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Office Staff Practice Manager

Location:
Meriden, CT, 06451
Posted:
March 11, 2024

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Resume:

Jessica K. Harrison

** ******* ***, ******* **

203-***-****

ad39kl@r.postjobfree.com

Professional Summary

Experienced and dependable healthcare management professional in a fast paced, healthcare environment. Possessing exceptional leadership qualities to motivate the team and lead by example, while also maintaining excellent communication skills, building a team with a foundation of trust among all organization wide staff members at all levels.

Professional Experience

Pennoyer Dermatology, Bloomfield CT February 2020 - Current

Practice Manager

-Manages all day-to-day operations of 7 Provider Cosmetic Dermatology Office

-Oversees all operational and clinical staff working in EMA PM & EHR

-Oversees and monitors all insurance verification, coding, billing, referrals and prior authorizations

-Orders all Medical and Cosmetic supplies for Office

-Processes all Provider Credentialing applications to ensure all Providers Credentialing is kept current

-Processes all new employee paperwork, bi-weekly payroll, tracks/monitors all PTO, employee healthcare, 401k enrollment, payroll deduction adjustments

-Performs all HR related duties necessary for all office staff

-Hires, trains, coaches, counsels, conducts performance reviews, and maintains up to date employee files for all office staff

-Creates and monitors all providers and staff schedules, ensuring accuracy by reviewing all provider and office staff’s hours

-Accommodates all patient requests, questions and concerns in order to provide exceptional patient care

-Oversees all building maintenance related issues

Mosaic Health, Ilion NY May 2019-February 2020

Practice Manager

-Implemented a new patient survey during the first three months of employment to ensure patients needs were being met at the Health Center.

-Implemented new patient check in workflow after six months, which reduced patient wait time by 50%

-Manages all day-to-day operations of diverse, 2 office, PCMH Certified Federally Qualified Health Center. Providing direction to 16 direct reports, including 3 full time Primary Care Providers.

-Helped implement new Medication Assisted Treatment (MAT) Program.

-Hires, trains, coaches, counsels and conducts performance reviews for all direct reports, maintaining up to date employee files

-Establishes and enforces all policies and procedures, inclusive of HIPAA compliance

-Oversees all operational and clinical staff working in eClinicalWorks EMR

-Ensures compliance with regulatory and accreditation standards

-Monitors productivity and reviews staff competencies to ensure Quality Measures are being met

-Creates and monitors all providers and staff schedules, Processes payroll and tracks/monitors PTO for all direct reports, ensuring accuracy by reviewing all provider and office staff’s hours.

-Accommodates all patient requests, questions and concerns in order to provide exceptional patient care.

-Assists with provider empanelment and provider credentialing

-Assists with all site facility issues and renovation, including all DOH inspection proceedings

Oneida Nation Health Services, Oneida NY August 2013-May 2019

Business Office Manager

-Increased revenue by 24% in the first six months by implementing changes in the billing workflow. Then, after ensuring providers were all properly credentialed, I worked with additional insurances to expand each provider's insurance network, which increased the practice revenue by an additional 36% after five years under my management.

-Managed Business Office for Federally Qualified Health Center (look a-like) consisting of 6 Primary Care Providers, 1 Podiatrist, 1 Endocrinologist, 1 Rheumatologist, 2 Dentists, 1 Psychiatrist, 1 Psychologist, 3 Behavioral Health Counselors and over 50 office employees

-Wrote and conducted performance reviews for 9 direct reports, maintaining up to date employee files

-Processed Health Center Payroll and tracked/monitored PTO for over 50 office employees

-Oversaw all coding, billing, insurance verification and provider referrals through NextGen EHR

-Oversaw all Contract Health Billing, outside provider and insurance Contract negotiations, as well as all Pathways Programs including Case Management and Alternate Resource Assistance.

-Committee Chair for Patient Satisfactory, Utilization Review and USET Health Director Committees

-Handled/Processed all Provider Credentialing documentation, Medicare and Medicaid revalidation and quarterly reporting documentation, as well as all Meaningful Use and PQRS reporting

Upstate HomeCare, Clinton NY March 2012- August 2013

Processing Specialist

-Submitted all Primary, Secondary and Tertiary Electronic and Paper Claims that the company billed out to Medicare, Medicaid and all Third-Party Carriers

-Worked unpaid claims, contacted all insurance carriers for claim status, working to resolve issues to get claims paid. Heavy customer contact in regard to billing questions, processed credit card payments by phone and worked on special projects as they arose in the department

MepaPath, Inc. Wallingford, CT September, 2006-December, 2010

Voice & Data Provisioning Specialist/Project Manager

-Wrote a new 300+ page training manual for the Provisioning department and implemented a new training process in which I trained all new employees with.

-Submitted orders for new circuits, telephone numbers, port requests, conferencing, usage changes, TN disconnections, etc. with various vendors

American Medical Response, New Haven CT December, 2000-September, 2006

Patient Billing Services Non-Government Department Team Lead/Interim Customer Service Supervisor

-Regularly evaluated a department of 15 CSR’s, approved and tracked all department employees sick/vacation time, monitored/tracked employees daily quotas, reviewed monthly audits with each employee, developed and reviewed yearly performance evaluations, performed corrective action reviews. -Trained all new CSR’s and ran new employee orientations

-Read PCR’s to code the correct diagnosis, and determined whether trip was BLS or ALS

-Verified patient insurance, including Medicare, Medicaid, Cigna, Blue Cross, etc.

Education

Mohawk Valley Community College, Utica NY Graduated December 2019

Center for Leadership Excellence-Supervisor’s Institute Certificate Program

Related Courses:

-The Role of a Leader

-Creating and Leading Teams

-Effective Communication Skills

-Effective Delegation & Feedback

-Dealing Effectively with Conflict

-Leading a Multi-Generational Team

-Time Management Strategies for You & Your Team

-Coaching and Mentoring for Top Performance

-Managing Change

-Navigating Stress

Branford Hall Career Institute, Southington, CT Graduated November, 2000

HCP/Medical Billing, GPA 3.89

Related Courses:

-HCFA/CPT/ICD9 & HCPCS Coding

-Advanced Medical Coding, Hospital Billing/Coding

-Health Claims Theory & Fee Schedule Analysis

-Medical Terminology I, II, & III

-Anatomy

-Microsoft Excel, Word Processing for Windows I & II

-Medical Manager Software

-Office Administration

-Writing for Business

-College Accounting

References Available Upon Request



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