Medical Manager
Resume:
NADEGE ROGER
Coral Springs, FL 33065
************@*****.***
SUMMARY: Bachelor graduate with a proven record of success in healthcare administrative management. Possesses excellent managerial and leadership ability with hands on experience. I am a creative, resourceful individual with the capability to meet deadlines and maintain organizational objectives. Able to relate effectively with physicians, senior management and clients. Proven success in increasing revenues, reduce expenses, setting a workable budget, and produce financial reports. In addition, strong knowledge with coding, billing, insurance companies, account receivable, in- house collections, and marketing.
QUALIFICATIONS:
Proficient in Microsoft Office Suite, Medical Manger, X-Med, Modernizing Medicine electronic medical record software, Lytec, Edgemed, Point Click Care and Keying System
Human Resource Duties-Training new staff /Supervising and Development
Develop marketing in practice that will execute new concepts and business models
General Ledger Maintenance ( Reports Auditing/ Compilations and Reviews )
Excellent writing and oral communication skills
Performed variety of managerial duties and other clerical duties pertinent to establishing a successful organization
Bilingual English/Creole
Knowledge of Medical Terminology CPT / ICD9 and ICD10 coding and billing
Knowledge of health care reimbursement guidelines with most insurance companies (Medicare, Medicaid, PPO, HMO, PIP and Workers comp )
Insurance preauthorization/verification/credentialing and referrals
Revenue Cycle Management ( Book keeping, Posting, Adjustments and Refunds )
Admissions/Marketing Arranging the effective distribution of marketing materials)
Accounts Payable/Payroll ( Reviews all invoices for appropriate documentation and
approval prior to payment
Ability to perform complex financial analysis involving practice billing system, EMR and corporate financial reports.
PROFESSIONAL EXPERIENCE:
Royal Palm Dermatology Boca Raton, FL 2012- Present
Practice Manager-
Maintains overhead and collection percentage within (best practice ) industry standards
Supervising and directing the work of all employees
Supervision of patient scheduling, financial counseling, medical records, billing and
collection, appeals, data entry and processing, and cash posting
Plan marketing and branding objectives/ Analyze market trends and recommend changes to marketing and business development strategies based on analysis and feedback
Responsible for executing projects/changes as directed by physicians at management meetings
Practice marketing with patients, referring practices; with local businesses and industry
(Credentialing) Negotiates fees and contract terms with major plans
Ensures that reports to government agencies are on time/liaison with accountant and attorney
Determines economic aspects of equipment, facility and new service decision
Manages practice within budgetary guidelines
Interview, hire and train a productive medical office team and conduct reviews
Administering payroll and accounts payable
Liaising and networking with a range of stakeholders including customers, colleagues, suppliers and partner organizations
Fulfilling Meaningful use and PQRS requirements for practice
Heartland of Tamarac/HCR Manor Care Tamarac, FL 2006- 2012
Account Receivable Manager –
Trained new employees
Receives and receipts cash items and third party payments; post reconciles payments to patient ledgers.
Review credit balances, refunds, adjustments, and claim denials and apply adjustments to billing records
Setting up and maintaining account receivables files with other financial records
Processes cash receipt and handles credit balances
Reconciles and adjust facility Resident and Petty Cash Trust funds
Prepares invoices for data processing
Prepares regular periodic and special account reports pertaining to the facilities financial budget
Disburses checks by posting funds into appropriate accounts
Analyze past due accounts and initiates collections efforts verbally and written, makes bank deposits and prepares income statements daily.
Accumed Data Management Deerfield Beach, FL 2004 – 2006
Medical Billing /Collection Team Leader-
Medical Billing / Medical Collections for multiple Chiropractors
Medical appeals
Filing personal injury, workers compensation and property claims
File claims to secondary/tertiary insurance, file pre -suit demand letters, medical records
Preauthorization/verification/ referral and revise claims
Assist in preparing documentation for legal inquires and litigations.
Analyze error /edit messages by identifying problems with probable cause.
Collect and records physicians financials into medical tracking systems
Develops and maintains a strong marketing program by attending and hosting admission meetings.
CAREER HIGHLIGHTS:
Successfully implemented Electronic Medical Record in practice to satisfy meaningful use criteria
Implemented new format in collecting revenue in the organization and negotiated a repayment plan for long term liabilities.
Awarded ARD award in the region for three executive years
EDUCATION:
University of Phoenix Fort Lauderdale, FL 2006 - 2009
Bachelor Degree in Health Administration Management
Concorde Career Institute Fort Lauderdale, FL 2002 – 2003
Billing &Coding Diploma ( HIPPA / OSCHA Certified )
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