2001 to 6/1987 (Medical Office Management)
Job History / Details:
Professional Summary
Driven and compassionate healthcare billing professional with 25 years hands-on experience in fast-paced medical group, academic multi-specialty, residential and hospital environments. Accountable and responsible with a strong focus on Accounts Receivable and full scope billing operations.
Education and Training
1987 Grossmont College La Mesa, CA
Medical Office Management
Received certificate of completion comparable to AA pertaining to course of study regarding effective medical office management including anatomy, medical terminology, medical billing, psychology, liberal arts.
Skill Highlights
Patience and self-discipline
Accountability
Personnel management
Analytical thinking
Leadership
Recruiting and hiring
Staffing management
Active listening skills
Quick learner
Proficient in cash management
Accomplished leader
Strong presentation skills
Promotes positive behavior
Independent judgment and decision making
Medicaid Management Information Systems
Knowledge of Medicaid statutes and regulations
Supervisory experience
Telephone inquiries
Creative problem solver
Excellent communication skills
Professional Experience
December 2008 to September 2012
Rite of Passage Minden, NV
Medical Billing Specialist
Identified process improvements in the day-to-day functioning of the department pertaining to Nevada Medicaid billing for NV students and all student medical/dental invoicing.
Continually improved knowledge, skills and performance based on feedback and self-identified professional developmental needs.
Established and maintained systems that met NV Medicaid and State of NV requirements
Skillfully managed billing operations as a functioning billing specialist for a multi-million dollar company providing residential treatment for at risk youth.
Cooperated and communicated effectively with site program managers to ensure proper billing and compliance with medicaid standards.
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10/17/2012 12:00:00 AM
September 2007 to October 2008
HealTherapy of Nevada Carson City, NV
Office Manager
Continually improved knowledge, skills and performance based on feedback and self-identified professional developmental needs.
Recruited, hired, new employees.
Developed a system of staff communication that ensured proper implementation of treatment plans and comprehensive client care.
Assisted in resolving and satisfying client requests and internal operational issues.
Skillfully managed agency operations as a functioning office manager for a mental health agency overseeing the day to day operations of the office.
Assigned employee areas, scheduled staff breaks and authorized overtime.
Educated staff on state and medicaid statutes, rules and regulations governing mental health services.
May 2004 to August 2007
Capital Medical Associates Carson City, NV
Office Manager
Supervised and evaluated the activities of medical, nursing, technical, clerical, service, maintenance and other personnel.
Developed and arranged continuing education opportunities for all staff to increase knowledge and skills.
Conducted probationary and annual performance evaluations of all clerical staff.
Oversaw private and MCR billing, payroll, AP, and AR and verified that proper procedures were followed.
Interpreted and communicated new or revised policies to staff.
Educated staff on state and federal statutes, rules and regulations governing physician office services.
Consistently complied with applicable laws and regulations and ensured facility adhered to Medicare and Medicaid regulations.
Created and maintained computerized record management systems to record and process data and generate reports.
Established staff schedules and assignments based on practice needs.
Assigned employee areas, scheduled staff breaks and authorized overtime.
Cooperated and communicated effectively with physicians to ensure client satisfaction and compliance with set standards.
Supervised and managed the daily activities of a clinical team consisting of 6 physicians, nurses and support staff.
Achieved high staff morale and retention through effective communication, prompt problem resolution, proactive supervisory practices and facilitating a proactive work environment.
Encouraged creative thinking, problem solving, and empowerment as part of the facility management group to improve morale and teamwork.
July 2003 to April 2004
Inland Hospital Waterville, ME
Director of Central Billing Office
Continually improved knowledge, skills and performance based on feedback and self-identified professional developmental needs.
Developed a central billing office operation for multi-practice medical group associated with hopsital from ground up.
Led the planning and achievement of goals and objectives consistent with the agency mission and philosophy.
Recruited, hired, trained and coached new employees.
Developed a system of staff communication that ensured proper implementation of treatment plans and comprehensive patient care.
Developed and achieved financial and growth goals.
Cooperated and communicated effectively with physicians to ensure client satisfaction and compliance with set standards.
Created and maintained computerized record management systems to record and process data and generate reports.
Consistently complied with applicable laws and regulations and ensured facility adhered to Medicare and Medicaid regulations.
Interpreted and communicated new or revised policies to staff.
Oversaw private and MCR billing, payroll, AP, and AR and verified that proper procedures were followed.
June 2002 to July 2003
Per-Se Technologies Lewiston, ME
Billing Manager
Skillfully managed billing operations as a functioning billing manager for Cambridge Health Alliance, country's largest multi-specialty academic group practice consisting of 24 medical specialties and 407 physicians.
Cooperated and communicated effectively with physicians to ensure client satisfaction and compliance with set standards.
Continually improved knowledge, skills and performance based on feedback and self-identified professional developmental needs.
Identified process improvements in the day-to-day functioning of the department.
Achieved high staff morale and retention through effective communication, prompt problem resolution, proactive supervisory practices and facilitating a proactive work environment.
Supervised and managed the daily activities of a back office biling team consisting of 34 support staff.
Established standards for selection, promotion and termination of staff.
Assigned employee areas, scheduled staff breaks and authorized overtime.
Created and maintained computerized record management systems to record and process data and generate reports.
Consistently complied with applicable laws and regulations and ensured facility adhered to Medicare and Medicaid regulations.
Educated staff on state and federal statutes, rules and regulations governing physician and hospital services.
Oversaw private and MCR billing, payroll, AP, and AR and verified that proper procedures were followed.
Conducted probationary and annual performance evaluations of all staff.
Developed and arranged continuing education opportunities for all staff to increase knowledge and skills.
February 2001 to May 2002
North Adams Regional Hospital North Adams, MA
Director of Patient Accounting
Skillfully managed billing operations as a functioning director for rural hospital with a monthly accounts receivable budget in excess of $36 million.
Cooperated and communicated effectively with physicians to ensure client satisfaction and compliance with set standards.
Continually improved knowledge, skills and performance based on feedback and self-identified professional developmental needs.
Identified process improvements in the day-to-day functioning of the department.
Achieved high staff morale and retention through effective communication, prompt problem resolution, proactive supervisory practices and facilitating a proactive work environment.
Effectively eliminated incorrect write-offs in excess of $3 million per month thereby successfully increasing receipts.
Established standards for selection, promotion and termination of staff.
Assigned employee areas, scheduled staff breaks and authorized overtime.
Created and maintained computerized record management systems to record and process data and generate reports.
Consistently complied with applicable laws and regulations and ensured facility adhered to Medicare and Medicaid regulations.
Educated staff on state and federal statutes, rules and regulations governing physician and hospital services.
Oversaw private and MCR billing, payroll, AP, and AR and verified that proper procedures were followed.
Conducted probationary and annual performance evaluations of all staff.
Developed and arranged continuing education opportunities for all staff to increase knowledge and skills.
May 1998 to January 2001
Pediatric Data Specialists San Diego, CA
Billing Manager
Skillfully managed full-cycle medical billing in a fast-paced medical billing company for the physician group that staffed Children's Hospital San Diego consisting of 24 medical specialties and over 100 physicians.
Cooperated and communicated effectively with physicians to ensure client satisfaction and compliance with set standards.
Continually improved knowledge, skills and performance based on feedback and self-identified professional developmental needs.
Identified process improvements in the day-to-day functioning of the department.
Achieved high staff morale and retention through effective communication, prompt problem resolution, proactive supervisory practices and facilitating a proactive work environment.
Supervised and managed the daily activities of a back office biling team consisting of 34 support staff.
Established standards for selection, promotion and termination of staff.
Assigned employee areas, scheduled staff breaks and authorized overtime.
Created and maintained computerized record management systems to record and process data and generate reports.
Consistently complied with applicable laws and regulations and ensured facility adhered to Medicare and Medicaid regulations.
Educated staff on state and federal statutes, rules and regulations governing physician and hospital services.
Oversaw private and MCR billing, payroll, AP, and AR and verified that proper procedures were followed.
Conducted probationary and annual performance evaluations of all staff.
Developed and arranged continuing education opportunities for all staff to increase knowledge and skills.
May 1992 to May 1998
Rochester Group Management Rochester, NY
Billing Manager
Skillfully managed billing operations as a functioning billing manager for a large multi-specialty medical group practice consisting of multiple practice sites and physicians staffed at Park Ridge Hospital.
Cooperated and communicated effectively with physicians to ensure client satisfaction and compliance with set standards.
Continually improved knowledge, skills and performance based on feedback and self-identified professional developmental needs.
Identified process improvements in the day-to-day functioning of the department.
Achieved high staff morale and retention through effective communication, prompt problem resolution, proactive supervisory practices and facilitating a proactive work environment.
Supervised and managed the daily activities of a back office billing team consisting of 25 support staff.
Established standards for selection, promotion and termination of staff.
Assigned employee areas, scheduled staff breaks and authorized overtime.
Created and maintained computerized record management systems to record and process data and generate reports.
Consistently complied with applicable laws and regulations and ensured facility adhered to Medicare and Medicaid regulations.
Educated staff on state and federal statutes, rules and regulations governing physician and hospital services.
Oversaw private and MCR billing, payroll, AP, and AR and verified that proper procedures were followed.
Conducted probationary and annual performance evaluations of all staff.
Developed and arranged continuing education opportunities for all staff to increase knowledge and skills.
July 1987 to April 1992
University of Rochester - Dr. Joseph Serletti Rochester, NY
Office Manager
Examined patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under their policies when applicable.
Updated patient financial information to guarantee accuracy.
Compiled and tracked outstanding balances owed to practice.
Accurately posted surgeries, hospital visits and payments for assigned carriers.
Printed and reviewed monthly patient aging report and solicited overdue payments.
Precisely completed appropriate claims paperwork, documentation and system entry.
Correctly coded and billed medical claims for all services provided including but not limited to surgeries.
Thoroughly researched newly identified diagnoses and/or medical procedures to expand skills and knowledge.
Professionally and courteously verified appointment times with patients.
Prepared patient charts, pre-admissions and consent forms as necessary.
Determined prior authorizations for medication and outpatient procedures.
Received, organized and maintained all coding and reimbursement periodicals and updates.
Appropriately and correctly identified errors and re-filed denied/rejected claims as they were received from the Patient Account Representative.
Added modifiers as appropriate, coded narrative diagnoses and verified diagnoses.
Analyzed and interpreted patient medical and surgical records to determine billable services.
Completed appeals and filed and submitted claims.
Applied payments, adjustments and denials into medical manager system.
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