Medical Office Manager and or Billing Specialist

Sharon S. Taylorson

Orland Hills, Illinois *****

Cell 708-***-**** Email ******.************@*****.***

PROFESSIONAL SUMMARY

To work with a team of billing professionals to attain the highest level of proficiency, as well as productivity. Skilled Billing Manager knowledgeable about billing practices in the medical office industry. Bringing 30 years of leadership, administrative and customer service experience. Organized and quality-minded professional excited to apply skills and experience to new role at variety of medical specialty (Ophthalmology, Family Practice, Medical Offices and Clinics)

SKILLS

Customer Service Financial Resources Management

Time Management Business Relationship Management

Team Building Leadership Risk Assessment and Classification

Proactive and Focused Attention to Detail

Service-Oriented Collection Action

Work History

09/2008 part-time consultant until 08/2016

09/2016-05/2021 Full Time Position

Experience Administrator/ Billing Manager, Christopher T. Kardasis, MD Ophthalmologist

Managed billed claims for reimbursement reduced account receivable by 60 percent, submitted appeals on denied or rejected claims in a timely filing period, Obtained correct patient registration information with insurance eligibility, unmet deductible for proper billing collecting co-payments from patients, follow up with insurance carrier on unpaid claims, acted as the patient billing expert for the front office personnel send out monthly patient statements, setting up patient payment plans directly with individual patients for all accounts, submitting past due accounts to collection agency, scheduled surgical procedures at five different outpatient facility and/or surgical center. Obtaining prior authorization and referrals for both scheduled office appointments and surgical schedule, custodian for all medical record requests for insurance carriers, attorneys and/or workman compensation, motor vehicle injuries claims, at the physician request completed the credential process with new insurance company carrier contracts and directly worked with representative in this process to become contracted physician, responsible for billing and collecting Medicare and Medicaid reimbursements, resolving discrepancies.

July 2002 – June 2012

Experience Office Manager, John M. Curtin, DO Family Practice

Entered daily medical billing charges electronically to clearinghouse for proper billing and reimbursement, reduced account receivables by 70 percent submitted appeals on denied claims, obtained patient registration with eligibility co-payments scheduled patient appointments, filed motor vehicle and workman compensation claims, mailed patient monthly statements, posted insurance payments collected co-payments from patients for weekly deposits, refilled patients medications, scheduled patient appointments sent recall reminders to patients. Sold and adjusted Z-Coil Footwear as a trained distributor.

March 1998-June 2002

Experience Account Manager, Compubill Inc Billing Service Narender Reddy University of Illinois Eye and Ear Infirmary

Worked directly with the clinical and departmental administrator assisted in the implementing to the day to day functions of the Billing Department, working directly with several specialty department managers for standardizing the methods in which work will be accomplished and reimbursement of charges would be paid. Obtained correct insurance information from the patent registration department. Mailed monthly billing statement and past due notice, Managed all patient and billing statement inquires and payment, worked directly with a supervisor at the Department of Medicaid Services on denied multiple procedures billed and provided operative reports and medical records for additional reimbursement

Education 2005 Certification Medical Billing and ICD 9 Coding, MCI Medical Career Institute Chicago, IL

2004-2005 Medical Terminology, Moraine Valley Community College general courses Medicare LCD as well as Medicaid diagnostics covered procedures

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