Medical Administrative & Financial Management

Julie Martin

* ******* ****** ***** ********, NY 11565

Mobile 347-***-****

******.******@*****.***

PROFILE: Innovative, ambitious, highly disciplined, and versatile professional with admirable career achievements and success. Enthusiastic and able to achieve rapport with prospects easily. Good grasp of medical terminology, anatomy and physiology, systems and disease processes, as well as managed care, and the formulary system, and cost issues facing practitioners. Possesses excellent interpersonal communication, relationship management, and presentation skills.

WORK EXPERIENCE:

5/13- Present NORTH SHORE LIJ Health System – Center for Emergency Services, Syosset, NY 11791

Financial Services Supervisor

Responsible for all aspects of office accounting such as research and evaluation of ambulance charges, preparation of 3rd party bills for recovery of reimbursement.

High level preparation, posting and reviewing of work batches to ensure accuracy of accounts as well as explanation of variances.

Performs frequent word processing and various duties for department as assigned and required on an ongoing basis for senior level staff.

Enters and retrieves financial, administrative and patient information while maintaining a highly organized centralized file of books and records for reference purposes.

Arranges for medical records to be sent to appropriate destination and monitors entire process of open files from beginning to end.

Reviews daily work list and reports for action or payment and makes determinations on account status based on aging and amount for various medical insurance carriers as well as specializing in No Fault and Worker’s Compensation claims.

Managed performance evaluations on current employees through quality assurance audits by assessing completed actions on accounts to verify accuracy and internal process compliance, reporting productivity and critical errors to management through spreadsheets.

Properly training, developing and educating fellow employees.

Ensuring that all staff is compensated accordingly through payroll & updating staff schedules.

5/05- 12/10 ORTHOPAEDIC CARE OF L.I., Great Neck, NY 11021

Billing Supervisor

Assisted and worked closely with doctors on a daily basis to ensure smooth flow of daily operations and patient satisfaction as well as opened and closed office and organized front desk schedule.

Managed all outgoing claims to various insurance companies as well as any resubmissions and follow up when necessary. Highly knowledgeable on workers compensation as well as no-fault claims.

Maintained ongoing daily operations of front desk such as billing, diagnosis entry and data entry by using procedure codes and modifiers.

Monitored all accounts receivable functions – insurance collection calls, follow up on denials and any open balances and ensured accuracy of all expense balances.

Obtained pre-certifications, prior authorizations and referrals for labs, diagnostic tests, office visits, radiological tests and durable medical equipment.

Posted all co-pays, balances and deductibles as well as handled petty cash budget and deposited daily bank slips.

Maintained calendars, coordinated breakfast and lunch-ins with sales reps as well as handled a high volume 10-line phone system while checking in/out patients.

9/02 – 5/05 ALL ISLAND GASTROENTEROLOGY, Lynbrook, NY 11563

Assistant Manager

Performed diversified secretarial obligations and completion of job assignments related to healthcare services, assisting office managers with various responsibilities

Administered and scheduled office appointments, setting up new patient registration, manually updated patient history and medical charts

Processed correspondence and compiled information needed to complete all important medical documents pertaining to specialized procedures

Highly knowledgeable of pre-certification for all insurance companies, such as Oxford, Aetna, US Healthcare, PHS, PHCS, Vytra, Cigna, etc.

Monitored of internal activities, handling of incoming/outgoing mail, preparing agendas, answering multiple telephone lines and creating spreadsheets

Maintained inventory for entire facility, ordered office supplies and medical supplies for physicians

EDUCATION: York College St. John’s University

Queens, NY 11435 Queens, NY 11435

Graduated Jan 2011

Bachelor of Arts, Psychology

SKILLS: Proficient in Microsoft Word, Excel, Outlook, PowerPoint & Publisher 2012. Typing speed of 55WPM

REFERENCES AVAILABLE UPON REQUEST

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