ERIKA H. BEEMER
**** ********** ***** ******, ** 48446 989-***-**** ada1l6@r.postjobfree.com
PROFESSIONAL PROFILE
Top performing professional accustomed to a fast-paced hospital flow who provides timely and accurate data to ensure reimbursement for patient services. Follows policies, procedures and guidelines to ensure consistent quality. Maintains and assures patient privacy and confidentiality.
High Academic Honors Recognition / Dean’s List
Electronic Medical Records (EMR / EHR) Sunrise OCIE
Certified in First Aid CPR AED Recipient Rights (Mental Health)
Microsoft Office / MS Excel MS Word MS PowerPoint Typing Speed: 65 WPM
Regarded as a natural people person with strong interpersonal communication skills
Ensure correct and thorough demographic information for medical records database
Understand compliance regulations such as Medicare, Medicaid, Managed Care, and HIPAA
Electronic Medical Records (EMR / EHR)
eClinicalWorks (ECW) eCare Orsos (OneCall) Genesee Health Systems (GHS)
Clinical Health Information Program (CHIP) Greenway
KEY QUALIFICATIONS
Medical Billing Medical Coding ICD-9 ICD-10 HCPCS CPT
Medical Terminology Medicare Medicaid Tricare CMS 1500 CMS 1450 (UB-04)
Electronic Health Records (EHR) Payment Posting Scheduling HIPAA Compliance Insurance Verification Insurance Claim Processing EOBs Co-Payments Deductibles Managed Care (HMO PPO POS)
Government Payers Third Party Payers Worker’s Compensation Fee Schedules
EDUCATION
Ultimate Medical Academy Diploma – Medical Billing and Coding, 2019
Davenport University Bachelor of Business Administration – Accounting and Finance, 2005
Carnegie Institute Diploma – Electroencephalographic Technician (EEG), 1999
Troy Continuing Education Diploma – Unit Secretary, 1997
RELEVANT PROFESSIONAL EXPERIENCE
Hope Network Behavioral Health Services – Flint, MI 12/2018 – Present
Medical Office Administrative Assistant
Provide office and billing support services
Assist with patient intake process, oversee patient flow and document patient interactions
Implement front office best practices by billing with accuracy and adhering by HIPAA rules and regulations
Skilled in the use of EMR software and insurance maintenance
Insight Institute Neurologist – Flint, MI 06/2018 – 09/2018
Billing Manager / Office Practice Manager
Promoted to Office Practice Manager shortly after starting position
Created tracker for auto compensation and discovered previous errors with billing qualifiers
Unified multiple call centers into one concise unit and revamped verification and authorizations departments
Improved patient schedule notification from 7 days to 24 hours
Produced job aids for employees and future managers
R1 Revenue Cycle Management Solutions – Southfield, MI 08/2016 – 06/2018
Manager of Shared Services
Resolved issues, payment statuses, and insurance denials by communicating with Provider Representatives
Reported team accomplishments, barriers, and statistics to company's President, Vice President and Director
Supervised 3 different hospital's revenue cycles and reduced average daily revenue by 95.29%
Oversaw 40-member revenue cycle team through virtual communication, including Skype, phone, emails, and instant messages
Managed Ops-lead, immediate supervisor, and 16 on-site and 1 off-site team member
Collaborated with IT Department to improve necessary report information and to create reports for Milwaukee's Columbia St. Mary's regarding write-offs, weekly revenue income, and monthly income barriers and opportunities
Utilized Microsoft Word, PowerPoint, Excel, and Adobe to create job aides for team members
R1 Revenue Cycle Management Solutions – Saginaw, MI 02/2008 – 08/2016
Central Scheduling and Patient Access Manager
Traveled to various offices and hospitals
Mediated schedules between physicians, patients and diagnostic departments
Trained employees within department, diagnostic department, and physician offices to utilize scheduling software, ORSOS (OneCall)
Worked directly with IT and ORSOS vendor to create shortcuts and procedure exams to benefit the hospital
Merged 3 separate call-centers into one congruent system to benefit customers
Cooperated with hospital department directors and managers with concerns and improvements for scheduling exams
Decreased call-wait time by 87% and scheduling-process time by 64%
Created scheduling fax request system that decreased wait times and gave offices written confirmation about scheduled appointments
Reported directly to CFO, processed patient refunds and gave final approval
Ascension St. Mary's of Saginaw Hospital – Saginaw, MI 02/2006 – 02/2008
Accounts Receivable Follow-up Specialist
Merged 3 individual business office locations into one consolidated office
Received and managed call center interactions regarding inquiries from medical offices, helicopter ambulance (HEILO) services and billing
Oversaw $2M revenue monthly on HEILO charges, billing, coding and follow-up
Handled refunds and approvals, and physician credentialing
Led project to submit claims electronically to increase efficiency and followed-up with insurance providers to resolve claims
Collaborated with financial advisors to help patients obtain Medicaid coverage with the state and financial assistance with hospital charity
Traveled to other office locations and trained employees to take over billing department
Served as a Board Member for The HIPAA Violation Board, 04/2007 – 11/2009