Medical Manager

Felicia Rodgers

***** ********** *** ******, ** *0746

Telephone 310-***-**** Email: ********@***.***

SUMMARY OF QUALIFICATIONS

** ***** ** ******* ******** experience at all levels. In–depth knowledge of claim procedures and practices.

Proven ability to Approved A/R aging by 50 percent

Experienced in personnel management, hiring, training, and supervision, including talent building and succession planning directed toward achieving organizational results.

BILLING SOFTWARES and SKILLS

IDX, AdvantX, Vision, Omnis, SMS, Type 55 WPM, Accurately, Generate HFCA 1500/UB-04 Claims Forms, Microsoft Word, Microsoft Excel, Microsoft Access

WORK EXPERIENCE

08/12-present Med-Net Billing, Inc El Segundo, CA

Account Manager

Billing and collections for a 5 group vascular surgeon practice.

Collect monthly percentage of receivables established by senior management, Approved A/R aging by 50 percent

Maintain patient and insurance information to facilitate reimbursement,

Audit and payment posting of office and surgery charges

Generate HCFA claim forms for submission to various payers, i.e. HMO/PPO, Medi-cal, CCS, GHPP, Medicare, Commercial payers, and Workers Compensation.

Perform follow-up on all outstanding accounts and prepare appeals on unpaid accounts

Maintain and reconcile spreadsheets of surgery deposits from patients.

04/2007-3/2012 GenASCis Brentwood, CA

Account Receivable Administrator

Collections for 5 ambulatory surgical centers

Audit and analyzed accounts for expected reimbursement (contracts, usual customary, state/federal fee schedules and patient policy plans.)

Coordinate and appealed on accounts not paid accordingly.

Maintain timely follow-up on newly and aging submitted claims to various insurance payers, i.e. HMO/PPO, Medi-Cal, Medicare, Commercial Payers and Workers’ Compensation.

06/1999-03/2007 Los Angeles Cardiology Los Angeles, CA

Patient Account Representative

Collections for a 19 group cardiology practice.

Collect monthly percentage of receivables established by administration.

Prepared appeals for services not paid accordingly to contracts.

Performed follow up on all outstanding accounts and initiated proactive measures that resulted in account resolution by corresponding with patients and various insurance carriers.

Investigated delinquent accounts and provided timely notation of action taken.

Answered account inquiries both in writing and by telephone from patients, physicians, and insurance companies.

Prepared delinquent accounts for collection agency after all internal avenues exhausted

Co-Medical Office Manager (3 years)

Provide direction and supervision to staff of 14 medical billers and collectors.

Facilitated all areas of recruiting, interviewing and hiring of personnel.

Conduct annual performance reviews and recommended salary and/or bonus increases.

Prepare and present financial analysis reports for weekly meetings with CEO/CFO.

Supervised daily functions, including customer service, billing, collections, computer input and subsequent balancing. Prepared payroll for all employees through ADP system.

Felicia Rodgers – PG 2/2

03/1998-05/1999 Physician’s Billing Source, Inc Los Angeles, CA

Account Supervisor

Recruited, interviewed and selected applicants for positions.

Managed a staff of 7 medical billers and collectors

Assisted in staff training and development.

Prepared and presented monthly financial reports to clients.

Maintained accurate patient and insurance information to avoid delays in reimbursement,

Liaison between clients and management for smooth day-to-day expectations.

01/1997-02/1998 Medaphis Physician Services Los Angeles, CA

Account Representative

Maintain and update patient’s files; including demographics and insurance information

Collect monthly percentage of receivables based on management quotas

Audit unpaid accounts and researched adjustments on residual balances

Post patient and insurance payments

Generated reports to accounting for patients and insurances refunds.

EDUCATION AND TRAINING

Associated Arts Degree LA Trade Tech College Los Angeles, CA

Medical Terminology Certificate Harbor City College Harbor City, CA

PROFESSIONAL REFERENCES AVAILABLE UPON REQUEST

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