Office Manager Business
Resume:
Halie Cook
Medical Business Office Manager
228-***-**** *************@*****.***
*** ******** ****, ********, ** 39466
Objective
To provider excellent service to both my company and our customers. My goal is to join a company that I can remain and grow with for many years, while furthering my knowledge of my chosen career path.
Skills & Abilities
Advanced knowledge of ICD-10, CPT, HCPCS, and billing/coding guidelines.
Knowledge of regulatory requirements related to billing and collections.
Progressive knowledge of insurance verification and collections for all payer classes.
Skilled at learning new concepts quickly as well as communicating ideas /information clearly and effectively.
Excellent attention to detail and analytical skills.
Ability to work under pressure and meet deadlines.
Strong communication and interpersonal skills.
Experience
George Regional Health System, Lucedale, MS
Business Office Manager (03/2019-7/2024)
Oversee the billing process and ensure accurate and timely submission of claims to both insurance and patients.
Charge and payment entry within EHR to ensure accurate billing.
Collaborate with other departments to ensure smooth and efficient billing operations.
Review and analyze billing data to identify trends and areas for improvement.
Develop and maintain billing policies and procedures to ensure compliance with regulatory requirements.
Reconciling billing accounts to the general ledger.
Manage staff in day-to-day performance of their job to ensure quarterly goals are met.
Oversee departmental budget and monthly invoicing.
Insurance/Billing Specialist (02/2016-02/2019)
02/2016-07/2024
Processing remittance for all payer classes including Medicare, Medicaid, Commercial, Worker’s Compensation, etc.
Correcting billing issues and appealing claim denials online and via paper submission.
Submitting UB-04 and CMS-1500 to insurance companies both electronically and via mail using SSI billing software.
Identifying patient/insurance overpayments and processing refunds.
Respond to billing inquiries and resolve issues as needed.
Monitor monthly aging reports and conduct follow-up on unpaid claims.
Gulf Coast Interventional Pain Management, Gulfport, MS
Insurance/Billing Specialist
Billed out daily charges for clinic to insurance, corporate accounts, and to patient balances using Practice Velocity Software.
Posted payments from insurance, corporate accounts, and patients to appropriate accounts.
Prepared medical records for attorneys, worker’s compensation, and insurance companies.
Balanced daily merchant reports against day sheets for clinic.
Answered incoming calls from patients and companies regarding their accounts to resolve any issues.
Answered questions from clinics regarding billing procedures.
Insurance eligibility and benefit verification
10/2015-01/2016
Physicians’ Pain Specialists of Alabama, Mobile, AL
Insurance Coordinator
Insurance Verification- Review insurance benefits the day before patient appointment to ensure active coverage and patient responsibility.
Veteran’s Affair Coordinator- Ensure patient has an active referral for appointments as well as provide documentation after office visit to ensure prompt payment.
Legal Patient Coordinator- Ensure letter of protection from attorney’s office as well as provide itemized statement and total balance to attorney upon case settlement.
Receptionist- Answer multiple line phones, check patient’s in and out for appointment, take payment for office visit both over the phone and in person, and take messages for nurses and providers.
11/2013-06/2015
Education
Virginia College of Mobile, Mobile, AL
Associates Degree of Science in Healthcare Reimbursement
3.94 GPA
Medical Terminology, Anatomy & Physiology, Medical Law & Ethics
ICD-10 Coding, CPT/HCPCS Billing Courses
Can type 75 WPM consistently
06/2011-08/2024
Virginia College of Mobile, Mobile, AL
Associates Degree of Science in Healthcare Reimbursement
3.94 GPA
Medical Terminology, Anatomy & Physiology, Medical Law & Ethics
ICD-10 Coding, CPT/HCPCS Billing Courses
Can type 65 WPM consistently
06/2011-08/2024
References:
Joanne Goff
Business Office Director (George Regional Health System)
Caitlin Barnes
Insurance/Billing Specialist (George Regional Health System)
Edna Carpenter
Patient Account Representative (George Regional Health System)
Contact this candidate