Customer Service Medical

*** ********** ****. • LAKE WORTH, FLORIDA *****

PHONE 561-***-**** • E-MAIL ************@*****.***

SUSAN ANASTAY

OBJECTIVE

Seeking a full time position where my education, experience, and successful, accomplishments as a Medical Practice Administrator, and Human Resource Director to a Health Care Facility, would be of value to your Association

WORK EXPERIENCE

2014-2015 Administrator Vernisages De France

Managed International Art and Antiques Business with offices in Avignon,

Paris, and Palm Beach. Daily responsibilities with auction houses, vendors,

movers, custom agents, travel arrangements, buyer and seller negotiations,

the press and magazine articles, decorators, and architects. All accounting.

payroll, AR/AP, invoicing, and appraising.

2013-2014 Insurance Specialist

National Pain Institute/A Prospira PainCare Center of Excellence

Responsibilities include daily verification of all Patient insurances, set up accounts,

identify any and all restrictions for DME, surgical procedures, injections, and other

specialties and sub-specialties. Separate HMO, PPO, POS, EPO, FFE. Medicare

Replacement policies and document all files with proper documentation while

maintaining HIPAA compliance regulations and confidentiality. Obtain Prior-

Authorizations from Insurance companies or PCP physicians to assure proper payment for all in office and ASC surgical procedures. Complete and correct all ICD and CPT coding to assure correct and maximum payment from all payers. Compile and Assemble any and all documentation for Physicians to warrant Certificate of Medical Necessity, and Medical Statement of Warranty for Patients.

Ensure all accounts are documents and collected with deductibles, co-insurance, and copayments daily

2012-2013 Practice Manager

Lincare Pulmonary Rehab Facility

Supervised several Pulmonary Rehab facilities with its daily work and business effectively. Ensured Compliance, OSHA, Fire Safety, and Medicare Guidelines throughout practice. Hiring, training, and supervision of personnel. A full accounting of daily billing, scheduling, insurance, billing, coding, collections, and medical records. Also performed EKG, Vitals, and Respiratory Therapy for patients. Ensured superior customer service at all times.

2005-2012 Practice Manager

Abbey Knox, MA, LMHC, NCC

Managed and prepared all scheduling, insurance verification, and Managed

Care Referrals. EAP Reimbursements, Marketing, Community projects and

Presentations. Maintenance of all credentialing and licensure, as well as a

Highly Secure Medical Record Protocol. Responsible for Financial Deposit

As well as all Profit/Loss Reporting. Assist in levels in Patient Care in

Preparing for Group and Individual Sessions.

1999-2005 Director of Operations

Private Medical Consultant, Inc.

Consulting service for Physicians offices/ facilities to streamline policies and procedures, and improve overall work performance. Trouble-shoot situations with poor or weak accounts receivable, insurance billing, and timely collection procedures. Held seminars for employee morale, Team goal peak performance, OSHA, TJC Compliance, and MSDS policies. Provided innovative project expansions, and overview for Medicare and Insurance review audits.

1996-1999 Office Director

Holy Cross Medical Group/dba Holy Cross Hospital

Office Manager for multiple physicians Internal Medicine Group. Responsibilities included coordinating all schedules, meetings, and trainings. To oversee all functions of the office in compliance with city and county codes, fire regulations, OSHA, and TJC Compliance standards. Establish and follow policies and procedures keeping all legal issues in direct context. To educate patients concerning preventative healthcare, along with prescriptions, and plans of treatment. To ensure all Insurance contracts are kept up to date, and prescription formularies are met and done in a timely manner. To work in a positive and professional demeanor, to ensure confidence in the staff and patient quality care at all times. To prepare and assess the annual budget concerning labor cost, medical and office supplies, maintenance, and repair costs. To prepare and assess employee performance reviews, as well as develop employee skills to promote employee high morale

Prior Employment-

Larkin General Hospital 1989-1990 Director of Human Resources

(262 Bed Facility)

Loyola Federal Savings and Loan 1981-1987 Branch Office Supervisor

EDUCATION

1981-1986 National Financial Institute Baltimore, MD.

Associates Degree

Major in Business Administration, Accounting, Financial Law, and Human Resources.

Bachelors Degree

1986-1989 University of Maryland Baltimore, MD.

Major in Healthcare Admin, Human Resources, Accting.

REFERENCES

Mrs. Connie Hurt- VP Operations Lincare- 606-***-****

Rebecca Kline-Owner Studio 100 561-***-****

Martin Simmons-Dir of Operations-Hilton Garden Inn 904-***-****

Abby Knox-MA, LMHC, NCC- 813-***-****

Linda Perkins Cook-V.P. Oper. Holy Cross Medical Group 954-***-****

Dr. Joe Rodriguez, M.D.P.A. 954-***-****

(Letters Available for Perusal upon Request)

VOLUNTEER EXPERIENCE

Directed United Way Campaign, Chairperson Red Cross Committee Co-Chairperson Fire-Safety Committee, Chamber of Commerce, and Safe Haven for Children for 11 years. HIV Counselor for 15 years for adults and Teens. Youth Ministry for 20 years. Adopt-A-Pet. Feed the Elderly of Broward County (Created program along with E.I.Lilly to donate Ensure to malnourished elderly of Broward County)

LANGUAGES

Fluent in French, Can communicate /understand Spanish (lived in Venezuela 3 years.)

Additional Skills-

Microsoft Word, QuickBooks, Excel, POS, Payroll Systems, Workers Comp., LTD, STD, Employee Hiring, Benefits, Training, Mediation, Counseling, and Terminations Procedures. All Human Resource and Administrative Management knowledge and experience. (Including Unemployment, Discrimination, and Harassments)

Experience with Implementation of New Planning and Development, Physician Liaison as well as Multi-Physician Office Experience. Well versed in development of staff to achieve superior client service, as well as positive team excellence.

Capable of running Front office and Back office within all OSHA, JCAHO, and HIPAA required regulation statues.

ICD-9 Coding, CPT Coding, Posting and Denials, Insurance Verifications, Referrals, Knowledge of Medicare, Medicaid, and all Managed Care Programs for Reimbursement. Meaningful Use, PQRS Requirements and Regulations.Medicare ACO Requirements.

Allegiance MD, Veracity, Athena, Eclinical, and various other Medical Programming, Misys, and Tiger Systems. QuickBooks Pro and Premium, MS Word, Excel, Outlook, and A-Weber, Availity.

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