Insurance Management

Deborah Redding

** *** ***** ● Greenville, SC ***11● 864-***-****

Summary of Qualifications

• Excellent analytical, organizational and communication skills

• Proven ability to prioritize and handle multiple tasks in a challenging environment

• Enthusiastic contributor and supporter of team goals

• Detail oriented, hands on individual with a strong work ethic

• Proven listening skills with ability to make sound judgment through developing solutions

Employment Experience

Team Health/ St. Francis October 2014-Current

Practice Coordinator

• Responsible for management of 14 physicians by providing complete management oversight, direction and decision making for day to day operations of

practice with a focus on operational efficiencies

• Responsible for financial reporting for all Hospitalist Physicians located at St. Francis

• Access hospital information systems to procure patient demographic and insurance data to ensure correct billing

• Monthly collecting and tracking of key data for dashboards and GMS updates

• Scheduling of 14 Physicians within department and facilitating any changes needed

• Coordinate completion of all clinical documentation from physicians and proactively work with medical director to ensure complete documentation and

signatures.

• Administer monthly Team Health HM meeting and monthly provider meeting

Greenville Health System-Carolina’s Eye Care February 2005-August 2014

Practice Manager I

• Responsible for management of 8 employees by providing complete management oversight, direction and decision making for day to day operations of practice

with a focus on operational efficiencies

• Oversee daily operations of business office with ability to fill in as needed for registration and checkout roles

• Train staff on new procedures and protocols, maintain open position requisitions, prepare New Hire Packets and training

• Maintain policy and procedure manuals for practice and ensure compliance with all hazardous material regulations

• Manage and resolve complex employee relation issues and counsel staff in regards to HR issues

• Create and maintain monthly and yearly financial budgets and reports-Master Expense Summary, Manhours FTE Salary Report, Responsibility Report, Expense

Summary

• Process payroll weekly, process and maintain accurate attendance records and payroll reports.

• Create and maintain physician schedules in GE Centricity and ECW

• Assist in resolving account receivable issues such as rejections, charge corrections, billing edits, processing insurance claims and collections

• Oversee end of day balancing procedures and ensure deposits are correct and timely

• Attend workshops, seminars and courses to ensure knowledge of current policies and procedures are accurate and up to date

John Humeniuk M.D.-Dermatology September 2000-February

2005

PPS/Physician Assistant

• Responsible for Check In and Check Out of patients

• Maintaining balance of petty cash and end of day procedures

• Maintain accurate registration and insurance information on all patients

• Scheduling of office visits and procedures

• Charge entry and patient billing

• Daily posting of insurance payments and submission of primary and secondary claims

• Correction of insurance claims and filing appeals in order to receive proper payment from insurance companies

• Assist Physician on daily basis

Skills Summary

• Microsoft Word, Excel, PowerPoint, Outlook

• Misys Tiger, Misys PM, GE Centricity, Sorian, Sovera, ECW, Audit Logic, Kronos, Informatics, Epic, Tangier, Ingenious Med

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