Accounts Payable Customer Service
Resume:
***** *** **** **, **********, PA *****
Phone 240-***-**** * email- ************@**********.***
E. Denise Pereschuk
US Citizen
Medical Practice Administrator
Highly capable health care professional offering 20 years of multiple-practice management experience, clerical proficiencies, and educated in business administration with a concentration in Healthcare management, customer service and business retention.
Business Unit Management…Continuous Quality Improvement…Web Site Development and Maintenance…Search Engine Monitoring with Corrective Measures for Optimal Traffic Flow…Patient Care and Relations internally/externally…HR/Staff Training and Supervision…Data and Records Management…Research/evaluation of programs/operations...Review analyze and provide information with recommendations…Budget Control…Cost Analysis…Billing…Accounts Payable/Receivable…Payroll…Purchasing…Data Entry…Transcription…Quality Measures Reporting and Implementation of Correctional Course to Achieve Desired Results…Provide oversight to all procedural areas and ensure goals and objectives… Researching laws, guidelines and regulations, report findings and recommend process…Risk assessments with recommendations according to law…Evaluating the effectiveness of changes to procedure or policy and report findings…Pharmaceutical billing…presenting recommendations for products…providing direction for policies for payment
Windows XP, Microsoft Word, Excel, Power Point, Quick Books, Data Management Systems, Multiple EMR system
WORK EXPERIENCE
10/2021-04/2023 Savage Family Pharmacy,
Waynesboro, PA
Medicare Billing Specialist
Bill items to medicare, apply reimbursements, monitor accounts receivable and add items to the billing cycle.
Review changes in laws and regulations for coverage and payment.
Advise owner on findings and recommendations.
Evaluate pharmacy inventory, place orders, add inventory to the system with pricing, stock items in place.
Operate cash register while providing cross checks for dispensing medications ensuring compliance with HIPAA regulations.
1/2016 – 6/2019 Internal Medicine Specialists of Frederick,
Frederick, MD
Office Administrator/Manager
Fully direct the management of two high-volume medical practices, promoting superior care for 250-300 weekly patients through supervision of 17 administrative and medical employees.
Coordinates multiple office functions by analyzing, designing, developing, and maintaining database structure and applications to effectively manage computerized scheduling, organizational billing/data assets, data management, and payment plans that demonstrate knowledge of insurance carriers and medical terminology.
Design and develop interactive website to provide information and forms.
Monitor web traffic via search engines and implement strategic corrections.
Responsible for ensuring that the database collects, stores, and processes data that supports all business needs, both current and future, for billing, collections, accounts payable/receivable, patient records, and payment plans.
Performed in-depth analysis made difficult by end user complaints or conflicting data. Identified adverse data trends, practices, and procedures that were ineffective and deficiencies in system processes.
As Human Resources Administrator, oversee staff recruitment, training, supervision, and appraisals to support employees understanding of enhancement and improvement on a variety of automated systems and tools; develop job duties; advertise open position announcements; and address employee issues with confidentiality. Producing payroll and direct distribution to banking systems or printing checks.
As Human Resources Administrator, utilized HRIS to provide user training, both formal and informal.
Analyzed results based upon product performance.
Serve as primary point of contact for and liaison between, patients, administrative staffs, physicians, and technicians to facilitate proper lines of communication and expedient problem resolutions.
Consulted with internal and external stakeholders on program deployment, implementation of new or large-scale modification of databases used by customer: office leadership and private businesses.
Implemented continuous quality improvement guidelines to measure the performance of the business operations; prepared monthly financial report; and managed Physicians Quality Reporting Systems (PQRS) to improve business operations and patient satisfaction.
Maintained multiple EMR systems and managed networks patient records database.
Manages internal and external electronic platforms including intranet, internet, SharePoint, Quick Books, Microsoft Office, Excel, Word, etc.
Successfully negotiates and manages suppliers and vender relationships to optimize win-win partnerships including pharmaceuticals and specialty pharmacies.
Consistently plans and manages all day-to-day operations and reports status to leadership and physicians.
Championed proactive approach in providing customer assistance and quality improvement towards all services and products.
11/2009-6/2019 Gastroenterology Specialists of Frederick, Frederick, MD
Office Administrator/Manager Medical Secretary
Manage the daily operations of a high-volume medical office.
Triaged to multiple facilities needs working with executive leadership and development leads.
Conducted Billing and collection audits to ensure regulatory compliance.
Ensured compliance with Medicare, Credential Medical providers, and private insurance.
Monitored web traffic and advised/implemented corrective action for optimal flow.
Maintained current accounts receivable.
Keeps up to date on newly developed technologies for future database improvements and informs customers of new features.
Served as subject matter expert to all functional area users on database and file retrieval techniques, processing a variety of personnel actions. Applied security procedures, program recovery techniques and space utilization performance improvement plans.
Utilized extensive knowledge of ICD 10 and CPT codes.
Prepared and distributed end of month billing reports.
Researched claim denials worked accounts receivable and patient account collections.
Developed, analyzed, and presented relative information to stakeholders including related items concerning staffing turnover, succession planning, inspection preparation and investigations (JCAHO, EEO), preparing briefs and budget materials, database management and presentations using a wide variety of charts and graphs to effectively communicate to Human Resources and management.
Maintained department of Health Services compliance and certification.
Administrated briefings and budget presentation materials to executive leadership.
Completed physician credentialing, license renewal and reappointments.
Handle client services via phone and in person, including appointment scheduling, question management, check-ins, and issue resolution.
10/1998-8/2009 McCagh & Roberts Dermatology,
Cumberland, MD
Medical Secretary
Maintain daily transaction sheets and end of day reports.
Generate new patient charts.
Answer multiple line phone systems.
Orchestrated unit with scheduling and patient flow.
Cross trained as Medical assistant, receptionist, and telephone operator.
Transcription
5/1991-10/1998 Memorial Hospital
Cumberland, MD
Unit Secretary 3 South Telemetry/Respiratory
Transcribe doctors’ orders.
Maintain patient charts.
Order medication from pharmacy and transcribe to patient medication sheet.
Order testing including preps and pre procedure order sets.
Assist nursing and medical staff with patient care and procedure.
Answer intercom system and request assistance.
Answer multiple line phone system and direct calls.
Inventory supplies and request supplies.
Notify appropriate departments for maintenance requests.
4/1990-5/1991 WTBO/WKGO Radio Station
Cumberland, MD
Secretary
Receptionist for station greeting visitors and directing them to the appropriate department.
Answer multiple line phone systems.
Monitor prize giveaways and distribute to winner.
Schedule radio spots
Distribute and assign sale referrals to sales department.
1/1989-4/1990 Nu Tech Housing Corporation
Short Gap, WV
Hud Housing Manager
Manage a 12-unit Hud based Townhouse property.
Advertise available units.
Application process completion and notification of results to applicant
Bonded
Collect Rent
Deposit Collections
Conduct inspections to meet Hud specifications.
Grounds maintenance
Process maintenance request, oversee hiring of qualified professional, sign off on completion and provide payment.
EDUCATION
1982 / 1989 Allegany Community College Cumberland, MD
Business Administration/ Medical Secretary
1980 – 1982 Allegany Co Vocational Center Cumberland, MD
Computer Technology
8/1982 Graduate of Fort Hill High School, Cumberland MD
General Studies/Business Secretary
References
Jason Wyant
VA Medical Center, Huntington, WV
Fisher House Manager
Dana Peake
Washington County Maryland Public Schools
Principal
June Cuddy PA-C
Bristol Myers Squibb
Senior Territory Business Manager
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