Manager Office

Vidya Chandra

Las Vegas, NV

**********@*****.*** - 323-***-****

Authorized to work in the US for any employer

WORK EXPERIENCE

Medical Billing Manager

Quality Medical Imaging - Las Vegas, NV - April 2016 to January 2017 Directly supervied six employees. Carried out management responsibilities in accordance with the organization's policies and applicable laws. Responsibilities included interviewing, hiring and training employees; planning, assigning, and directing work appraising performance rewarding and disciplining employees addressing complaints and resolved problems. Responsible for managing procedures and personal associated with billing, insurance and collections by performing the following duties. Responsible for ensuring claims and payments are posted daily. Generated and reviewed accounts payable and accounts receivable reports to ensure accuracy as needed. Monitored all third-party billings, communicates with insurance companies and attorneys to expedite the collection process and ensured all pre-authorization requirements are met. Overseen content and mailing of collection letters as needed. Negotiated with delinquent patient accounts to minimize collection activity potential. Receives and resolved patient account problems and discrepanices. Reviewed daily edit reports from billing system and made necessary connections to allow electronic submissions.

Processed facility billing statements at the beginning of every month. Followed up with any open facility billing accounts that are delinquent. Administers and authorizes appropriate collection activities in accordance with practice guidelines. Responsible for insurance and physician credentialing. Monitored all computer functions related to billing and payment procedures and communicates with computer vendors regarding software/hardwear issues.

Ensured all bills pursuant to billing cycle are mailed in accordance with practice guidelines. Developed and maintained an effective organization through the selection, training, compensation, motivation, termination, and review of all personnel.

Developed and maintained a program for sound employee relations with personnel at all level of the organization.

Provided guidance and direction to personnel to assit them in their professional development. Directed and managed all personnel to ensure that goals estabilsed for the Billing Department are met on a consistent basis.

Reviewed and approved department timekeeping records. Delivery Consultant

Netsmart Technologic - Los Angeles, CA - June 2013 to April 2016

• Processes for Directly Operated and LE/FFS client eligibility set up • Processes for mitigation of billing errors

• Communication coordination with providers and training teams

• Created training material for training

• Helped create manual for Los Angeles county Mental Department

• Helped with California MEDS File

• Upload California MEDS File

• Run Two out of Three Report

• Review MEDS Information\

• Automatic Medi-Cal Revenue Assignment

• Loss of Eligibility Report

• Missing Share of Cost Report

• Share of Cost Management

• Pre-Billing Report

• Possible Duplicate Service Report

• Running Pre-Billing Edit Report

• Error Correction Process

• Duplicate Family Account Management

• Change Family Activation Date

• Undistributed Liability Report

• Inhibit Billing by Service Report

• Uncleared Share of Cost Report

Office Manager

Krulac Medical Inc - Torrance, CA - August 2004 to May 2013

• Managed an organization comprised of five clinical staff members

• Processed employee payroll and vendor payments

• Implemented company policies & procedures and provided new employee training

• Responsible for Medicare, workers compensation, and PPO insurance billings & collections utilizing Medisoft

• Reviewed Medicare remittance advices for errors, rejections and denied claims

• Reviewed and re-submitted rejected/denied claims and filed appeals

• Submitted electronic and paper insurance claims

• Arranged and maintained contractual agreements with major insurance companies

• Implemented organizational policies and procedures Office Manager

Entertainment Physicians - Culver City, CA - 2001 to 2002

• Scheduled and coordinated cast physical exams for entertainers

• Provided oversight of billing & collections including daily charge coding for workers compensation, personal injury, PPO, HMO, and Medicare insurances (lien and cash)

• Interfaced with staff at major production studios for workers compensation injury cases

• Provided oversight of production billing & collections related to workers compensation injury cases Office Manager

Access Medical Imaging - Los Angeles, CA - 1999 to 2000

• Managed a clerical and clinical staff comprised of 24 members

• Responsible for customer referral relations

• Responsible for billing & collections including daily charge coding for workers compensation, personal injury, PPO, HMO, and Medicare insurances (lien and cash)

• Collected co-payments at point of service and scheduled patient transportation Billing/Office Manager

Rehab Healthcare Network, Inc - Los Angeles, CA - 1996 to 1999

• Supervised staff and solved billing issues at multiple locations

• Provided oversight of billing & collections including daily charge coding for workers compensation, personal injury, PPO, HMO, and Medicare insurances (lien and cash)

• Interfaced with attorneys on lien cases and settlements

• Addressed and resolved patient care issues with workers compensation adjusters

• Prepared routine statistical reports for owner's review Clerical Staff

Medical Billing Management, Inc - Los Angeles, CA - 1994 to 1996 Maintained over one hundred accounts including review and resolution of delinquent balances on aging reports EDUCATION

Bachelor of Arts in Accounting

University of South Pacific - Suva

December 1991

ADDITIONAL INFORMATION

SKILLS Skilled in ICD9, CPT codes, and HCPCS (Including DME)

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