Management Consultant Billing Specialist
Resume:
Heather Ochoa
Brentwood, NY
*************@*******.***
Work Experience
Office Manager
South Shore Family Practice
October 2016- Present
Responsibilities
Hiring/firing process
Manage front end workers to ensure eligibility, authorization and referrals are handled efficiently.
Manage medical assistants to ensure patient care and testing is of quality, answer questions regarding patient issues, train staff to perform new ancillary testing.
Manage billing department to ensure claims are scrubbed and submitted in a timely manner, denial management, claims follow up, collections and billing of patients account balances, AR reports and management.
Assist my staff when needed in all areas of the practice if they require my help
Start implementation of a new EMR
President/CEO
Heather A.Bayer, Inc
Healthcare billing/practice management consultant
March 2016-Present
Assisted offices in many areas of need including but not limited to:
Evaluate and train front desk staff
Evaluate revenue cycle and identify issues
Scrub/submit claims
Post ERA/manual EOB
Work claim denials
Credentialing/contracting of providers with Ins carriers
Implement EMR systems (ECW is the one I have done most)
Office Manager
Straight Path Group- West Babylon, NY
April 2015-October 2016
Responsibilities
Manage front end workers to ensure eligibility, authorization and referrals are handled efficiently.
Manage medical assistants to ensure patient care and testing is of quality, answer questions regarding patient issues, train staff to perform new ancillary testing.
Manage billing department to ensure claims are scrubbed and submitted in a timely manner, denial management, claims follow up, collections and billing of patients account balances, AR reports and management.
Assist my staff when needed in all areas of the practice if they require my help
Accomplishments
When I was hired in 2015 the practice was not running efficiently due to lack of educated management. I put into place new procedures on how to check in patients, schedule patients, and phone etiquette. The medical assistants were educated on the correct way to perform each job task required of them, as well as the billing department being trained on billing and follow up. Assisted the provider(s) on proper chart documentation according to CMS guidelines. Implemented two different EMR systems within a year (Athena and ECW).
Office Manager
VR Leddy MD PC - Brentwood, NY
December 2011 to February 2015
Responsibilities
Managed front end workers to ensure eligibility, authorizations and referrals are handled properly.
Managed medical assistants to ensure patient care and testing is of quality, answer questions regarding patient issues, handled irate, difficult patients as needed.
Managed the billing department to ensure claims are electronically filed on time, payments are posted, denials are worked and patient balance accounts are handled correctly. I, as well, assisted my staff in there work if they were behind.
Accomplishments
When I was hired in 2011 it was for the billing position. Within months I was given the opportunity to manage the practice. During my time here I have identified billing issues and front end issues which were able to be resolved. In 2012 we converted to EMR in which I trained the staff and got the practice management portion up and running efficiently with the help of only one employee.
Consultant
Heather A. Bayer, Inc
December 2015-Present
Responsibilities
Claims scrubbing, payment posting, denial management, EMR implementation and practice management
AR Clerk
Nslijhs-Faculty Practice Plan Great Neck, NY
May 2005 to February 2007
Responsibilities
Answered phones, explained to patients what their balance was for, collected patient payments, updated patient insurance and demographics and sent claims to carrier.
Collections Specialist
International Recovery Associates - Nesconset, NY
August 1998 to May 2005
Responsibilities
Collection specialist- Called patients to collect outstanding balances, establish payment plans, obtained medical insurance information
Billing specialist- followed up on open claims, appeals, insurance verification.
Supervisor- checked activity reports, listened to staff phone calls for quality assurance, and disciplined when necessary, high balance collections, insurance follow up, staff meetings, interviewing, hiring/firing.
Accomplishments
I learned new tasks quickly and was (am) very efficient at my work, if I am unsure I ask before doing the wrong thing, I gave 110% which is what made me a success in this company.
Education
Medical Assistant Certificate
Branford Hall - Bohemia, NY
2010 to 2011
GED in General
Brentwood high school - Brentwood, NY
1995
Skills
Excel, MS Word, Type 55-60 WPM, Fluent in Spanish, knowledge of Chronic Care Management, Transitional Care Management, worked on Athena, EMDs, Kareo billing system, E-Clinical Works implementation (system setup, training staff and doctors, setting up billing side of EMR, activating different features and their setup, assist physicians with template setup).
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