Healthcare Manager

SAJAL PATEL ***** Turfway Park

******@*****.*** Yorba Linda, CA 92886

Cell 510-***-****

SUMMARY OF QUALIFICATIONS:

- Excellent communications and organizational skills.

- Self-motivated and detail-oriented.

- Work well independently and as a team player.

- Skilled in administrative and office procedures.

- Competent with computers and numerous software applications.

EMPLOYMENT:

TEARSE EYE CENTER

04/10 -6/11

* Medical Biller-part-time/Office Manager

Working monthly AR and AP accounts

Rebilling problem accounts electronically

Auditing claims report from computer EDI module

Verifying claims online with insurance carrier

Over seeing of 2 employees

Implemented several office forms and updated HR policy

Organized billing and office management office for smooth daily

operations

Maintain vendor contacts both office related issues and insurance

problems

Daily admin duties (typing, filing, mailing, copying, etc)

Prepared other doctors monthly report with income calculation

Distribution of any HR material and bi-weekly checks

Renewal of medical/dental employee insurance

Renewal of doctors credentialing

Hiring of front desk employees

Extensive knowledge with ICD-9/CPT codes

Knowledge of medical insurances: HMO's, PPO's,

Medicare and Medi-cal

Analyzing daily patient flow for feedback

Utilize MS Word 2000, MS Excel, Word, Quicken, and Outlook

EYECARE ASSOCIATES OF SAN FRANCISCO A MEDICAL GROUP

03/07 - 11/08

* Medical Biller-part-time

Working monthly AR and AP accounts

Rebilling problem accounts electronically

Auditing claims report from computer EDI module

Verifying claims online with insurance carrier

Creating excel reports for primary biller

WERNER W JU, MD-DERMATOLOGY

06/05 - 11/06

* Medical Biller/Admin Asst

- Restructure/Organization of office to computerized system

- Training of front desk employee at satellite office

- Daily billing operation, processing HFCA's via paper &

electronic

- Auditing claims from EDI generated reports & day end closing

reports daily

- Working monthly AR daily/calling insurance carriers

- Monthly Collections process & Monthly set-up for Patient

Statement Run

- Reviewing of all EOB's from incoming mail as well as billing of

all 2nd insurances

- Back-up coverage for both locations "front desk" & posting of

charges and payments

- Experience and Knowledge in CPT/ICD-9 codes

- Knowledge of various medical insurances: HMO, PPO, and Medicare

- Trouble-shooting all computer issues

EYECARE ASSOCIATES OF SAN FRANCISCO A MEDICAL GROUP

* Front Office Administrator/Asst to Office Manger

05/96 - 12/00

* Office Manager/Medical Biller

12/00 - 1/05

- Manage 9 employees, 2 MDs in two locations

- Update doctor schedules daily including surgery schedule

- Hiring of all employees, including doctors, technicians, and

medical biller

- Credentialing process for both MD's and OD's insurances and

hospital privileges

- Coordinate office workflow daily (phones, patient assistance,

scheduling, posting of payments, charges daily, ordering of office

supplies, recall notices, obtaining referrals & authorizations)

- Experience and knowledge in CPT/ICD codes

- Knowledge of medical insurances: HMO's, PPO's, Medicare and Medi-

cal

- Assisted in computer conversion for billing/scheduling

software's

- Utilize MS Word 2000, MS Excel, WordPerfect, Quicken, and

Outlook

- Conducted staff meetings monthly

- Assisted in Optical area and back office when necessary

- Restructure/revision of 80% of all office forms

- Marketing skills to promote business volume (design of yellow pages,

Jewish community paper and assistant to designer for office newsletter

and brochure)

- LASIK Financing (vision fee plan)

- Organization of both office locations from start

- Month-end reports presented on Excel Spreadsheet

- Budgeting (yearly) with bookkeeper & doctor

EDUCATION:

- MEDICAL SEMINARS OPHTHALMOLOGY

1996 to 2005

Credits/Certifications

- INTERNATIONAL CORRESPONDING INSTITUTION

February 1998

Degree of Certificate: Medical Office Management

- RIVERSIDE COMMUNITY COLLEGE

November 1995

Associates of Science

REFERENCES/RECOMMENDATION LETTER: Available upon request

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