Medical Manager

MaryEllen Riley

954-***-****( H)

631-***-**** (C)

********@*****.***

BS in Business Administration, Belford University Dallas, Texas Florida Spine Associates 2016 2018 Medical Billing Manager M anager staff of Six Employees.

S taff development and training, performance appraisals, disciplinary actions and interviewing of potential candidates.

Develops and administers policies and procedures to accomplish department specific and organization goals

Perform payroll duties with ADP and Kronos.

Hold monthly staff meeting outlining goals and priorities of the facility

Set goals for my employees to meet every day work performances

Perform Credential for Medicaid, Medicare, and Commercial Insurance.

Perform Billing, Coding for all Medical Services for Medicare and Medicaid and Commercial Insurances.

Contracts for Managed Care Insurance Groups.

Monitor Financial and Budget Reports, Aging, AIR & AlP Reports

Responsible for overseeing all billing and collecting processing including timely and accurate electronic submission of bills for services, ensuring integrity of procedures, providing required reports and providing information and problem-solving guidance to billing and collection clerical staff.

Manages billing and collection staff to ensure timely and appropriate billing and payment collection cycles to maintain accounts receivable balances' calculated days services outstanding (DSO) at or below industry and/or regional, Orthopedic, Neurology, Anesthesia, Pain management, Spine surgeons, Physical Therapy, DME. For a medical practice of seven provider.

Advantage Billing Systems (company relocated to New Mexico) Denver,Colorado 2008- 2016

Medical Billing Manager

Supervisor 25 Employees

Staff development and training, performance appraisals, disciplinary actions and interviewing of potential candidates.

Develops and administers policies and procedures to accomplish department specific and organization goals

Perform payroll duties with ADP and Kronos.

Hold monthly staff meeting outlining goals and priorities of the facility

Set goals for my employees to meet every day work performances

Perform Credential for Medicaid, Medicare, and Commercial Insurance.

Perform Billing, Coding for all Medical Services for Medicare and Medicaid and Commercial Insurances.

Contracts for Managed Care Insurance Groups.

Monitor Financial and Budget Reports, Aging, AIR & AlP Reports

Responsible for overseeing all billing and collecting processing including timely and accurate electronic submission of bills for services, ensuring integrity of procedures, providing required reports and providing information and problem-solving guidance to billing and collection clerical staff.

Manages billing and collection staff to ensure timely and appropriate billing and payment collection cycles to maintain accounts receivable balances' calculated days services outstanding (DSO) at or below industry and/or regional standards.

Substance Abuse,Behavioral Health, Orthopedic,Neurology, Cardiology Anesthesia, Pediatric, Pain management, Spine surgeons, Physical Therapy, DME.

Audit charts and coding

Stony Brook University Hospital Cancer Center Stony Brook,New York June 2002 -March2008 Practice Administrator

Supervise staff of 25 employees

Maintain internal management processes, including staff development and training, performance appraisals, disciplinary actions and interviewing of potential candidates. Responsible for daily operation of the facility, promotes that the surgical program and clinical services are in compliances with respective components of regulatory body and accrediting body standards

Perform payroll duties with ADP and Kronos.

Hold at least two monthly staff meeting outlining goals and priorities of the facility.

Responsible for registration, scheduling, and verification of patient's insurance obtaining Referrals and Authorizations for Medical services perform

Responsible for overseeing all billing and collecting processing including timely and accurate electronic submission of bills for services, ensuring integrity of procedures, providing required reports and providing information and problem-solving guidance to billing and collection clerical staff.

Managed billing and collection staff to ensure timely and appropriate billing and payment collection cycles to maintain accounts receivable balances' calculated days services outstanding (DSO) at or below industry and/or regional standards.

Maintain internal management processes, including staff development and training, performance appraisals, disciplinary actions and interviewing of potential candidates. Responsible for daily operation of the facility, promotes that the surgical program and Clinical services are in compliances with respective components of regulatory body and accrediting body standards.

Work in conjunction with the Medical Director and Medical Executive Committee in the evaluation and development of existing and new surgical services at the facility.

Manage the clinical departments of nursing, central supply, medical records, and housekeeping, and supervise the contracted services of laboratory, radiology, pharmaceuticals, laundry and biomedical engineering.

Monitor the adequate function of surgical equipment and patient care equipment through contracted services and follow-up on repairs.

Coding Audit.

Huntington Heart Center, Huntington, New York Huntington, New York June 2000- June 2002 Medical Billing Manager, Supervise 10 Employees

Billing Coding and Collection for inpatients and outpatients for Six Physicians

Responsible for hiring, employees jobs performance, terminations

Provide Training to all Employees

Perform Credentialing for Medicaid, Medicare, and Commercial Insurance

Experiences with Managed Care Groupers and Grids

Monitor Financials, Budgets, Reporting, Post Charges and Payments

Responsible for overseeing all billing and collecting processing including timely and accurate electronic submission of bills for services, ensuring integrity of procedures, providing required reports and providing information and problem-solving guidance to billing and collection clerical staff.

Managed billing and collection staff to ensure timely and appropriate billing and payment collection cycles to maintain accounts receivable balances' calculated days services outstanding (OSO) at or below industry and/or regional standards. ' Computer Skills: Access, Word, Excel, PowerPoint, Quickbooks, Kronos, ADP, ICD-10 codes, IDX, Epic, Meditech, Emden, ZirMed, EMR Navicure, Greenway intergy C ertified Coder CCS Ahima. References available upon request.

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