Insurance Manager
Resume:
KIMBERLY SWANN
Rockmart, Georgia *****
*********@*****.***
PRACTICE ADMINISTRATOR
Self-directed and confident decision maker with solid communication skills, sound judgment, and a commitment to quality service for patients. Readily convey information to a broad audience with in-depth knowledge of Medicare, Medicaid and private insurance, including CPT and ICD-10 codes. Calm disgruntled patients and employees with diplomacy and tact, maintaining a professional attitude at all times.
EXPERIENCE
Practice Administrator July 2006 to Present
White Rock Family Health, Dallas, Texas
Instrumental in the growth and success of profitable family health practice. Direct a staff of 15+ employees greeting patients, scheduling appointments, and processing medical claims with correct diagnosis and proper procedures codes. Verify patient insurance, secure pre-certifications, and collect co-pays. Oversee billing, banking, and accounting. Process payroll, and accounts payable and receivable. Reconcile daily charges and generate end-of-day reports. Prepare month-end and year-end financial reports for accountant. Conduct performance reviews. Administer employee benefits program.
Drove growth from 0 patients and $0 income to over 65+ patients per day and $2.5M+ recovered through billing, medical claims, and patient and insurance collections.
Secured commercial insurance contracts, state insurance contracts, building permits, CLIA waivers, and radiology permits for brand new practice. Maintain medical licensing and credentialing with local hospitals.
Generate financial incentives through Medicare and Medicaid programs by effectively outlining the meaningful use of EHRs.
Increase practice visibility in the community and with area specialists through successfully implemented marketing campaigns and strategies incorporating a website and information pamphlets disseminated at scheduled events, schools, field trips, and in the clinic.
Interview, select, and train staff in all office, OSHA, and HIPPA policies and procedures. Trained initial staff prior to launch of the new practice.
Spearhead marketing efforts that introduced new doctors joining the practice.
Facilitate a great number of referrals for the practice through word of mouth for compassionate quality care.
Seek opportunities for building networks through active participation in community organizations.
Establish solid relationships with vendors resulting in favorable terms and delivery timelines.
Proactively address and resolve technical issues with computer hardware and software, saving the practice both time and money.
Practice Manager February 2005 to July 2006
Lankford Hand Surgery, Dallas, Texas
Oversaw daily operations and a support staff of 15 serving three doctors in busy specialized medical practice. Verified physicians and physician assistants met credentialing requirements. Monitored inventory and replenished supplies. Displayed educational pamphlets and brochures of services for patients.
Maintained a steady patient flow with few delays with effective scheduling, staff allocation, and cross training of support staff.
Electronically documented patients’ personal and insurance information for the accurate and timely filing of insurance claims and ensuring the privacy and security of all data as per HIPPA.
Collected and posted medical office charges to patient accounts and corrected issues identified in error reports as needed.
Medicare Director August 2004 to February 2005
Garden of Richardson, Richardson, Texas
Directed Medicare billing. Verified coverage, questions, and appealed rejected claims on behalf of patients. Successfully collected a backlog of $500K+.
Practice Manager October 1997 to July 2004
Las Colinas Pediatrics, Irving, Texas
Promoted from front office to insurance specialist and subsequently to final positon as Practice Manager.
EDUCATION
Master of Arts in Management; Dallas Baptist University, Dallas, Texas; 2012
Bachelor of General Studies; Texas Women’s University, Denton, Texas; 2009
CERTIFICATIONS
NCT Certified; Dallas, Texas; 2006
SPECIALIZED TRAINING
Medical Assistant; NEC; Garland, Texas
PRACTICE SKILLS
X-ray Technician, CLIA Waived Labs, Blood Drawing, and Patient Intake
TECHNICAL SKILLS
Microsoft Word, Excel, eCW EMR System, Centricity, QuickBooks, and various proprietary systems
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