Manager Administrative Assistant

Susan Quinn

Email: abp4na@r.postjobfree.com

Address: *** ***** **

City: East Weymouth

State: MA

Zip: 02129

Country: USA

Phone: 617-***-****

Skill Level: Management

Salary Range: $65,000

Primary Skills/Experience:

See Resume

Educational Background:

See Resume

Job History / Details:

Susan A. Quinn

136 Chard Street East Weymouth, MA 02189 781-***-**** abp4na@r.postjobfree.com

To attain a challenging position as a Billing Manager. This position would enable me to demonstrate a practical and effective use of my strong organizational and surgical coding skills. In addition, it would highlight my expertise in claim resolution and remediation.

Professional Experience

MGH

Patient Financial Services Dept,

Med-Specialty Supervisor Dec 2009-Present - Massachusetts General Physicians Organization / MGH Hospital

* Supervising 5 employees, working closely to reduce the overall A/R groups 3,7,9 OB, GI, Cardiology, PT, Pedi, Urology, Pathology

* Reduced the OB/GYN A/R group 3,by one million dollars in 1 yr - days reduced by 7 days

* Work closely in collections with the staff, coding issues and resolving claims that have been appealed in all groups

* Operating within IDX, performing downloads and pivot tables, navigating effectively thru the payer websites and working closely with Government Payers for example Mass Health

* Monitor daily work files and staff to continue to generate revenue for the practice, set up systems and workflows within my group

* Work cohesively with all Supervisors and Billing Managers as well as staff to reduce overall A/R

Claim Supervisor Dec 2008-August 2009 - HART Agency Inc. Claim Supervisor

* Thoroughly versed in all areas of operations and management in medical coding and billing

* Developing and directing department operations while maintaining the highest level of productivity

* Claims management over seeing a team of 6 employee's Brigham Orthopedic group contract

* Working the A/R and polar reporting system as well as IDX centricity

* Working delinquent A/R and the current day to day for 40 physician group

* Monitor daily claim submission by employees and ensure appropriate use of coding techniques

* Conducting monthly productivity reviews with Claims Resolution staff

Physician Liaison

July 2008-Dec 2008 - MCKESSON Corp.

* Brigham and Woman`s- Orthopedic dept

* Claims management and supervision of a team of 10 employee's billing for the Brigham Orthopedic group- in NJ. Unfortunately the contract was not renewed by the facility. .

Surgical Billing Lead March 2002 - July 2008 - Plymouth Bay Orthopedics

* Surgical billing & coding; workers compensation negotiations, follow up

* Lead the Marketing Team with great success in an effort to promote business and increase revenue.

* Reserved field appointments with other Claims Managers for discussion to generate additional referrals and establish a unified working relationship with payer organizations.

Blue Cross Blue Shield and Medicare Biller May 2001 - March 2002 - Braintree Rehab Hospital

* Responsible for Blue Cross Blue Shield and Medicare claims. Post payments and adjustments to correct accounts. Monitor reimbursements for accuracy utilizing payer fee schedules and payer global coding rules. Appeal denied claims. Utilize the PTN system (BCBS) as well as the BLAST system (Medicare).

Administrative Assistant/Billing February 1999- April 2001 - Boston Medical Center - Orthopedic Department

* Lead agent responsible for filing clean claim submission`s to outside billing vendor. Quality control review of all CPT and ICD-9 codes for compatibility. Obtain patient demographics and HMO referrals. Monitor patient insurance benefits on a monthly basis. Visit inpatients to determine if they are worker's compensation cases. Call Utilization Review for approval on all workers` compensation cases.

Accounts Receivable Manager May 1998 - January1998 John Adams Continuing Care Center

* Primary biller for nursing home claims as well as private accounts. Managed the billing team and other essential staff.

Medical Biller March 1989 - May 1998 - Orthopedics of Greater Boston Faulkner Hospital

* Responsible for completing all hospital and medical/surgical billing. Posting of payments, tracking outstanding A/R, filing appeals, denials and generating monthly reports. Negotiated fees with worker's compensation carriers and other insurance companies. Performed electronic billing.

Education

Newbury College

Brookline, MA

Currently enrolled in Management Program National Education Center, Medical Assistant Program

Bryman School

Brookline, MA

OTHER EXPERIENCE Independent Contractor: Collections (Private Business) 1999 - 2001

* Effectively resolved and recovered monies due from delinquent collection accounts and generated revenue for my client.

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