Implementation Consultant, Office Manager, Billing Coordinator, Admin

K R IST I N E S. WH I T F I E L D

**** **** ****** ***** *****, AL 35004 - Cell: 205-***-**** – ***********@***.***

Experienced Implementations Consultant, Practice Management Office Manager

a nd Billing/Insurance Manager for software companies and medical practices.

E xpertise in administration, implementations, consulting, internal and external

communications, and able to multi-task in high pressure situations to meet

deadlines.

SU M MARY OF QUAL I F ICAT IONS

• More than 20 years working in the Healthcare industry.

• 13 years of this experience was Implementations and Consulting with several software

companies.

• Implemented, t rained and supported physician practices throughout the U.S. on practice

management software and electronic medical records.

• Determined and t rained the practices on the best way to use the systems to maximize their

revenue.

• Managed large practice accounts as well as solo practices in all specialties.

• Implemented a current practice from practice hosted UNIX based software to complete EMR

software on ASP.

• Coordinated all aspects of setting the practice up to go live with-in 3 months of starting the

I mplementation, including their training.

• Established and set up procedures and protocols for a new clinic.

• Set up all technical equipment, networked the system and loaded all software.

• Managed the office including finances, marketing, staff, patients, drug inventory/dispensing

and reporting to DEA and AL Department of Prescription medications (Class I I drugs).

• Maintained a complete EMR practice.

• Resolved any issues regarding staff or patients.

• Worked Inside Sales to support the Outside Field Sales Team.

• Generated leads and set up demos for the field representatives.

• Office Manager, Surgery Scheduling, claims filing/billing including collections, A/R, A/P, End of

Day/Month/Year financial reporting.

• 60 WPM using Microsoft Word and 9086 KSPH

TEC H N ICAL SK I L LS

P LATFOR MS AND TOOLS

• Softwa re: Health Fusion PM and EMR, e-MDs PM/EMR, Allscripts PM,/Enterprise, E-

Prescribe, Medisys, iVerify, iEligibility,WISDOM, ProMed, Medical Manager, Compudata,

M illbrook, Unisys, Cycare, Microsoft Office Suite, Dragon Voice Dictation, Intuition PM/EMR,

C rystal Reports, OptiShop, Info Unplugged, Info To Go, Care Revolution, MediNotes, iMedica

PRM and EMR, PeopleSoft, and WebEx, Lync.

• Operating Systems/Databases: W indows NT, XP, 95, 98, 2000, Vista, UNIX, ASP, AIX,

I DX, Oracle, SQL 7, Access, TCP/IP, VPN, PH, Thin Clients, Fat Clients, RDP, Turn Key and

H L-7 interface.

• Special Skills: CPT, ICD-9 and DSM IV coding, 10 key, typing 60 wpm using Microsoft Word.

C reating Power Point presentations, correspondence and documents. Travel

a rrangements/expenses. Extremely detailed, organized and work well independently or with

others with lit tle to no supervision. Marketing and contracting with other business and

i nsurance companies. Implementing and Training practices, t roubleshooting networks,

i nstallation of software, Managing a clinic, and knowledge of H IPAA requirements.

P ROFESSIONAL EXPER I E NCE

CONTRACT CONSULTANT POSI T IO NS

• Rousso Facial Plastic Surgery Dec 2014 – Present

• Practice Logic, LLC July – Dec 2011

• Rousso Facial Plastic Surgery Nov – Dec 2010

• The Informatics Group March – Aug. 2010

• Rousso Facial Plastic Surgery July – 2009

All the positions above consisted of:

• Implemented and trained the practice on the PM and EMR software on-site throughout the

U.S.

• Coordinating with companies involved in the process for Hardware, Networking, Vendors

for EDI

• Handled credentialing for the physicians for the Insurance Companies, Software and

Vendors

• Teaching staff different ways on improving their A/R and other methods to make the

p ractice run more efficiently

• Scheduled surgeries, obtained Insurance Benefits, Precerts, and Payments

• Spoke with patients regarding their financial responsibilities and had all financial

agreements signed

• Surgery orders filled out and sent to the appropriate Hospitals

• Created new surgery forms, and processes

• Handled the A/P for Practice Logic, LLC

• Created a manual for the staff with written instruction on how to manage their A/R

• Worked the A/R, corrected charges and refiled over $80,000 in 2 weeks. As a result of these

corrections, the office received multiple checks 2 weeks later for almost half the amount I

refilled. (Pertains to Rousso Facial Plastic Surgery)

• Installed and setup iVerify Eligibility (HL-7) Interface

• Handled software support issues related to my clients

• Using Web-Ex, Secure Link and RDP to access client databases

• Expense Reports, Client Reports and Time Sheets

• Support on ASP, PH, Thin Clients, Fat Client networks

• Setup Client Web portal to Allscripts for on-line support

• Implemented the setup of McKesson for EDI billing

Clinic Anywhere June 2014-Dec. 2014

Account Manager R emote/B’ham,

AL

• Managed 13 different practices throughout the U.S.

• Reviewed and corrected any coding issues regarding the specialty.

• Entered charges when needed for all practices.

• Posted Manual and ERA payments for all 13 practices.

• Worked Denied, Rejected, Appealed and A/R on all claims for all practices.

• Conference calls weekly with other Account Managers, COO, CFO, RCM Manager

regarding clients.

• Conference calls weekly, some daily with Physicians and their Office Mangers on

issues that needed to be corrected on the practice side to stop errors.

• Filed electronic and hardcopy claims

• Spoke to patients regarding any issues they had with their accounts.

• Created spreadsheets for specific physicians who requested certain information to be

t racked.

• End of Month

• Replied to E-mails from the Physicians, Office Managers, and Billing Manager to

correct any issues that they had.

• Implemented 3 new practice groups and much more.

The Valletta Group Aug 2012-

A pril 2013

A/R Specialist – (Project for all of St. Vincent’s Hospitals)

B’ham, AL

• Worked specifically with the A/R for all surrounding St. Vincent’s Hospitals to clean

u p their old money dating back from 2011.

• Handled all of the Medicare and BCBS insurance as priority and then Medicaid and

t hird party insurance companies.

• Updated all accounts on Allscripts through St. Vincent’s ASP software and then

u pdated our own spreadsheet as to each patient’s account and activity.

• Created another spreadsheet for all daily activity and t ransactions that occurred

t hroughout the day.

• Made decisions on rebilling, appealing with the insurance companies or wri ting off

t he debt based on my discovery of the claims.

• Kept a running spreadsheet for all Office Managers with in the practices at St.

V incent’s for all missing remittance payments that were never posted to the patient’s

accounts.

• Corrected all errors having to do with validating claims, rejections from the first

edits within the software, EDI vendor and payer.

• Corrected all invalid coding, adding NDC numbers and prescription dosage for

claims.

• Refiled claims on-line with the Insurance Company or through the system.

• Spoke daily with customer service support representatives at all insurance

companies in question of problem claims if needed.

T r inity OB/GYN Jan-

July 2011

Surgery Coordinator and Billing Coordinator

B’ham, AL

• Schedule all surgeries for 6 providers

• Meet with all GYN surgery patients to schedule and discuss procedures to be

scheduled and performed. Check their benefits, collect surgery deposits, precert

p rocedures, obtain Referrals, and consent forms.

• Go over all Pre and Post-operative instructions for surgery.

• Fill out orders for each procedure and send to the hospital for all surgeries.

Coordinate surgeries with different representatives to attend certain surgical

p rocedures to bring in

and let the physician test out new equipment or supplies related to the procedures.

• Coordinate any surgeries that require another physician from another practice that

w ill perform a different operation at the same t ime with our physicians.

• Make sure each provider has an assistant surgeon scheduled if needed for certain

p rocedures.

• Schedule all c/sections and inductions for OB patients.

• Go over benefits, deposits if needed, orders for the hospital for Labor and Delivery.

• Go over procedures and give patients all pre and post op inst ructions.

• Enter all surgery charges for the physicians.

• Meet with every new OB patient that comes into our practice to get the EDC/EDD,

1st v isit date

Set them up for precertification, get all benefits, and have financial forms signed.

• I created all Pre and Post-Operative instructions for numerous surgical procedures.

(When I began they did not have any of these created to give to patients).

• Fill in as the Office Manager when she is out.

• Keep t rack of all new OB patients on a spread sheet to make sure they have been

p recerted, deposits paid and if they have delivered or t ransferred out of our practice

to another location.

• 60% of the practice is Medicaid; about 30% is BCBS and 10% of numerous other

companies.

• Enter all charges for patients that have t ransferred out of the practice for different

reasons.

• Review accounts with patients on their bills, refile claims, enter payments, makes

corrections

to any account with incorrect information, charges, payments, appeal letters, retro referrals

and more.

• Help all staff with any questions they have with patients, billing daily charges,

closing the day, etc.

Office Manager Jul-Dec 2009

Medi-Weightloss Clinics® - Brookwood Weightloss Clinic, L.L.C.

B’ham, AL

• Established and set up office procedures and protocols for a new Medi-Weightloss

C linic

• Requested and filed required paperwork for the physicians’ DEA License

• Completed all ini tial paperwork and sent in to the Corporate office and all effected

entities, (malpractice insurance, licenses, DEA, franchise contracts etc.)

• Setup all technical equipment (computers, printers, e-fax, credit card machine,

loaded all software, setup the network)

• In terviewed and hired all staff

• Trained staff on the software and office procedures

• Created the Office Procedure Manual

• Created Productivity Manual, Incident Manual

• Maintained and t rained staff on OSHA Manual

• Payroll, Time Off, Vacation for staff

• Setup the appointment scheduler and procedures

• End of Day, End of Month

• Prescription dispensing, and reporting electronically (Class 2 and 4 drugs)

• Marketing the practice – worked out deals and arrangements with ABC – Talk of

A labama, Commercials, Magazines, Hospital, PriceDoc.com and Gold’s Gym with

more pending.

• Consulted with patients on the program, gave vitamin injections, measured body fat

and weight analysis.

• Ordered all supplies, including supplements, prescription medicine, and injectable

medicines.

• Made sure staff was completing their daily work and meeting with them if errors

were found

• Meetings with Physicians and Administrator when needed

• Meeting with office staff to go over any updates or changes regarding the practice

Meeting with staff for any concerns regarding their work performance

• Entered charges, payments and medical records through our EMR

• I had the office completely using EMR and the office was completely paperless with

t he exception of the copies of the prescriptions being dispensed, however, they were

a lso filed electronically through the internet. (A DEA book had to be kept for audit

p urposes)

• Resolved any issues regarding patients or staff

A/R T rainer May-

Dec 2007

E HS, I nc. B’ham, AL

• Training Physicians and office staff on EHS practice management software

i ncluding electronic remit tances.

• Special Projects: C reating presentations for the clients and internal staff on

t raining materials/documents and new upgrades to the system.

• Application support on ASP and Turn Key

• Auditing an outsourcing company on their progress and work for electronic

remittances for clients that are contracted with the central business office.

1999- 2007

Cerner Physician Pr actice ( formerly / VitalWorks / I nfoCure

B’ham,(2003-2007) and Atlanta, GA (1999-2003)

- Solution Delivery Consultant – B i rmingham, and Atlanta

• Implementations of Intuition PM Software with the practices, from start to finish

w ith Practice Hosted and ASP including all phone and on-site t raining throughout

t he U.S.

• Application Support of Intuition PM, WISDOM and ProMed

• Training the Physicians and office staff on WISDOM, ProMed and Intuition PM

Software on the phone through Web-ex, on-site throughout the U.S and in classroom

environments.

• Training multiple modules that interface with Intuition PM, ProMed and WISDOM.

• Responsible for Scope Documents, Site Reports and all implementation

documentation.

• Implemented medical hardware and software throughout the U.S.

• Installed software on server(s) and workstations

• Setup Back-ups to auto run at specified dates/times

• Conducted tele-t raining sessions on updated software products

• Software Support of ProMed

• Extensive experience with Paradox, Access and SQL 7 databases

• Performed Quality Assurance control on new software applications

- I nside Sales Coordinator – V italWorks/InfoCure – A tlanta, GA

• Provide Inside Sales Support to the Field Sales Team

• Generate Leads and set demo appointments for assigned outside sales

representative

• Maintain prospect records in CIM

• Assist assigned field sales representatives in identifying and closing sales

• Ini tiate outbound calls to group practices within my market ter r i tory defined by the

company to identify new leads for the sales team

• Verify and Manage the marketing database of physician group practices

• Answer inbound sales and marketing inquiries

• Provide li terature for all lead generation ini tiatives

System Administrator/Accounts/Billing Representative/CBO 1997-

1999

Piedmont Women’s Health Group, A tlanta, GA

• Ensured the integrity of the practice computer system, including t roubleshooting

• Trained all new and existing employees on ProMed Software

• Maintained information system security, Posted all payments for five physicians,

daily close, balance A/R, end-of-month, end-of-year, insurance filing, collections, and

determined refunds.

• This was a group of 20 Physicians, 5 office locations and a CBO

• Weekly meetings with the President, COO, CFO to go over financials for all

physicians

E DUCAT ION:

Jefferson State College

Chattahoochee Technical

Herzing University – Diploma in Network Systems 2013

R eferences Upon Request

Contact this candidate