Manager Front Office

Location:

Texarkana, TX

Salary:

60,000

Posted:

July 05, 2019

Contact this candidate

Resume:

K E N N I E S M I T H

* * * . * * * . * * * *

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

C O N T A C T

E X P E R I E N C E

University of Arkansas for Medical Sciences

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

Little Rock, Arkansas 72205

501-***-**** (Human Resources)

Supervisor: Frances Cheatham, HBS Associate Director Medicare/Medicare Managed Care Billing Manager,

June 2017 to present

Responsible for the billing and collection of the

Medicare/Medicare Managed Care portion of the

accounts receivable. Personally responsible for all accounts with charges greater than $100,000.

Responsible for oversight of denials and underpayments on the Medicare/Medicare Managed Care receivables. Responsible for the oversight of collection activities of any extended business office vendor, who has a portion of the Medicare/Medicare Managed Care receivable.

Ensures that no accounts require write off for HBS- responsible denials. Monitor receivables using

management reports designed for this need. Identifies potential issues prospectively and works with Associate Director to develop risk mitigation plans. Work with Associate Director on a monthly basis to develop cash goals for the upcoming month and develop action plans to meet those goals. Responsible for communicating those goals each month to staff, along with the action plan to meet these goals. Responsible for staff assigned to the Medicare/Medicare Managed Care unit.

Responsible for scheduling staff in accordance with HBS and UAMS guidelines. Participate in recruitment of staff and on-boarding. Responsible for all training related to process and regulations, related to the payers assigned to the Medicare unit. Responsible for ongoing, remedial and cross-training of all assigned staff. Responsible for monitoring productivity and quality of staff

performance on a weekly basis, using reports developed for this purpose and random sampling. Work with

Associate Director to develop improvement plans, as needed, in accordance with HBS and UAMS policy.

Surgical Clinic of Central Arkansas-Heber Springs

Office

9500 Kanis Road, Suite 501

Little Rock, Arkansas 72205

501-***-****

Supervisor: Dan Lister, MD

Human Resources contact: Donna Garner

Clinic Manager, July 2009 to November 2011

Responsible for day-to-day operations of a satellite office as a liaison to the corporate office in Little Rock. Responsible for employee management, verification of insurance,

precertification of surgical procedures. Responsible for working insurance denials and requests as directed from Little Rock office. Responsible for accounts payable and daily bank deposits. Benny Green, Md

14309 Cantrell Road, Suite 7

Little Rock, Arkansas 72223

501-***-****

Supervisor: Cristy Bryant, Clinic Manager

Billing Manager, November 2011 to June 2017

Responsible for overseeing the day-to-day functions of a medical billing office. Responsible for posting clinic, nursing home, and hospital charges. Responsible for insurance EFT payments, insurance mail payments, and patient payments. Responsible for accounts receivable management and timely filing guidelines as instructed by all payors. Responsible for credentialing with insurance payors and keeping information updated as requested. Responsible for working all rejection reports and claim errors. Responsible for training the billing staff in job functions. Responsible for keeping billing staff updated in CMS changes, coding guidelines, and training in ICD 10, CPT, and HCPCS updates. Responsible for all Medicaid Extension of Benefits. Responsible for all Medicaid referrals. Responsible for precertification and outpatient procedure scheduling. Responsible for scheduling specialty consults. Responsible for patient accounts and patient billing calls. Responsible for bankruptcy processing. Responsible for maintaining compliance with CMS records requests and audits. Responsible for insurance verification. Responsible for communications with front office regarding patient balances and updates in patient insurance changes. Responsible for providing end of month financials to Clinic Manager and Physician. Responsible for maintaining meaningful Use/EHR compliance. Responsible for chart auditing and medical documentation guidelines.

Charles Carttar, MD

11321 Interstate 30, Suite 200

Little Rock, Arkansas 72209

THIS CLINIC MERGED WITH THE ABOVE BENNY GREEN, MD

January 2006

Clinic Manager, February 1998 to January 2006 (merged with Benny Green, MD)

Responsible for overseeing the day-to-day operations of a medical clinic. Responsible for all aspects of

human resource management including benefits package negotiations, employee hiring, termination, yearly evaluations, complying with government agencies, including OSHA, CLIA, DEA, and Wage and Labor. Responsible for all vendor negotiations. Responsible for all employee management including training front office, billing office, and nursing staff. Responsible for physician call schedule, physician recruitment and physician credentialing. Responsible for financial management of the clinic including accounts payable. Responsible for end of month operations and providing accountant with all financial reports and information. Responsible for charge posting, payment posting, accounts receivable management. Responsible for insurance credentialing. Responsible for patient accounts, patient collections, and patient billing calls. Served as HIPAA Officer, Risk Management Officer, and OSHA officer..

Benny Green, Md

14309 Cantrell Road, Suite 7

Little Rock, Arkansas 72223

501-***-****

Supervisor: Sherry Morshedi, Clinic Manager

Billing Specialist, January 2006 to August 2007

Responsible for posting clinic and nursing home charges. Responsible for posting insurance and patient payments. Responsible for verification of benefits. Responsible for accounts receivable management. Responsible for patient accounts and patient billing questions.

Guy Perkins High School

492 Highway 25 North

Guy, Arkansas 72061

501-***-****

Distance Learning Center Facilitator, August 2007 to June 2009

Responsible for classroom management of high school students in a satellite setting.

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