Medical Manager
Resume:
Marlene Shemtob
* ****** ****, *******, *** York 10710
**********@*****.***
Over ten years’ experience in multi-specialty medical practices; clinical assisting, accounts receivable, accounts payable, billing/collection, supervision, and training of personnel, as well as over three years teaching Medical Administrative and Clinical Assistant, Medical Billing/Coding, Collections and Medical Office Administration courses.
Medical Practice Management
Oversee the day-to-day facilities operation; supervised and monitored employees work productivity, managed accounts payable and receivable while providing Clinical Assistance to the physicians and patients.
Clinical Assisting:
Charting, Vital signs, Phlebotomy, Spirometry, Bio Z, EKG, Holter Monitor Testing, scanning
results, Doppler testing, Urinalysis, Microbiology and patient education
Managed, audited and reconciled account receivables based on aging for implementation of effective action.
Managed accounts payable, payroll and supplies.
Interviewed, hired, trained, monitored, and evaluated employee's performance.
Employees training:
Clinical assisting; OSHA, charting, vital signs, phlebotomy and EKG.
Front desk administration; customer service, telephone reception, appointment scheduling, registration, insurance verification (internet and telephone), pre-certification, pre-authorization patient interviewing techniques, HIPAA Privacy Rules and Security
Computerized billing programs (Medical Manager, MD Base) and Microsoft (Word, and Outlook)
Coding, billing and collections processes/procedures.
Provided patient retention services (re-established relationships with dissatisfied patients)
ICD-9-CM, CPT and HCPCS Coding
Increased revenue by ensuring proper utilization of the standardized coding systems audited by abstracting medical records' documentation substantiating the medical necessity of services/procedures provided.
Billing and Collections
Handled multi-specialty practices’ multi-million dollars accounts receivable, increasing cash flow by 5-15% monthly
Computerized and electronic billing of Medicare, Medicaid, Managed Care and Private Insurance
No Fault, and Workers' Compensation
Reconciled accounts receivable for in-house collections (pending, rejected and denied claims)
Appealed Medicare, Medicaid, Managed Care and Private Insurance claims
Billing Facilitator
Oversee billing data and reconciliation for fourteen different specialties
Surgical reconciliation for four hospitals
Maintain billing data in IDX, Patient Keeper, A2K, RIS and McKesson systems
Maintain banking spreadsheets to reflect financial data as payments are delivered from the lockboxes
Assist director of finance in resolving billing disputes
KRONOS Payroll System
OTTR System Medical Records
eCW – Electronic Medical Records
Teaching
Plan and prepare daily lessons, practical application exercises and examinations for up to 40 adult students.
Provide lectures and board demonstration on individualized courses of Medical Assistant and Medical Billing/Coding certificate programs (Medical Terminology, Anatomy and physiology, Hematology, Urinalysis, Microbiology, Clinical Procedures, OSHA, Medical Law and Ethics, and Health Insurance)
Provide hands-on practical application of computerized billing programs (MEd iSOFT and Medical Manager)
Recruited and contracted with new medical facilities for placement and/or externship of student
Evaluated and placed students for externship at existing sites
Observed performance of students and facility
Resolved issues from students and facilities
Work History
10/2014-07/27/2015 Doctors Express, Hartsdale, New York
Center Administrator
Manage a medical practice on a daily basis
03/2011-March2014 Westchester Medical Center, Valhalla NY
Practice Manager/Billing Facilitator
Manage a medical staff of over 25 employees
Hiring/Training new employees
HR and payroll
Oversee the billing for over 40 entities
09/2008-05/2011 Westchester/Bronx OBGYN
Billing Manager
Collections and working the aged accounts
Generate additional revenue for the practice
01/2007-09/2008 Breast Surgery Specialists
Practice Manager
Set up a new practice with four surgeons
Oversee the staff, payroll, billing
1/2003 – 1/2008 Sanford Brown Institute, White Plains, New York
NYS Licensed Instructor: Medical Billing/Coding, Medical Assistant Programs
6/1999 – 12/2004 Cardiology Associates, Yonkers, New York
Practice Manager/Medical Assistant
12/1997 – 12/1999 Medical Billing Services, Pelham, New York
Manager-Billing and Collections
Education
1994-1996 Westchester Community College - Valhalla, NY
Associates Degree, Business Administration
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