Medical customer service, medial office management
Resume:
DEBBIE J. CROW
North Richland Hills, Tx. 76180
**********@*****.***
OBJECTIVE: Seeking challenging position that utilizes knowledge and expertise while allowing for professional growth and development. Looking for temporary part time work during Corona Virus Pandemic.
QUALIFICATIONS:
•Proficient in staff management and training
•Recognizes quality personnel for appropriate positions
•Able to identify and resolve problems quickly and efficiently
•Excellent communication and interpersonal skills
•Exceptional patient relations proficiency
•Strong decision making skills
•Experienced with computer applications
PROFESSIONAL EXPERIENCE:
FRONT AND BACK OFFICE
Philip A. Moore, M.D.
1600 Lancaster Dr., Ste 103. Grapevine, TX August 2016 to present
•Reception – answering phone, discussing status of accounts with patients
•Calculating estimates for surgical procedures and informing patients of their financial responsibilities
•Surgery scheduling in-office, hospital or surgical center
•Insurance authorizations and pre-determinations
•CPT and ICD 10 coding
•Accounts Payable and Accounts Receivable
•Payment posting and interpretation of EOB’s
•Billing and collections
•Follow up on unpaid insurance claims
•Appeals, claim reconsiderations, letters of medical necessity, scheduling peer to peer on denied authorizations
•Periodic assist with in-office procedures
FRONT OFFICE
Texas Pain Institute
1000 Lipscomb, Fort Worth TX 2014 – August 2016
•Patient check-in, check-out
•Payment posting
•Insurance verifications and authorizations
•New and current patient coordinating and scheduling
•Maintain and operate electronic health records
•CPT and ICD-10 coding
•Maintain schedules for physicians and physician assistants
•Manage and maintain business at various satellite offices
•Assisting Medical Director in various office procedure changes
•Building relationships with other healthcare professionals
OFFICE MANAGER
William I. Kracke, M.D. 2006 – December 2013, Amarillo, Texas
•Manage office operations and work flow, office staff, performance management and training/development of specialty practice
•Purchasing office equipment, managing and maintaining equipment and office supplies
•Payroll
•Credentialing and revalidation of credentials for insurance company and hospital contracts
•Accounts receivable/payable processing
•Patient account collections, current and past due
•Managing electronic billing for all insurance claims
•Responsible for Medicare and Medicaid appeals resulting in significant monetary recovery
•Maintained and operated electronic health records and billing system
•CPT and ICD-9 coding and corrections
•Scheduling appointments of physician and patients
•Ensured compliance of law and compliance of policies of medical health care
•Review medical records
•Controlled substance handling
•Oversee contracts and applications for insurance companies
•Screening of all patient after-hour calls
•Building relationships with other health care professionals
OWNER AND OPERATOR
A Woman’s Touch 2000 – October 2005, Amarillo, Texas
•Business development and marketing
•Maintain client base
•Managed and directed staff for self-owned professional residential and commercial cleaning service
SUPERVISOR, PATIENT RELATIONS/BILLING
High Plains Radiological Association 1985 – 2000, Amarillo, Texas
•Supervise administrative staff
•Interview and train personnel
•Handle credentialing for 14 doctors for over 45 locations
•Managing electronic billing for Medicare, Medicaid and Blue Cross BlueShield
•Responsible for Medicare and Medicaid appeals resulting in significant monetary recovery
•Investigation and processing of rejected Medicare, Medicaid and insurance claims
•Accounts Receivable processing
•Review medical records
•Oversee contracts and applications for insurance companies and hospitals
•CPT and ICD-9 coding and corrections
EDUCATION/TRAINING
CERTIFIED ADMINISTRATIVE ASSISTANT 1977
Draughan’s Business College Amarillo, Texas
References available upon request.
Contact this candidate