Office Administrator

Lisa Ferrill

**** ** ******** ******

Port St Lucie, Florida 34952

adcur8@r.postjobfree.com / Cell: (772-***-*****

SUMMARY OF QUALIFICATIONS

Extended experience in personnel management and training. Proficiency in general bookkeeping including accounts payable and receivable, payroll, bank reconciliation, Knowledge of quality assurance and quality control procedures.

Inventory control and purchasing. Strong organizational, Problem-solving and Analytical skills, Billing /Invoicing, Computer data input, Credit checks, Financial Contracts, Dictation, Building and maintaining solid customer relationships with the ability to resolve customer issues and complaints promptly to ensure satisfaction. Negotiation of New and Renewing various contracts and Insurance Policies. Knowledge of various employment laws and practices. High quality work standards and ability to handle confidential information sensitively in a highly professional manner. Past experience in medical coding and insurance claims and Building and maintaining customers.

Prior success of working in a fast paced, extremely demanding environment while adhering to tight deadlines and strict confidentiality requirements. Superior organizational skills and continual attention to detail. Outstanding grammar, spelling and accuracy. Excellent interpersonal relations and communication (written and verbal) skills. Exceptional organizational and leadership skills with the ability to work competently with senior executives and Board members. Highly motivated individual with the ability to interact favorably with people and work as a team member.

Ability to operate standard office equipment. Proficient with Microsoft Office. Proficient in electronic mail packages and adept in learning new computer programs. PROFESSIONAL EXPERIENCE

PETER J. LOWE, MD, PA dba RETINAL EYE CARE ASSOCIATES 4175 South Congress Ave, Lake Worth, Florida 33461 OFFICE ADMINISTRATOR – (REHIRED FROM 1999) June 2010 to November 2014

● Personnel management and training of staff of 8 to 12 employees for single and multiple locations. Hiring and discharge of staff. Yearly performance reviews.

● Maintain personnel records for current and new paperwork. Includes enrollment of company benefits and workman’s compensation

● Implemented new office policy when needed. Updated and built new forms needed for staff and business for implementation of procedures made in office

● Payroll review and submission including data input for 401-K benefits and contribution

● Daily operations of business which include maintaining physician schedule with multiple locations, data entry, Inventory purchase and control, Office equipment purchase and maintenance

● Detailed Inventory control for items sold in office as well as other medication used in office

● Accounts payable and receivable. Business invoicing and daily collection of outstanding accounts

● Bank Deposits and reconciliation. Monthly accounting reports/ Balancing monthly worksheets

● Business insurance – Quoting and selecting new policies which include Health, Business Liability, Malpractice and Workman’s compensation

● Negotiation of New and Renewing insurance contracts for participation

● Headed the information needed for all audits and/or investigations

● Credentialing and Re-credentialing Physician hospital staff privileges

● Building and maintaining customer/client/physician relations

● Maintain personal schedule of physician and arrange travel for physician and family Lisa Ferrill

2461 SE Gillette Avenue

Port St Lucie, Florida 34952

adcur8@r.postjobfree.com / Cell: (772-***-*****

WELL CARE HEALTH PLANS, INC. 8735 Henderson Road, Tampa, Florida SENIOR NETWORK MANAGEMENT REPRESENTATIVE April 2008 to October 2009

● Responsible for Network development and provider service function for Marion, Alachua, Baker and Bradford Counties. Contracting included markets for WellCare (Medicare Advantage plan) and HealthEase (Medicaid Replacement plan) Primary Care Physician, Specialist and certain Ancillary products.

● Identify all PCP, Specialist, and Ancillary practices within the counties not yet contracted. Identify Gap areas within Networks where additional PCP, Specialists or Ancillary were needed or required for the network and build relationships in order to obtain contracts.

● Submit complete and accurate contracts with supporting credentialing information for processing. Conducted on site audits of facilities per requirements of contracts. Re-credential and Re-negotiate contracts as needed or requested.

● Talent for building a cohesive provider network and building relationships. Utilize maintained relationships with providers to obtain additional contracts.

● Responsible for scheduling and conducting educational in-service for all providers at the execution of contracts. Conduct In-service included Web registering and staff training, plan benefits, Electronic claims and deposits, clarification of provider policy and procedures, training, changes and problem resolution. Continuing education on monthly or quarterly basis as well as new staff training on an as need basis. Identified and resolved customer needs and demonstrated ability to resolve issues promptly such as customer complaints to ensure satisfaction. Reviewed office practices for cost saving measures for the company and assisted in implementing procedures such as electronic claim submission, electronic deposits and web usage.

● Monthly meetings with providers to discuss tools and programs focused on improving the quality of care for Medicare Advantage Members. Educate providers on how to improve their Risk Adjustment Scores (RAF), which measure their patients' health status

● Meeting with Primary Care Physicians to discuss HEDIS, Emergency Room reports and Pharmacy reports so that Providers are in compliance with member care as well as supplying network and provider information.

● Establish positive, long-term consultative relationships with physicians, medical groups and staff in order to Identify and resolve customer needs and demonstrated ability to resolve issues promptly such as customer complaints to ensure satisfaction.

● Work with multiple departments such as medical management and sales developing actions to meet market growth and medical cost targets.

● Ensures compliance with government programs such as Medicare and Medicaid for all contracting and network development purposes.

● Track,, proof and verify the accuracy of provider data in county directories MD MEDICARE CHOICE 5501 W. Waters Avenue, Suite 401, Tampa, Florida 33634 NETWORK DEVELOPMENT COORDINATOR December 2006 to April 2008

● Responsible for development of physician network for the Medicare Advantage Plan for Marion, Volusia, Alachua and Lake County. Included negotiation of all contract terms. Contracting included Primary Care Physicians, Specialist and Durable Medical. Assisted with Hospital contracting by building relationships within hospital and then setting and attending all negotiation meetings

● Submit complete and accurate contracts with supporting credentialing information for processing.

● Talent for building a cohesive provider network, building relationships, identifying issues prior and solving issues in a timely manner. Utilize maintained relationships with providers to obtain additional contracts.

● Not only met minimum standards, but built a network that allows the greatest member choice.

● Built solid relationships with contracted physicians and the staff in order to resolve issues in a timely manner. Demonstrated ability to gain provider and member trust and have provided exceptional follow-up, leading to additional contracting opportunities and increased enrollment. Increased repeat and referral business. Interact closely with sales and marketing to achieve enrollment goals.

● Completed letter of agreements for physicians as needed. Based on patient need, Identified physicians who would work with the company prior to contracting and negotiated reimbursement for agreements.

● Research provider issues to work with providers in identifying, resolving claim and service issues. Train staff to work with providers on claims and service issues. Expertise in resolving escalated provider and member service issues. Communication is continued with both physicians and members until issues are successfully resolved. Lisa Ferrill

2461 SE Gillette Avenue

Port St Lucie, Florida 34952

adcur8@r.postjobfree.com / Cell: (772-***-*****

MD MEDICARE CHOICE NETWORK DEVELOPMENT COORDINATOR - CONTINUED

● Initial Provider Education for physicians at the time of contracting. Oversee staff and conduct training for Provider Education and participate on an as needed basis.

● October 2006 - Additional responsibility was given to oversee the Network Development and Provider Relations staff for Marion, Lake and Alachua Counties which included training and supervising the Network Development staff in contracting and negotiation. Develop goals and timelines for network development in multiple counties. Train staff to work with providers on claims and service issues. Train and supervise the Network Development staff in contracting and negotiation. Develop goals and timelines for network development in multiple counties.

● Maintaining ACHA tables and meeting deadlines for expansion counties in order to obtain CMS approval

● lTrack, proof and verify the accuracy of provider data in county directories.

● Work in concert with medical management and sales developing actions to meet market growth and medical cost targets.

● Ensures compliance with government programs such as Medicare and Medicaid for all contracting and network development purposes

BUSINESS DEVELOPMENT COORDINATOR October 2006 to December 2006

**Position of Business Development was eliminated – Moved to positon of Network Development Coordinator**

● Representative for Marion County for the special needs plans for long-term care facilities both Skilled Nursing Facility and Assisted Living

● Effectively handle the identification, development and maintenance of network of Assisted Living Facilities, Skilled Nursing Facilities and Primary Care Providers

● Responsible for presenting the Special needs plan to dual eligible (Medicare/Medicaid) prospective candidates and/or their family members/responsible parties and enrollment of eligible candidates into appropriate programs EXCELSIOR BENEFITS, LLC (Purchased Principal Financial)November 2003 to March 2006 PRINCIPAL FINANCIAL GROUP (General Insurance Agency) October 2000 to October 2003

**EXCELSIOR BENEFITS PURCHASED the GENERAL INSURANCE AGENCY PORTION OF PRINCIPAL FINANCIAL in FL** ACCOUNT EXECUTIVE / OFFICE MANAGER 220 Congress Park Drive, Suite 304, Delray Beach, Florida 33445

● Responsible for interviewing, hiring, training and supervising of all staff. Responsible for interviewing, hiring, training and supervising staff. Placing focus on creating a team and cross-training all staff for all Insurance Companies that were represented which included United HealthCare, Blue Cross Blue Shield of Florida and Principal Financial

● Responsible for the development of daily operations. Oversaw daily operation, submission and servicing of cases for Blue Cross and United HealthCare which included medical, life, vision, dental, short and long term disability

● Identified customer needs and demonstrated ability to gain customer trust and provide exceptional follow-up, leading to increased repeat and referral business

● Provide sales and marketing support

● Group presentation and enrollment for new and renewal business. Processing of groups and clean submission of group paperwork to insurance companies.

● Maintaining monthly sales reports, data entry, inventory control, office/equipment maintenance. and customer service

● Maintained and updated business logs and aglent

● Quoted and assisted in sale for Blue Cross groups 50+ TRUGREEN INTERIOR PLANTCARE 8995 West 44th Avenue, Suite 200, Wheat Ridge, Colorado 80235 OFFICE MANAGER September 1999 to June 2000

● Personnel management and training for office staff

● Accounts receivable and payable, bank deposit and reconciliation, payroll, collections, monthly balance worksheet of business, inventory control and balancing

● Payroll Authorization and submission

● Maintained customer relations

Lisa Ferrill

2461 SE Gillette Avenue

Port St Lucie, Florida 34952

adcur8@r.postjobfree.com / Cell: (772-***-*****

PETER J. LOWE, MD, PA 4175 South Congress Ave, Lake Worth, Florida 33461 OFFICE MANAGER – (In Office Promotion) October 1996 to August 1999

● Personnel management and training of staff for three location and responsible for the development of daily operations which included interviewing, hiring, training and supervising all staff

● Human resource duties which included payroll, employee benefits and workman’s compensation

● Maintained physician schedule

● Accounts payable and receivable, bank reconciliation and deposits, collections weekly and monthly accounting reports, monthly balance worksheet, spreadsheets, invoicing, inventory control and balancing

● Review and completion of insurance contracts as well as re-credentialing of contracts INSURANCE COORDINATOR October 1991 to October 1996

● Insurance Billing – fee schedules, billing, member eligibility, payment posting, troubleshooting and secondary filing of insurance.

● Credential and Re-Credentialing of Insurance Contracts

● Personnel Training, Physician Dictation, Medical Records,

● Maintained patient relationships

● Very computer oriented and experienced with many computer programs and am a quick learner when working with new programs

EDUCATION AND LICENSING

Graduate of Natchez Adams High School- Natchez, Mississippi Natchez Vocational School: Intensive Business Training I and II – Natchez, Mississippi

- Training of typing, filing, word processing, dictation, calculations, computers, bookkeeping and telephone technique.

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