Manager Medical
Resume:
Charlene Aviles
Belford, NJ 07718
**********@*****.***
Objective
To secure a medical office billing position within a facility that enables me to utilize my diverse skills and continue to grow.
Professional Profile
Highly effective medical office manager with over 16-years of successfully managing the daily operations of a
demanding cardiologist practice
Energetic professional with exceptional interpersonal, communication and patient relationship building skills
Well qualified manager with versatile skills including, medical billing, receivable, patient and employee scheduling,
data management, generating patient reports and performing ECG’s and Holters
Strengths in training of EMR and practice management systems
Proficient in both Intergry, Intergry EHR, Meridian Portal, Navinet, Medicare part A and B, and Medicaid guidelines
Proficient in primary, secondary and tertiary billing
In depth Knowledge of ICD-9 coding Outpatient/Regulations, CPT-4 and Inpatient Facility Coding
Microsoft and Excel
Employment History
Shore Heart Group, Hazlet, NJ
Office Manager (7/1998-9/2014)
Manages a cardiologist office staff of six employees
Trains all new employees on office procedures, medical billing, HIPPA requirements and OSHA regulations
Prepares weekly employee schedule to ensure proper office coverage
Ensures HIPPA requirements and OSHA regulations are being followed by employees
Maintains medical provider’s state, CDL and medical malpractice licenses
Acts as advocate and handles incoming patient dissatisfaction concerns to ensure maximum resolution
Schedules office visits and procedures
Codes office, hospital and outpatient procedures
Proves daily reconciliation sheets of 4 to 8 thousand dollars daily
Posts incoming medical payments with adjustments for primary, secondary and tertiary insurance
Transmits to insurance carriers via WebMD patient medical claims
Investigates rejected claims to see why denial was issued
Generates daily, weekly, monthly and yearly reports of accounts receivables
Produces monthly patient statements and collection notifications
Deposits daily incoming cash flow
Verifies eligibility, authorizations, referrals and claims through Navinet
Educates patients on insurance deductibles, co-pays, co-insurances and medication tiers
Provides insurance carriers with clinical information to obtain authorization for procedures and medications
Negotiates costs with outside facilities to perform radiology procedures
A & A Physical Therapy, Parlin, NJ
Billing Manager (6/1993-7/1998)
Billed occupational, physical and speech therapy sessions for office and hospital patients
Post incoming medical payments with adjustments for primary, secondary and tertiary insurance
Generated daily, weekly, monthly and yearly reports of accounts receivables
Prepared patient statements and insurance collection notifications
Verified eligibility, authorizations and claims
Scheduled office consults and therapy sessions
Answered all incoming calls
Beachview Nursing Home, Keansburg, NJ
Certified Nursing Assistant (1991-1993)
Answered patients’ call signals
Assisted patients with daily hygiene
Measured and recorded food and liquid intake
Observed patients’ vitals
Reported patient health concerns
Provided walking, exercising and moving in and out of bed support
Prepared patients for doctor visits
Education: Keansburg High School-Diploma
References and letter of recommendation available upon request
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