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Customer Service Manager

Location:
Clearwater Beach, FL
Posted:
December 28, 2018

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Resume:

Karen Giegler

248-***-****

ac72k1@r.postjobfree.com

Objective

My objective is to use my previous work experience and skills to better the company and myself.

Professional Experience

Bay Care Medical Neuroscience Clinic

Referral Specialist – March 6, 2016 – November 02, 2018

Working physician schedule against Insurance Sights and determining if patient will need referral from Primary Care Physician

Checking demographics and adding insurance correctly before requesting referrals

Calling individual Insurance Companies and getting verbal authorizations for behavioral health

Creating / Requesting and Follow up on Referrals before date of service

Adding and attaching Referrals in patients chart / Scanning into GE

Trained for front desk to help as needed

Ryan Christensen DO LLC

Business office Management - May 2015-September 2016- Part Time – 1 Physician

Accounts Payables/Account Receivables-Invoicing, Reconciling Bank Stmt, Balancing, Deposits

Creating Demographics, Scheduling appt., Collecting Co-pays

Verifying Insurance, Authorizations, Referrals

Billing 15 patients a day – Approximately $3,000.00 a week

Posting of payments – Cash, Mail, Insurance, Electronic Checks

Refunds – Patient and Insurance Overpayments, Researching the reason for credit

Organizing Office

Waldon Family Medicine

Receptionist/Office Manager – January 2014-February 2016- Full Time- 1 Physician 1 NP

Scheduling appointments

Greeting Patients

Collecting co-pays

Billing 50 patients a day – Approximately $10,000.00 a week

Posting payments – Cash, Mail, Insurances, Electronic Checks

Referrals to other physicians and prior authorizations from insurance co. for MRI, CT etc…

Refunds Patient and Insurance Overpayments, Researching the reason for credit

AR/AP

Balancing Money

Collections

Aging Reports

Reconciling Bank Statements

Clarkston Medical Group / Clarkston Ambulatory Care

Billing Supervisor/ Assistant to CFO – May 1979-June 2012- Full Time- 15 Primary Care Physicians, 3 Nurse Practioners, 4 Physician Assistants, 12 Urgent Care Physicians

Billing 150 patients a day – Approximately $150,000.00 a week

Coding

Run Pre Bill reports for insurance and check for mistakes

Send reports to insurances, pull reports back

Posting Electronic checks

Appeals

Denials

Refunds – Insurance and Patient overpayments –Researching reason for credit- $3,000.00 a week

Posting of money collected through mail Approximately $3,000.00 a day

Aging Reports

Collections

Balancing Receptionist Drawers, Scheduling appointments, Check in, Check out

Patient Statements

Phones, Scanning, Filing, worked toward being a total paperless office

Insurance authorizations, Prior Authorizations, Referrals

Deposits

AR/AP- 3 Businesses, Reconciled all bank statements,

Transferred from paper AR/AP to QuickBooks 2004

Summary of Qualifications

I have many years experience in the billing side of Health Care. Duties included: Payment Posting (Electronic and Manual), Working rejections, Researching refunds and the reason behind the overpayments to see if it indeed needed to be refunded and how quickly, Balancing, Collections, Audits, Generating Reports, Customer Service, Prior Authorizations, Referrals, AR/AP 3 Businesses

Education

Clarkston High School

Certified Coder and Certified Office Manager 2005

QuickBooks Training

Electronic Medical Record Training

References

Ryan Christensen DO

406-***-**** Former Employer

Tom Davis – Innotech

248-***-**** Employer

Kari Gorz – Clarkston Medical Group

248-330-881 VP CMG



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