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Care Coordinator and Office Manager

Location:
Hermosa Beach, California, United States
Salary:
45000
Posted:
January 19, 2018

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Lauren C. Thompson

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

Hermosa Beach, CA 90254

424-***-****

ac33wy@r.postjobfree.com

Education:

A.A. Medical Administration, (In Progress), MiraCosta College.

Certifications in Medical Coding, Billing, and Medical Office Administration.

Certification in Pharmaceutical Technology.

Bishop Montgomery High School, Diploma, GPA 3.6, Torrance CA

Software and Skills:

●ICD-10/9, CM, CPT, Medical Coding, Billing, Collections, A/R, Health Information Management (HIM), HIPAA, Revenue Collection Cycle, EMR, HSWorx, Phunkey, Physical Therapy, MS Office, Excel, Word, Outlook, Google Apps, Medical Software, types 70 WPM.

Summary:

Administrative specialist with experience handling creating and maintaining medical records, billing, coding, collections and administration functions in a fast paced primary care environment.

Experience includes:

●Appointment scheduling, insurance eligibility processes, charge processing, claim submission and processing, payment processing, collections and accounts receivable management, denial management, reporting of results and analysis, concurrent and retrospective auditing, proper coding, customer services relative to revenue cycle management.

●Billing, audit, coding and collections experience for chiropractic, physical and occupational therapy in a fast paced environment.

●Accounts Receivable and Aging reporting.

●Abstracts the required medical and demographic information from the medical record, assign the primary and secondary diagnoses and procedure codes utilizing knowledge of anatomy, physiology, medical terminology and pathology. Responsible for correcting any data found to be in error after reviewing the medical record.

●Ability to multitask in fast paced environments, making outbound calls to patients and providers to collect open balances and reconcile Accounts Receivable.

●Knowledge of HIPAA, clinic, billing, ICD-10-CM, CPT, and patient protocols.

●Front desk operations and office management, schedule new and existing patients, following up with patients and providers with emphasis on customer satisfaction and personal interface.

Experience:

My Hearing Centers May 2017 - Present

Patient Care Coordinator

As the patient care coordinator, responsibilities range from handling all administrative functions and collections to putting together Hearing Aid devices. Work includes:

●Responsible for editing and processing invoices.

●Outbound calls to patients who need to upgrade their hearing devices, or have an annual hearing test.

●Front desk operations: confirming appointments, manage multiple phone lines, make sure inventory is accurate and minimal, submit aging reports to corporate, sales, handle all moneys and sales of products, electronic health records, data entry, insurance verification, facilitate and manage all seminars.

●Clean hearing devices, and diagnose malfunctions with hearing devices.

●Follow up on insurance claims.

HealthSource Chiropractic February 2015 - Present

Coding, Collections & Administrative Specialist - Chiropractic Assistant

As the office administrative specialist, responsibilities range from handling all collections and administration functions to helping patients with physical rehabilitation and exercises. Work includes:

●Responsible for all aspects of invoice setup, billing, posting and collections activities including entering, reviewing and auditing CPT and ICD-10 codes, verifying insurance, posting charges and payments, building/maintaining patient records, sending claims to the clearing house, processing denials, appeals and collection of money from payers and/or patients, resolving billing issues, calling patients regarding outstanding balances, monitoring unpaid claims, generating aging reports and working to maintain a low Accounts Receivable balance.

●Verifies the required medical and demographic information from the medical record, assign the principle and secondary diagnoses and procedure codes utilizing knowledge of anatomy, physiology, medical terminology and pathology. Responsible for correcting any data found to be in error.

●Ensures compliance with both state and federal laws regarding patient privacy and adherence to the Health Insurance Portability and Accountability Act of 1996 (HIPAA) and other legal requirements.

●Prepares and distributes verified paperwork for Personal Injury cases, Worker’s Compensation cases, re-exams, new patients, etc.

●Front desk operations and office management, schedule new and existing patients, following up with patients and providers with emphasis on customer satisfaction and personal interface.

●Prepares financial reports of findings for new patients and communicates payment and insurance options available to the patient.

●Appointment scheduling, insurance eligibility processes, charge processing, claim submission and processing, payment processing, collections and accounts receivable management, denial management, reporting of results and analysis, concurrent and retrospective auditing, proper coding, credentialing, customer services relative to revenue cycle management.

●Trains others in billing, collections, computer system and office procedures.

●Marketing: Research innovative ideas, create flyers, advertising, email, schedule and coordinate promotions.

●Assists doctor in providing physical rehabilitation and patient exercises, takes patient vital signs, height and weight and other medical information for their medical record.

●Extensive knowledge of terminology, creating medical records, coding, billing and collections activities required in Chiropractic/Physical Therapy office.

●Sales of products and supplements based on doctor recommendation.

Performance is measured by:

●Monthly revenue (collections) are met and/or exceeded.

●Monthly reduction in Accounts Receivable.

●All billings are posted by two business days.

●Timely resolution of all issues that inhibit collections.



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