Medical Manager
Resume:
Jessica S Martin MS, CPC
** *** **** **** **, Exeter, NH 03833 Phone: 603-***-**** Email: ***********@*****.*** PROFESSIONAL EXPERIENCE
Access Sports Medicine and Orthopaedics February 2018- Present Director of Billing Operations
● Oversee all billing and front desk of an orthopaedic, physical and occupational therapy services.
● Manages front desk of multiple locations, collecting all outstanding payments while patient is in the office
● Support staff that are implementing new policy and procedures, providing guidance and training.
● Tracking of staff productivity, to improve organizational numbers on a monthly basis.
● Review and provide guidance for providers coding and confirm we are not missing charges
● Working on implementing remote check-in for patients to have current demographics and insurance.
● Work closely with the administrator to decrease all areas of revenue leakage.
● Provide input to keep staff safe during the COVID-19 Pandemic
● Ensures credentialing is current throughout the organization with insurance, state, hospitals.
● Provide overall organizational management for all areas, as necessary Colburn Hill Group, Stratham, NH July 2014 -January 2018 Consultant
● Provide guidance, organizational development and leadership with contracted hospitals
● Specialize in billing edits reorganization for multiple hospitals - including verification of claims passing through the clearing house. Along with tracking for first pass payment.
● Co-authored paper on improving clean claim rates for billing edits
● Interim manager of patient accounts for client of 20 staff members
● Review of medical necessity denials prior to claim submission for all payers.
● Analyze staff quality improvement and productivity to improve revenue and decrease denials Accretive Health, Chicago, IL January 2013 – November 2014 Senior Operations Lead
● Provided coding knowledge and process improvement for denied claims and billing edits
● Co-managed revenue cycle staff
● Lead the project of increasing the Clean Claim Rate from 22% to 80%
● Offered leadership to simplify daily operations - to verify staff is reaching the daily goal of claims, along with correctly working the claims for payment.
● Assisted in decrease of claims worked by staff and flow cleanly through billing editor.
● Provided assistance to redesigning the revenue cycle and workflow.
● Attended bi-weekly meetings with CFO and Finance for status of monthly finances. o On target with Cash
o Write off amounts
o Staff and department issues
Accretive Health, Chicago, IL May 2010 – January 2013 Operations Lead
● Provided coding knowledge and process improvement for denied claims
● Guided the staff in a process to track write off to use for improving revenue for clients.
● Create matrix for how efficient a staff member worked, then provided additional training
● Analyzed departmental charging to see if additional coding for additional revenue
● Recommended operational and staff development with additional training
● Increase staff quality and improvement for day to day work SJH SurgiCenter, LLC, Nashua, NH September 2006- May 2010 Administrative Assistant
● Provided reviews of operative notes, to be sure all codes and modifiers are billed
● Identified when modifiers were missed
● Analyzed all charges done for correct coding
● Involved in billing and coding daily operations for all procedures
● Managed all patient accounts for payments and denial management Doctor Pamela Baldassarre, Nashua, NH May 2006- September 2006 Periodontal
● Managed patient payments, with outstanding balances, collecting balances and researching problems
● Helped with updating the computer software, kept track of problems and received additional training
● Assisted the physician with documentation of patient consults
● Verified patients dental insurance for upcoming surgeries Physicians Practices Solutions, Manchester, NH February 2005- March 2006 Accounts Receivable Representative
● Helped patients understand their balances, with approximately 1000 calls a month
● Worked to reconcile billing problems in a timely manner focusing on coding specifically
● Created monthly reports for insurance to pay their claims
● Managed insurance payments to for all patients
Comprehensive Otolaryngology, Exeter, NH January 2003- January 2005 Medical Office Coordinator
● Managed in-office patient relationships, including appointment scheduling, check-in, insurance/address verification, and billing explanation for a patient volume of around 225 patients per week
● Helped to train new employees on the use of existing systems along with day to day operations
● Managed accounts receivable ranging from insurance carriers and patients
● Utilized ICD-9 and CPT codes for charge entry
EDUCATION
● AAPC National Conference attended April 2012, April 2013, November 2013, April 2016, April, 2018, March 2021
● HCPro Bootcamp Preparation for National AAPC CPC exam – August 2011
● HCPro Medicare Bootcamp, complete billing and payment knowledge of Medicare – October 2010
● M.S in Healthcare Administration - New England College – 2006 o Thesis – Create a Policy and Procedures manual for Patient Accounts Departments
● B.S. in Health Service Management - University of New England – 2002 o Undergraduate Student Government, Financial Manager SKILLS & ATTRIBUTES
Computer Applications: Microsoft Office, IDX, Dental Vision, NextGen, Meditech, EPIC, STAR, HSM, PHS, PMM, HPF, Patient Compass and Claims Administrator, Accretive Tools, ePremis, nThrive (MedAssets), Allscripts Medical Skills: Medical terminology, medical records, ICD-9, ICD-10 and CPT books, HIPAA training Other Skills: Excellent verbal & written communication skills, excellent organizational skills, leadership skills, detail orientated, Notary Public
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