Medical Billing Office
Resume:
Public
Dawn Ognilla
Seeking a position in a healthcare company where I can demonstrate
and perform my expertise and knowledge in provider credentialing within medical state boards,maintaining provider CAQH database, Identified and developed strategic action plans to improve billing and collection practices. Developed and implemented best front office practices to maximize patient flow, increase patient satisfaction, and ensure ongoing compliance with JCAHO, DHS, CLIA, OSHA, and Health Plan guidelines. Maintained and monitored daily statistics and reports to ensure appropriate staffing levels based on the unit of service standards. Generated and reviewed monthly audits for environmental care, medical records, CPSP, laboratory practices, and logbooks to identify areas of improvement and resolve adverse results. Performed employee evaluations, payroll, conflict resolution, staff development training. An ideal position to express my values in the future of healthcare remotely. Highly experienced Healthcare Admin/clinical coordinator with valuable experience in private medical offices and hospital departments. The ability to handle the administrative and clinical care of patients remotely with accuracy.I provide quality support to all staff including nurses and physicians. Uphold the integrity of patients and privacy by s4curing all medical information. Passionate about being included in a medical center success, and thus contributing to the excellent care of those in need.
Jesup, GA 31545
adp8iw@r.postjobfree.com
Master Healthcare Administration
BLS certified
AED certified
First Aid certified
First Aid certified
Authorized to work in the US for any employer
Work Experience
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Healthcare Admin/Medical Assistant/Medical Billing Specialist
Jojasfra Pain /Primary Medical Services - Baxley, GA June 2018 to February 2021
Managing staff within the medical office
posting insurance payments patients accounts
working insurance denials
review ICD 10 Coded under physician documentation
CAQH highly experienced entering physician information, Reviewing physicians CAQH every 30 days
Completing physician credentialing for hospitals
Implementation clinical remote patient monitor ehr Managing the client care/patient care experience
Managing health informatics, including recordkeeping Overseeing the financial health of the department or organization Managing human capital, including policies for hiring, performance reviews, staff schedules, etc.
Ensuring medical office compliance with medical and legal regulations and internal policies
Maintaining open lines of communication with members of the medical staff and department heads that enable the system to function swiftly and efficiently
Maintained physician credentials CME, Medical license, DEA License Reviewed physicians applications with Ga Medical Composite Board Added medical virtual scripts to EMR system patient diagnosis education Oversee clinical care team
Insurance verification for eligibility/deductibles Daily deposit
Daily close out/ balance
Daily patient triage- vitals, B/P, BM,
Weight, height, Hemoglobin, urine dipstick
Review Medicare/Medicaid denial claims
Review diagnosis codes for Medicare billing
Completed full tele-health platform for physician
remote patient monitoring (clinical ) monitor remote patient care Entered virtual SMS notifications in RMP system
medical office coordinator/ office manager/
receptionist
Parkwood Medical Center - Brunswick, GA
June 2012 to August 2016
files all physician paperwork, open/close office, distribute mail to appropriate designation, maintaining emr system, hire/fire employees, train new employees, oversee billing dept and scheduling, reminded patients of appointments, verified insurance, submitted all claims for billing with icd 10 codes, scanned appropriate paperwork into computer, reviewed clinical documentation before physician signed off, daily deposit, maintained hippa and OSHA manuals, scheduled patients daily, daily recall patients appointments, cross trained in all areas of front office to clinical and the office manager, collected payments and posted on patients accounts, reviews aging ar report for medical office for physician use on revenue of office, Maintain close relationship with medical office clearing house for all electronic insurance billing, utilized correct documentation to make patient referrals to outside appointments, called insurance to verify and obtain prior authorization number for procedures on patients
Education
Graduate in Heath are admin business management
Wayne County High School/ diploma 1994 - Jesup, GA June 2002 to August 2006
Skills
Skills
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looking for?
Accounting Microsoft Powerpoi…
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microsoft office, set up several EMR system for office, strong organizational skills,multitasking, computer literate in all areas with computer, great telephone etiquette
- 4 years
Medical Coding - 9 years
Medical Billing - 8 years
Insurance Verification - 9 years
ICD-10 - 9 years
Medical Scheduling - 9 years
Medical Office Experience - 10+ years
Office Administration - 8 years
ICD-9, icd10, telephone etiquette, organization skills,HIPPA compliant, supervise staff, referrals, verify insurance deductibles and copays, osha guidelines for medical office
- 9 years
Documentation Review - 9 years
Anatomy Knowledge - 7 years
CPT Coding - 6 years
Hospital Experience - 6 years
Data Entry - 9 years
Triage - 9 years
Medical Terminology - 9 years
Vital Signs - 8 years
Experience Administering Injections - 3 years
ICD Coding - 9 years
Patient Care - 8 years
Clerical Experience - 9 years
Transcription - 4 years
Physiology Knowledge - 3 years
Problem-solving - 9 years
Team Work - 9 years
Reliability - 9 years
EMR systems - 9 years
Medical Records - 8 years
Flexibility - 8 years
Cerner - 6 years
Laboratory Experience - 4 years
Time management - 7 years
Dental office experience
Typing - 10+ years
HIPAA - 10+ years
Customer service - 7 years
Microsoft Office - 10+ years
Epic - 3 years
Medical Receptionist - 9 years
QuickBooks - 8 years
Microsoft Excel - 10+ years
Computer literacy - 10+ years
Microsoft Outlook - 10+ years
eClinicalWorks - 7 years
English - 10+ years
Phone etiquette - 9 years
Computer skills - 10+ years
Management - 8 years
Acute care - 7 years
Nursing - 4 years
Caregiving - 6 years
Human resources - 8 years
Leadership - 7 years
Medication Administration - 4 years
Quality Assurance - 8 years
Front Desk - 9 years
Filing - 10+ years
Payroll
Research
Languages
English - Expert
Awards
Staff member of the year
May 2009
Paraprofessional teacher was awarded staff member of the year Certifications / Licenses
Paraprofessional license
EMT
June 2000 to December 2000
Ambulance rotation, in class medical anatomy, IV education, cpr, aed, Assessments
Protecting patient privacy - Familiar
October 2021
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Verbal communication - Proficient
September 2021
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Work motivation - Proficient
August 2021
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Work style: Reliability - Proficient
May 2021
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Dental receptionist skills - Proficient
May 2021
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Nursing assistant fit - Familiar
May 2021
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Patient-focused care - Proficient
May 2021
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Medical billing - Familiar
May 2021
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Medical receptionist skills - Familiar
March 2021
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First aid - Familiar
March 2021
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Electronic health records: Best practices - Familiar March 2021
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Medical terminology - Proficient
March 2021
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Electronic health records: Best practices - Familiar March 2021
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Additional Information
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