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Medical Assistant Insurance

Location:
Boca Raton, FL
Posted:
December 09, 2013

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Resume:

SUZANNE M. GAFFNEY

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

Hamburg, NJ 07419

973-***-**** / 973-***-****

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

HEALTHCARE ADMINISTRATION

Experienced healthcare office management professional with a proven track record in developing programs and

practices to enhance efficiency and accuracy, while driving successful communication between patients,

providers, and insurance companies. Adept in handling phone communications and scheduling as well as

encouraging integration and collaboration between organizational departments. Seeking a new role within a

healthcare organization to apply superior collaboration and organizational aptitudes along with in-depth

industry knowledge.

PROFESSIONAL EXPERIENCE

Patient Billing Advocate, Hamburg, NJ 2013 to Present

Owner

Patient advocate in communication with medical billing companies to manage billing disputes or discrepancies,

establishing payment plan options if necessary.

The Orthopedic Institute of New Jersey, Hackettstown, NJ 2006 to 2013

Manager of Orthopedics (2009 – 2013)

Managed office operations in support of company COO, running daily function of 12 office locations across New

Jersey and Pennsylvania. Participated in weekly Leadership Meetings, developing practice integration between all

organizational departments. Served as Surgical Scheduler for three practice partners, booking up to 30 surgeries per

week, and teamed with four practice Managing Partners.

Key Accomplishments:

• Achieved promotion following startup organization growth from one physician and four employees to 14

physicians, 70 employees, and 12 offices.

• Collaborated on implementation of government incentive programs, meaningful use, electronic prescribing

incentive program and Physician Quality Reporting System.

• Supported company integration of two divisions.

• Championed implementation of electronic medical records to enhance efficiency and organization.

• Enhanced patient engagement through “Patient Portal”, allowing for management of their own healthcare.

Workers Compensation & Disability Coordinator (2006 – 2009)

Collaborated with insurance adjusters, nurse case managers, employers, and physicians to ensure continuity of care

with workers compensation patients within clinical and non-clinical environments. Led Medicare credentialing for

all physicians and commercial insurance companies. Maintained updated Council for Affordable Quality

Healthcare status. Liaised with OR and bio-medical representatives regarding purchasing of surgical

instrumentation. Coordinated disability benefits for patients needing NJ State Disability, Family Leave Act, or

private disability insurance.

Key Accomplishments:

• Selected as “right-hand” person to administrator in daily operation of 12 office locations.

Skyview Orthopedics, McAfee, NJ 2002 to 2005

Certified Medical Assistant & Workers Compensation Coordinator

Handled various office needs including scheduling, telephone communications, supply purchasing, and inventory

control. Financial accountability for insurance billings and collections. Ensured acquisition of pre-admission testing

prior to scheduling patients for surgery. Liaised with insurance adjusters or nurse case managers regarding worker’s

compensation patients.

EDUCATION

Certificate: Medical Assistant, Star Technical Institute, Middletown, PA (4.0 GPA, 1997)



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