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Practice Administrator, Medical Billing

Location:
Berkeley Township, NJ, 08721
Posted:
April 01, 2016

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Resume:

JANET JONIN

*** ******** ******, **** *****, NEW JERSEY, 08741

732-***-****

act6n9@r.postjobfree.com

Practice Administrator with over 15 years of experience in medical management with extensive experience in medical billing and coding. Reduced accounts receivables and maintained 90% collections for 6 years. 100% scores in meaningful use auditing processes, and ensured compliance with plan provisions and federal, state and local laws and regulations.

WORK EXPERIENCE

Performance Orthopaedics & Sports Medicine, Toms River, NJ

Practice Administrator August 2009 - September 2015

Established new office including professional files, implementation of EMR, PM and all office procedures including employee policies and handbook.

Interviewed, hired and trained staff. Supervise staff of 10 employees including recruiting, training and disciplinary action. Maintained employee records

Managed the day-to-day functions of the staff that included nurse practitioner, medical scribe, receptionist, medical assistants, x-ray technicians, and medical records, precertification and disability clerk.

Managed employee benefits and paid time off.

Established and maintained working relationship with vendors, insurance companies and other health care facilities/organizations.

Billed and submitted claims weekly and handled patients bills and account statements with a high success rate. Managed billing assistant in posting and reconciling insurance and patient payments.

Efficient in the EMR System as well as PM, ensuring system was utilizing the most accurate tracking methods. Monitored production and collection statistics and compare with previous years and take appropriate action increasing revenue by 75% yearly.

Trained employees on insurance protocols and verification, acquiring prior authorizations for outpatient procedures.

Credentialing with insurance companies, renewals of contracts and signing up with new insurance companies for participation.

Handled medical administrative tasks such as purchasing, scheduling, payroll, banking, licensure and HIPPA compliance.

Reviewed all mail, correspondence and faxes for proper distribution.

Managed all incoming and outgoing electronic medical records and subpoenas.

Maintained excellent communication with insurance companies and attorneys to ensure medical/legal reporting is complete.

Responsible for all computer, fax, scanner and copier related electronic issue

Responsible for scheduling and authorizing all surgeries with a 100% success rate.

PRECISION PAIN MANAGEMENT, TOMS RIVER, NJ

Consultant/Medical Billing, January 2013 – October 2015

Plan, implement and administer programs and services in a health care or medical facility, including personnel administration and training.

Direct or conduct recruitment, hiring and training of personnel.

Establish work schedules and assignments for staff, according to workload, space and equipment availability.

Billing all services and collections

Bank deposits

ADVANCED WELLNESS OF TOMS RIVER, TOMS RIVER, NJ

Practice Administrator, January 2006-July 2009

Managed Multi Discipline office

Interview, hired and trained staff

Responsible for the billing and submitting of all claims

Supervised staff of 6 employees

Credentialing with insurances, renewal of contracts, maintaining licenses

BEACHWOOD LOWBACK REHAB, BEACHWOOD, NJ

Practice Administrator, January 2001- December 2006

Managed Multi Discipline office

Interview, hired and trained staff

Responsible for the billing and submitting of all claims

Credentialing with insurances, renewal of contracts, maintaining licenses

Evaluated patients accounts on a case by case basis

Met with potential patients discussing fees and procedures involved in care

Oversaw all operations of physical therapy and chiropractic including precertification

EDUCATION

Kean University NJ Bachelor of Arts Education with minor Accounting

OCEAN COUNTY COLLEGE

Anatomy and physiology 1 and 11 Medical Billing Professional Medical Coding Professional

Electronic Health Record Specialist

ADDITIONAL SKILLS

Qualifications: • 15+ years medical experience in a busy, private and workers compensation Multi-Specialty Medical Group • Manage and maintain a highly productive medical practice, focusing on patient care • Excellent communication and customer service skills; relate well with people at all levels and from diverse backgrounds • Ability to problem solve and handle time sensitive situations with efficiency and professionalism • Motivated self-starter who takes great pride in work • Knowledge of operating systems - Microsoft Word, Excel, Outlook, Google drive and Internet - Basic IT troubleshooting

MEMBERSHIPS

AAPC 2015-2016

Community Medical Center Office Managers Advisory Board



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