Medical Manager
Resume:
*** ****** * ** ********, Texas, ***** 210-***-**** ***************@*****.***
Alejandrita Torres
Converse, Texas, 78109
***************@*****.***
WORK EXPERIENCE
DABAS CANCER INSTITUTE, PA, Live Oak, TX
Financial Coordinator, Jul 2014 – May 2017
Supervised Charged Entry and Collection Staff.
Researched Billing Codes.
Obtained Authorizations and Referrals
Contacted Provider Relations with Insurance and Vendors Contacted Provider Relations with Insurance and Vendors. Verified Insurance Benefits.
Generated "Month End, Year End" reports and other required reports as needed. Sent out medical records as needed for appealing claims. Conducted Interviews on potential employees before final interview with Chief Of Operations. Analyzed charges and reimbursements with Chief Of Operations. Trained new employees in the Billing Department.
Maintained computerized coding and record management systems by entering new or missing billing codes into software while maintaining close communication with our vendor. Line by line posting of reimbursements and adjustments. Dismissed/terminated staff as necessary.
Reviewed and sent out refunds.
PEOPLE 2.0 TEMP AGENCY, San Antonio, TX
Billing and Collections with Sports Medicine, Jul 2013 – Nov 2013 Daily Billing and Collections Surgical Procedures
Registration and Verification Specialist with Parallon Business Solutions, Nov 2013 – Apr 2014 Ensured that all registration was complete by using hospital front sheets and insurance information.
Verified insurance demographics and benefits.
ADULT CARDIOVASCULAR CONSULTANTS, PA, San Antonio, TX Head Biller, Jun 2008 – Jun 2013
Compiled Data
Computed fees and Charges
Prepared invoices for billing purposes.
Billed Nuclear Stress Testing and other testing done in office. Billed Office Visits.
Helped my team to verify insurance benefits and calculate patient responsibilities the day before patient arrival.
Communicated with front desk on collections amounts for new procedures and balances. Made arrangements for someone in my team (to include myself) to speak to patients regarding insurance payments on their accounts.
Helped with and verified hospital billing by report. Pulled hospital reports from hospital data base for efficient billing. Trained new front desk, check out desk, and billing staff. Generated Month End Reporting.
Analyzed billing and reimbursements with Office Manager 218 Avenue E St Converse, Texas, 78109 210-***-**** ***************@*****.*** Trained all employees (including physicians) on new computer software. Entered new or missing billing codes into software. Reviewed and sent out refunds.
CHILDREN'S ASTHMA, SLEEP AND PULMONOLOGY, San Antonio, TX Office Manager, Jul 2007 – Apr 2008
Supervised and evaluated work activities of medical, nursing, technical, clerical, service maintenance, and other personnel.
Maintained communication between governing boards, medical staff, and department heads by attending board meetings and coordinating interdepartmental functioning. Reviewed and analyzed facility activities and data to aid planning and cash and risk management and to improve service utilization.
Planned, implemented, and administered programs and services in a medical facility, including personnel administration, training, and coordination of medical, nursing, and physical plant staff.
Conducted recruitment, hiring and training of personnel. Established work schedules and assignments for staff according to workload, space and equipment availability.
Maintained awareness of advances in medicine, computerized diagnostics and treatment equipment, data processing technology, government regulations, health insurance changes, and financing options.
Monitored the used of diagnostic services, facility, and staff to ensure effective use of resources and assess the need for additional staff, equipment, and services. Performed testing when other staff was unavailable. Maintained computerized record management systems to store and process data such as personnel activities and information, patient records, and production of reports. SOUTH TX CARDIO THORACIC AND VASCULAR SURGICAL ASSOC, San Antonio, TX Billing Office Manager, Nov 2003 – Jun 2007
Hired, supervised, and evaluated the performance of the Business Office Staff. Created Month End Reports, Daily Close Reports, and other reports as requested by physicians. Prepared activity reports to inform management of financial status and services., Compared computer totals to records for errors and amounts. Posted totals to records and prepared bill or invoices to be sent to customers. Calculated accounting and other numerical data, such as amounts customers owed. Reviewed Accounts Receivables, Adjustments, Refunds, and Billed Accounts. Line by line posting of reimbursements and adjustments. CENTRAL CARDIO INSTITUTE, San Antonio, TX
Collections Supervisor, Nov 2000 – Nov 2003
Hired, supervised and evaluated the performance of the Collection Department Staff. Consulted with Medical Group to discuss service problems, coordinated activities and plans. Established work schedules and assignments for staff according on workload. Prepared invoices to be send to customers.
Prepared activity reports (daily, monthly, and year-end reports) to inform management of financial status.
Reviewed Accounts Receivables.
Prepared refunds to be sent out after review.
Communicated and discussed billing issues with the Billing Supervisor. 218 Avenue E St Converse, Texas, 78109 210-***-**** ***************@*****.*** EDUCATION
Oliver Wendell Holmes, San Antonio, TX
High School Diploma, Jun 1980
GPA: 4.0
4 year Scholarship to San Angelo Texas through ROTC San Antonio College of Medical And Dental Assistants/Kaplan, San Antonio, TX Associates in Medical Assisting, Feb 1981
GPA: 4.0 - AdministrationGPA: 3.0 - Clinical
National Institute of Technology/Everest, San Antonio, TX Associates in Business Operations, Mar 1995
ADDITIONAL SKILLS
Language Skills:English - Excellent (Read, Write, Speak)Spanish - Excellent (Read, Write, Speak)Italian - Fair (Read, Speak)
Computer programs:Microsoft WordExcelPower PointQuick Books Medical Software Programs:CentricityMomsEHS Success
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