Medical Manager Billing

KELLY ONEIL

***** *** ***** *** ** Uniontown OH *4685

330-***-**** (Home) 330-***-**** (Cell)

********@***.***

OBJECTIVE

I am a highly talented Medical Billing Supervisor/Assistant with over 20 years of experience in performing a variety of complex clerical and accounting functions for patient billing. I would like to continue to use my outgoing personality to contribute to the success of a positive company. I would like to contribute to a company that is growing and be a part of a team. I’m dependable, organized, independent, self-starter who communicates effectively and works well with others.

EXPERICENCE

Akron Pediatric Surgical Associates Aug 2011 to Current Akron, OH

Billing Specialist

Responsible for the daily insurance verifications and authorization for 4 doctor pediatric surgeon practice as well as the burn unit for Akron Children’s Hospital. Solely responsible for over 2.5 million accounts receivable. Reviewing every outstanding account with either the insurance company or patients. Daily billing of paper claims and electronic rejections. Responsible for all patient calls. Reaching out to patient’s families and setting up payment plans. Monitoring the current payment plans. Reviewing and sending the monthly statements. Patient checkout duties of the office. Rooming patients and checking them out. Making follow up appointments. Discussing/explaining patient benefits with families in person and over the phone. Appeals and corrected claims to insurance companies. Billing software used Streamline – PRC. Also use EPIC hospital system.

Comprehensive Pain Management Feb 2009 to Jul 2011 Akron, OH

Billing Supervisor Feb 2010-Jul 2011

Oversee and supervise the operation of the Billing and Authorization departments while fulfilling the duties of a biller within the organization. Responsible for the billing and collection of revenues for three companies. Billed approx $2 million a month and payment collections of $650,000 per month. Compiled monthly reports to the Owner. Audited accounts monthly. Timeforce (payroll system), interviewing, researching contracting issues, Electronic Remittance Advices (ERA), Electronic Funds Transfer (EFT), A/R follow up, CPT-ICD-9 corrections, workers comp claims, posting payments, and Corrective action. eClinicalWorks and Micro MD billing software systems used.

Office Manager Feb 2009-Feb 2010

Responsible for the day to day operations for two busy Pain Management Doctors. Answering phones, taking messages, scheduling new/established patients, billing, collections, payment posting. Ordering supplies/equipment, Hiring, Corrective Action, payroll, training of all new staff and responsible for education/training on the Practice Management System – Micro MD and Electronic Medical Record System – Prognocis. Worked with system IT to train and review enhancements.

Pioneer Physicians Jan 2008-Nov 2008 Tallmadge OH

Site Liaison

Responsible for A/R for two site’s within the company, Hearthstone Family Practice and Tallmadge Family Eye Care. Responsible for daily follow up on A/R, working downloads, and calling insurance companies for zero paid claims or underpaid claims. Maintained a 9% over 120 averages. Posted ERA for Aetna Ins daily. Billed out Lab charges from our internal lab daily. Billed out ancillary charges such as Dexascans, Sleep Studies, Ultra Sounds and Nuclear Stress Tests daily. Back up for personal check posting. Billed out Vision claims on line. Worked weekly directly with Site Manager and Physicians on any billing or claim issues.

Fresenius Medical Care Dec 2003-Jan 2008 Uniontown OH

Manager of Billing Operations 7-07-01/08 Responsible for reporting to the Area Regional Manager. Managed a staff of 30. Managed day to day billing/collection functions.

Billing Group Supervisor -12/03-7/07 Responsible for assisting the Manager of Billing Operations. Supervise a staff of 21. Manage accounts receivable of 15 million. Maintain communications/billing/collections for 34 clinics.

Prepare monthly aging reports for collection department, review aging reports, established policy and maintain log for Blue Cross Blue Shield premiums, approve all PTO requests, accurately process payroll through Kronos bi-weekly, communicate effectively via phone and e-mail with multiple social workers, Area Managers and patients on patient status/billing issues, help create and conduct yearly work reviews, assist with interviewing new employees, train new employees, assist the admissions dept with questions/policy regarding any new admission, negotiate letters of agreements with payers, follow up on under insured patients, supervise the collection of approximately 8 million dollars of current net revenue monthly.

EDUCATION

The University of Akron 1990-1994

Associate of Applied Business – Office Administration

OTHER EDUCATION/SKILLS

Microsoft Word/Excel/PowerPoint/Outlook Auditing

HR System – Human Resources Management System Home Infusion Billing Software

Kronos Workforce Timekeeper Kidney Dialysis Billing Software

eClinical Works Software Online access to Medical web Sites

Timeforce Timekeeper Medical Manager

MicroMD Billing Software Epic Hospital System

Streamline – PRC Billing Software Collection Seminars Yearly

REFERENCES

Available upon Request

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