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Manager Medical Billing

Location:
Georgia
Posted:
March 20, 2015

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Resume:

LISA POWELL, MBA, CMC

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

Houston, Texas 77075

832-***-**** **********@********.***

PROFESSIONAL PROFILE

An efficient leader and MBA graduate with a passion and commitment for business that makes a positive difference in

business operations. I have a personal and professional commitment in attaining set goals, standards, practices and

good collaborative practice. Your company would gain a well-developed manager with a sound financial background

with a compelling desire to learn and grow.

ACHIEVEMENTS:

• Designed and implemented restructuring of staff and workflow that improved financial performance 50%.

• Developed project plans, monitored scheduling, coordinated all quality review checks, and identified resolution of

system problems and issues margining two Pracetice Management Systems that improved productivity 35% in

administrative and clinic functions.

• Developed, planned, and implemented a Medical Billing/Coding Program that improved financial performance 25%.

• Created and implemented a revenue cycle in collections that increased profits 50%.

PROFESSIONAL EXPERIENCE

Practice Administrator –Orthopedic Care Center, Houston, TX 2012-Present

Lead the day-to-day operations and staff of eight in an orthopedic practice with a primary responsibility of operational and

financial performance. Monitored, evaluated, recommended changes ensuring ongoing compliance with all Federal, State, and

Local laws pertaining to operational policies, procedures, and training programs to enhance fiscal performance. Managed,

coordinated and performed all aspects of company payroll, benefit administration, 401k contributions and end-of-year reporting.

Reviewed financial reports, performed end-of-month bank reconciliation, and deposited bank deposits. Overseen all aspects of

A/P, A/R, and purchasing. Assisted outside tax firm in preparation of financial statements and annual tax filing. Interviewed,

hired, counseled, and disciplined staff. Coordinated facility staffing on a daily basis based on budgetary, patient flow, employee

illness, and other relevant factors. Provided guidance to managers in recruiting, hiring, training and development, and resolution

in patient issues. Directed all aspects of physician and clinical staff credentialing/licensure ensuring proper completion and

submission of forms and applications. Completed and updated on line CAQH credentialing applications, tracked submissions,

and verified payer receipt. Monitored marketplace trends and gathered competitive information for marketing representative.

Lead and assisted billing department with proper coding, charge captures and maximize reimbursement, contacted appropriate

payers to expedite payments and resolve patient billing issues.

Coordinator of Surgery Business Operations – Henry Ford Hospital, Detroit, MI 2011

Coordinated the daily business operations and lead a staff in an outpatient surgery center. Responsible for OR case scheduling,

created templates for surgeon’s boarding times, accepted, boarded, and confirmed surgery requests from surgeon’s offices.

Coordinated CRNA and volunteer’s schedule per case needs in a cost-effective manager. Identified scheduling problem with

personnel, instruments, equipment such a C-arms and lasers. Ensured new procedures and inventory items are entered in

computer system ICD-9/CPT/HCPS codes. Convened periodic meetings as appropriate to disseminate information and identify

process improvements. Cross trained personnel for coverage of critical functions. Coordinated self-pay cases and patient billing

of involved parties. Notified OR Manager of special needs<, requests, and changes. Provided intraocular, cataract, and

orthopedic surgery lists to appropriate personnel. Maintained implant and surgery case log and monthly reports. Coordinated

residents and instrument representative for surgery observation. Assisted with pre-op appointments for patients and

communicated add-ons to PACU Clinical Coordinator.

Practice Administrator – Lone Star Orthopedics, Houston, TX 2008-2010

Lead the day-to-day operations and staff of 11 in an orthopedic practice with a primary responsibility of Operational and financial

performance. Monitored, evaluated, recommended changes ensuring ongoing compliance with all Federal, State, and Local laws

pertaining to operational policies, procedures, and training programs to enhance fiscal performance. Managed, coordinated and

performed all aspects of company payroll, benefit administration, 401k contributions and end-of-year reporting. Reviewed

financial reports, performed end-of-month bank reconciliation, and deposited bank deposits. Overseen all aspects of A/P, A/R,

and purchasing. Assisted outside tax firm in preparation of financial statements and annual tax filing. Interviewed, hired,

counseled, and disciplined staff. Coordinated facility staffing on a daily basis based on budgetary, patient flow, employee illness,

and other relevant factors. Provided guidance to managers in recruiting, hiring, training and development, and resolution in

patient issues. Directed all aspects of physician and clinical staff credentialing/licensure ensuring proper completion and

submission of forms and applications. Completed and updated on line CAQH credentialing applications, tracked submissions,

and verified payer receipt. Monitored marketplace trends and gathered competitive information for marketing representative.

Lead and assisted billing department with proper coding, charge captures and maximize reimbursement, contacted appropriate

payers to expedite payments and resolve patient billing issues.

Manager – Silverado Senior Living, Houston TX 2006-2007

Lead th3 activities of business office and operations of Human Resource Department. Lead and assisted a team of four

Administrative Assistants and indirectly leave 104 CAN’s, assisted Administrator and Director of Nursing in planning, staffing,

and coordination of activities as they pertained to corporate goa.ls, strategies, and objective. Monitored, evaluated, recommended

changes ensuring ongoing compliance with all Federal, State, and Local laws pertaining to operational policies, procedures, and

training programs to enhance fiscal performance. Managed and maintained company payroll of 140 employees computing wage

and overtime payments, calculating and recoding payroll deductions, processing terminations, payroll report for accuracy and

completeness, processed bonus payments, tax reports, management reports, and resolved all system issues with outside payroll

vendor. Reviewed and uploaded 401K records and benefit reports, overseen annual enrollment with health benefits and 401K,

and resolved discrepancies with premiums and contributions. Direct oversight of personnel files, recruiting, new hire

orientations, training, and development of all support staff. Coordinated facility staffing on a daily basis based on patient flow,

employee illness and other relevant factors. Gather information of daily census information and prepared reports for corporate

office. Prepared departmental budget and assisted in company staff meetings on a monthly basis.

Instructor – MTI School of Business, Houston. TX 2003-2005

Instructor of morning and evening classes in an Associate Degree Program in Medical Office Specialist and Certificate Program

of Billing/Coding. Classes encompassed Medical Terminology, Anatomy & Physiology, ICD-9, and CPT Coding, Insurance,

English, Basic Accounting, Transcription, Ethics, and Med iSOFT software. Recorded student grades, attendance, and reviewed

textbooks for curriculum. Proctor for NCRA examination. Facilitated recruiting and trained new instructors for programs.

EDUCATION

Master of Business Administration – 2007

University Of Phoenix, Houston TX

Bachelor of Science in Business Management – 2006

University of Phoenix, Houston, TX

Certified Medical Billing and Coding – 2013

Practice Management Institute

INTELLECTUAL DEVELOPMENT:

• Refresher Courses in Medical Billing and Coding: ICD-10, E&M Coding, Payments/Recoupments< and Chart

Auditing.

Emotional Intelligence and Leadership: Principal Project Engineer 2008-2015

• Tricks of the Trade Orthopedic Coding: Texas Orthopedic Association 2009

• Payroll Law, OSHA, and Employment Law: Fred Pryor Seminars 2010

PRESENTATIONS/PUBLICATIONS:

• Powell, L. (October 3002 – Present) Building a Practice and Reimbursement. Texas

• Powell, L. (June 2008 – Present) Cultural Diversity.

• Powell, L. (June 2008). Policy and Procedure Manual. Lone Star Orthopedics and Orthopedic Care Center

AWARDS AND HONORS: The National Deans; List 2004-2007

AFFILICATIONS/MEMBERSHIPS: 2006-Present - University of Phoenix Alumni

MILITARY SERVICE: 1980 – 1989 United States Army



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