Office Manager Benefits Specialist
Resume:
Mykheal Jones
I am leader that is always willing to go over and beyond seeking a position at a company with growth opportunities.
Houston, TX 77082
************@*****.***
Seeking a position with a company that is willing to employ a self-sufficient hard and loyal worker with an opportunity for advancement
Authorized to work in the US for any employer
Work Experience
Office Manager
Ibro Chops - Houston, TX
May 2021 to Present
Intake orders for scheduling. Manage the accounts and receivable. Input strategies to structure a long term relationship with clients and potential customers. Create employee work schedule, including processing and distributing payroll.
Benefits Specialist
Empyrean Benefit Solutions - Houston, TX
October 2020 to December 2020
Enroll and educate employees providing current vs future benefit options. Work from home (Temporary Assignment)
Patient Financial Rep
Med Recovery Systems - Houston, TX
May 2018 to November 2018
• Organize the collection follow-up effort on outstanding receivables. Analyze system-generated reports to determine the appropriate emphasis needed and action required (prioritize). Review account information prior to making phone contact.
• Reviews all information to ensure account accuracy. Prorates billing cycle when necessary, corrects demographic information, financial classification as needed.
• Reviews remittance advice when necessary for no pays or short pays to verify proper reimbursement and to make adjustments as necessary.
• Identifies coding and billing errors from the EOB and works to correct errors in a timely manner.
• Prioritizes work load to incorporate aged AR of 90+ days and high dollar AR as needed.
• Pursue payment from guarantor for outstanding patient liabilities.
• Document action taken and result in the patient accounting system account notes.
• Respond to inbound mail from insurance companies and patients.
• Appeals claims that are improperly adjudicated so they are promptly corrected and paid. Patient Services Liason
Medcycle
July 2017 to October 2017
Contracted
- Responsible for recalling bad debt accounts from collection agency
- Made necessary discount adjustments to patient accounts that were on payment plans
- Rebill insurance claims that were never filed or received due to eligibility issues
- Update and load patient demographics including insurance verification
- Resolve patient account issues by assisting them with payment plan options
- Transfer distributed credits on patients account between TCH hospital and Physician accounts - Applied missing payments
Sr Support Specialist
UT Health - Houston, TX
October 2014 to October 2016
- Scheduling of patient appointments
- Obtaining and updating Patient demographic information
- Training staff - Insurance verification, referrals, billing, and AR follow up
- Responsible for fulfillment of Medical Records requests, in accordance with HIPAA
- Responsible for daily charge entry; responsible for retrieving medical records from the Psych Units
- General office duties include answering and transferring calls; educate patients regarding benefits - Assistance with department budgets utilizing Excel Sr Physician Rep
McKesson Corp
August 2010 to August 2014
- Collection on accounts 30 days and older
- Insurance verification/correct claim errors on the front end that prevents clean claim filing
- Updating patient demographics
- Suggest resolution to client's ongoing trends and issues- Analytical and problem solving of accounts Physician Capital Group
PCG
March 2008 to December 2009
- Manage front end claims operations department
- Oversee employees in completing projects and assignments
- Manage daily insurance verification and precertification schedule
- Train New PCG employees and New Client staff
- Edit claims being rejected by EDI and PCG's clearinghouse
- Manage the quality and quantity of charges being entered by the team
- Create Team Goals along with Incentives
- Participate in the building of PCG's collections and billing software
- Update the providers charge capture in MD Coder showing current status of charges
- Perform Employee Evaluations
- Made final decisions on employee Compensation
- Implementation of new ideas with the IT department increasing the accuracy and quantity of accounts - Work closely with the Client Liaison coming up with resolutions to issues related to the practice revenue/ procedures
Physician Billing Specialist
Baylor College of Medicine
October 1999 to March 2008
- Intake charge documents from the clinics and hospitals
- Setup CPVC (Cardiovascular Transplant Cases) and Mental Health cases
- Receive, sort, and batch charge documents independently
- Charge Entry
- Responsible for resolving transaction level edits
- Patient Registration
- Charge Corrections
- Research missing info from documents that are pending charge entry
- Print E-Bills (electronic billing) from shared billing server
- Charge capturing
- Train and Educate employees
- Independently obtain and enter timely, accurate registration data including, but not limited to, interface data from multiple systems
- Multi specialty medical billing and collections
- Insurance Verification and Pre-certification
- Update patient demographic information
- Work edit/rejections through WebMD Ecommerce electronic system
-Improve IDX usage by providing payer information accurately into IDX system for electronic claim
-Update rejected claim with proper CPT, ICD9 and modifiers
- Resolve insurance correspondence
- Responsible for daily follow-up on patient accounts
- Audited insurance contracts and patient accounts to ensure that claims were being paid accordingly Education
General Studies in Health Information Management
San Jacinto College - Houston, TX
September 2010 to January 2011
High school diploma
Milby High School - Houston, TX
August 1992 to June 1996
Skills
• Ecommerce
• Microsoft Office
• Epic
• PCS
• Scantrax
• TMHP
• Medical
Terminology
• CPT
• ICD9
• Customer Service
• 10 Key by sight
• 55+ wpm including: Patient Accounts
• Workfile Maintenance (10+ years)
• Collections
• Patient Billing
• General Office Skills (10+ years)
• Management
• Nuesoft
• Centricity Allscripts
• MD Coder
• Scanning
• Scheduling (10+ years)
• EMR Systems (10+ years)
• Hospital Experience
• ICD-10
• Insurance Verification (10+ years)
• Medical Billing (10+ years)
• Medical Collection
• Accounts Receivable
• Data Entry (10+ years)
• HIPAA (10+ years)
• Medical Scheduling (10+ years)
• Experience Administering Injections
• Leadership (10+ years)
• Time management (10+ years)
• English (10+ years)
• Microsoft Excel
• Computer literacy
• 10 key calculator
• Phone Etiquette
• Quality Assurance
• Medical Office Experience
• ICD Coding
• Typing
• Computer hardware
• Databases
• Front desk
• Medical receptionist
• ICD-9
• Medical terminology
• Clerical Experience
• Transcription
• Administrative experience
• Microsoft Word
• Accounting
• Microsoft Powerpoint
• QuickBooks
• Medicare
• E-commerce
• Inside sales
• Basic math
• Sanitation
• Analysis skills
• Computer skills
• Communication skills
• IDX
• Software troubleshooting
• Word processing
• Writing skills
• Customer support (3 years)
• 10 key typing
• Technical support
• Negotiation
• Banking
• Primary care
• Filing
• Managed care
• Medical law
• EMR systems
• Medical office experience
• Medical terminology
• Medical records
• Law office
• Computer skills
• Communication skills
• Office experience
• Epic
• ICD-10
• Typing
• HIPAA
• Clerical experience
• Hospital experience
• Front desk
• Revenue cycle management
• Records management
• Customer service
• Accounts receivable
• Windows
• Google Docs
• Computer hardware
• Analysis skills
• Leadership
• Payroll
• Childcare
• Technical support
• Software troubleshooting
• Negotiation
• Telemarketing
• Workday
• SAP
• E-commerce
• Events management
• Hospitality
• Smartsheet
• Telecommunication
• Root cause analysis
• Schedule management
• Administrative experience
• Data entry
• Microsoft Excel
• Quality assurance
• CRM software
• Application support
• Databases
• Recruiting
• Sales
• Financial services
• ICD-9
• Healthcare management
• Fashion retail
• Retail sales
• Hotel experience
• Classroom management
• Account reconciliation
• Accounting software
• Inside sales
• Accounts payable
• Balance sheet reconciliation
• Active Directory
• Organizational skills
• Computer literacy
• Microsoft Word
• Microsoft Office
• Upselling
• SAP ERP
• iOS
• Mac OS
• Insurance verification
• Medicare
• Medical billing
• Phone etiquette
• Tax experience
• B2B sales
• Data mining
• Teaching
• ERP systems
• Microsoft Access
• Microsoft Outlook
• Medical collection
• Customer relationship management
• Project management
• Business development
• Team management
• Process improvement
• English
• Relationship management
• DocuSign
• Personal assistant experience
• Document management
• eClinicalWorks
• Behavioral health
• Allscripts
• Cleaning
• Medical scheduling
• Caregiving
• Management
• Multi-line phone systems
• Event planning
• Working with people with developmental disabilities
• Working with people with disabilities
• Medication administration
• Resident's rights
• Home & community care
• Writing skills
• Home care
• Basic math
• Aging issues counseling
• Patient service
• Training & development
• Medical administrative support
• EHR systems
Languages
• English - Expert
Certifications and Licenses
CPR Certification
Driver's License
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