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Project Manager Practice Management

Location:
Durham, NC
Posted:
January 26, 2024

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Resume:

Cynthia A Suggs

**** ****** ****

Durham, NC ****3

Cell 919-***-****

E-mail: ad24wk@r.postjobfree.com

OBJECTIVE

To obtain a position in the healthcare field where I can utilize my excellent oral and written communication skills in implementing Practice Management and Electronic Medical Record Systems. EXPERIENCE

Cape Fear Eye Associates Fayetteville, NC

Practice Administrator 2022 - 2024

• Managed a staff of over 40 employees for two locations.

• Worked alongside the Revenue Cycle team with the process to its entirety.

• Performed ERA enrollment and physician claims for the practice and credentaling.

• Troubleshooted the PM system issues, including Instamed and Luma.

• Performed payroll activities and managed PTO.

• Act as a liaison with NextGen support.

• Assisted with clinical management, including physician and the Chief Operation Officer (COO), and patient services

• Managed and train on various PM products; Instamed, RTS and Eligibility Verification, Availity, and TSYS TSI Healthcare Chapel Hill, NC

Implementation Project Manager 2013 - 2022

• Trained physician offices on the administrative side on how to use the NextGen product

• Trained employees on new computerized scheduling and billing

• Enforced step by step instructions for cross training individuals on each position within our practice

• Traveled across the United States for on-site training, along with virtual training

• Assisted the support team with various questions relating to the NextGen system

• Utilized GoTo Meeting and GoTo Assist for problem solving

• Managed and train on various PM products; Instamed, RTS and Eligibility Verification, Availity, and TSYS Radysans Apex, NC

Account Manager 2012 - 2013

• Managed client accounts in North Carolina and Virginia

• Arranged payment options with the patients and screens patients for government funding sources

• Communication and management of offshore team

• Traveled onsite to the client for face-to-face training and meetings

• Trained each staff member on the Radysans Practice Management System

• Performed charge and patient data entry, including determination of the proper ICD-9 and CPT codes Wake Heart & Vascular Associates Raleigh, NC

Patient Account Specialist 2012

• Analyzed the data from a variety of sources to perform audits of patient accounts and ensured accuracy and timely payments.

• Researched and developed solutions to patient account errors and monitored the status to ensure issues are fully resolved.

• Communicated with patients regarding delinquent accounts and coordinated mutually acceptable payments schedules.

• Handled sensitive financial matters between patients and insurance companies with diplomacy and tact and recapturing the unpaid balances.

• Reconciled the refund accounts and coordinated with management to process refund checks.

• Provided excellence customer service by receiving patient complaints, identifying the issues, and recommending appropriate resolutions.

• Prepared write-off requests with appropriate documentation and submitted them to the supervisor.

• Reviewed the explanations of benefits to ensure proper reimbursement of claims and reporting any problem, issues, or payor trends to the supervisor.

Intuit Health Cary, NC

Implementation Specialist 2011

• Configured practice portals – Setup practice portals for various medical practices to fit their workflow.

• Communicated with physicians and office managers regarding functions that would fit their practice. For example: What type of questions to ask patients (i.e., Ask a Nurse, ask a Doctor, Pay Bill Online, refill a Prescription, Request an Appointment).

• Verified with PM/EMR company that all information was set up for the patient portal and able to integrate.

• Troubleshooted any problems and rectified the problem with client and PM/EMR company.

• Trained medical practices on how to use the portal (i.e., Allscripts, Direct Clients and Greenway Medical). Once the portal was set up to the satisfaction of the client, I would contact Medical Practice along with PM/EMR companies via phone to train the staff on how to use the patient portal; as well as how patient would set up an account.

• Provided training via Webinar, phone, and would take the client step by step on how to utilize the system. The client was also trained on how to inform patients on how to utilize the portal.

• Trained client on how to troubleshoot if a patient had a problem with logging in or having problems with resetting password.

WHA aka Capital Area OB/GYN Raleigh, NC

Practice Manager 2004 - 2011

• Managed a staff of 21 employees, including 5 physicians and one Nurse Practitioner in their day-to-day standard work, staff development and improvement activities

• Microsoft Server IT – Updates, when system would go down, troubleshoot the issue, and would have the system back up and running.

• Performed all updates on server as well as each individual system when necessary.

• Practice Management System/EMR – Greenway, Prime practice/Prime Chart

• Implemented setup and trained staff on Greenway Medical Systems for PM/EMR.

• Setup server regarding workflow for practice.

• Setup templates as well as integrated the system for patient portal and lab interface.

• Updated training for all staff when new versions were released.

• Enforced recommendations to the staff to make the system run smoother and to go through the process of a better workflow.

• Assisted physicians with E-Prescribe, Templates, Lab Admin, and charges when there were problems.

• Organized the most efficient way to use the system for it to be a timesaver for the physician as well as the patient. Internal Medicine Associates of Raleigh Raleigh, NC Business Office Manager 2002 - 2004

• Oversaw daily medical office operations, managing a staff of 11 employees

• Managed office operations, workflow, office staff - including recruitment, performance management and training/development of specialty practice.

• Supervised various office staff including receptionist, Medical Assistant, Echocardiography Technologist, and Nuclear Medicine Technologist.

• Maintained compliance in areas such as OSHA, HIPAA, coding issues and updating policies and procedures.

• Monitored and assigned ICD-9 and CPT codes to ensure patient treatment accuracy and insurance reimbursements.

• Prepares and distributes payroll in addition to quarterly payroll tax preparation. Raleigh Neurosurgery

Durham, NC

Insurance Collections Coordinator 2001 - 2002

• Verified patient insurance plans via phone, internet, and/or fax

• Obtained authorizations for patient prior to scheduled visits

• Verified ICD-9 codes and CPT billing codes to ensure payment will be processed for claims under patient’s insurance plans

• Updated and re-billed all unpaid claims to insurance plan via computer system or mail Brannon & Rogers OB/Gyn Cary, NC

Insurance Collections Supervisor 1999 – 2001

• Managed a team of 6 associates in their day-to-day standard work, staff development and improvement activities

• Led daily management and processed improvement events to achieve and sustain departmental goals while constantly looking to improve these goals

• Performed multiple roles such as posting payments to patient’s accounts and maintaining account receivables

• Organized and supervised activities of patient collections to include scheduling and monitoring workflow and reviewing performance

• Responsibilities included assisting the office manager in recruiting and training employees, managing workloads, and appraising performance

EDUCATION

Elon College Elon, NC

Associates Degree in Art, Office Administration

AWARDS

MVP Award 2018 EPM Professional Services Group 2018 Outstanding Commitment to Quality Service and Client Satisfaction 2015 – 2016



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