Manager Medical
Resume:
**** *. **** ***** . *** Lawn, Illinois, *****
Phone . 708-***-**** . Cell . 708-***-****
E-mail . *********@*****.***
OBJECTIVE
Seeking a position where I can apply my extensive billing and coding
experience. I am highly organized with a strong work ethic and determined
to complete tasks in an accurate and timely manner. I want to broaden my
coding skills and extensive knowledge of third party payers, Medicare and
managed care plans.
SKILLS
. Over 20 years experience in Medical Billing and Coding
. Certified Professional Coder, AAPC
. Familiar with new ICD-10 regulations
. CPT, ICD-9, HCPCS Level II coding with modifiers
. Complex problem solving
. Strong communication skills
. Excellent time management skills
. Knowledge of eClinical Works, Medical Manager, RealMed and Navicure
. Proficient in Microsoft Word,
Excel and Outlook
PROFESSIONAL EXPERIENCE
Northwestern Internists, Ltd - Chicago, Illinois
. Billing Manager, April 1996 - present
o Ensure proper coding, billing, and payment posting for
prosperous internal medicine practice
o Maintain account receivables in abundance of five-six million
dollars over the span of 45 days
o Expert at the claims process, from claims creation, insurance
follow up to patient billing
o Manage and verify all health insurance plans paid for services
at the correct contract rates
o Effectively teach patients about insurance policies and
procedures, office financial policies and extended payment
arrangements
o Negotiated contract with new collection agency and prepared
accounts to be sent to the agency
Cardiovascular Surgical Associates, P.C. - Chicago, Illinois
. Billing Manager, 1995-1996
o Analyzed accounts receivable resulting in an increased income of
one million dollars in relation to previous year
o Established new procedure for account collections
o Coordinated the purchase and implementation of a new practice
management computer system
o Abstracted information from operative reports to prepare claims
for submission to insurance plans
University Neurologists, Rush-Presbyterian-St. Luke's Medical Center -
Chicago, Illinois
. Senior Financial Representative, 1993-1995
o Successfully converted and audited Rush Alzheimer's Disease
Center computerized billing system
o Collected overdue accounts from patients and insurance
companies, increasing practice income by $6,000 monthly and
reducing the total accounts receivable
o Analyzed the financial status of all accounts payable by the
Muscular Dystrophy Association, totaling $86,000, coordinated
the complete overhaul of all accounts
o Managed all business office billing functions for the Rush
Alzheimer's Disease Center and the Rush Neuroscience Institute
on a daily basis
o Conducted financial interview with patients at the time of
service, verifying all appropriate information and maintaining
the demographic database
Pediatric Medical Service Plan, Rush-Presbyterian-St. Luke's Medical Center
- Chicago, Illinois
. Collection Account Coordinator, 1991-1993
o Composed letters of appeal to insurance carriers and patient
collection letters; successfully gained additional reimbursement
for complex medical services
o Negotiated with HMO companies and Independent Physician
Associations for payment on patient accounts, gaining
reimbursement faster and more efficiently
o Designed and implemented a new financial filing system,
improving the method for locating information quickly and easily
Rush Medical Staff Office, Rush-Presbyterian-St. Luke's Medical Center -
Chicago, Illinois
. Secretary III, 1989-1991
o Coordinated the establishment of a computerized physician
referral service, gathering physician information and building
the database
o Maintained the computerized physician files, personal files and
updated the medical staff directory
o Provided internal communications support for hospital employees
and outside agencies
EDUCATION
Bachelor of Arts in French Commercial Studies
University of Illinois, Champaign/Urbana, IL
1992
Universite de Paris
Paris, France
REFERENCES
Available upon Request
Contact this candidate