Healthcare Manager Medical Billing

Location:

Lakewood, CA

Posted:

June 07, 2022

Contact this candidate

Resume:

Susan J. Goo

**********@***.*** cell 562-***-****

Career Summary

Healthcare Manager with 10+ years of experience in medical billing. I have managed billing departments for both hospital based physicians and stand-alone clinics. Achieved quality of care, financial stability and practice growth.

Experience

June 2019 - November 2019

Processer Recruiting - Hansen and Adkins Auto Transport

Scheduled new drivers DOT pre-employment physicals and drug screening and review results. Contact clinics to arrange pre-employment exams,+order background reports, contact previous employers for verification. Work with terminal managers (21) with hiring process and on boarding before and after hire date. Sent and discussed Pre-Adverse and Adverse letters with drivers regarding correspondence of Adverse.

April 2018 – June 2019

Human Resources Clerk – Huntington Beach Staffing

Audit new hires, follow-up on DOT pre-employment physicals, complete employment verifications, mail sorting, answering phones and dealing with employee benefit questions and resolutions.

June 2006 – October 2014

Accounts Receivable Clerk - Dr. Betty Ciuchta Long Beach, CA

Payment posting, patient statements, individual and bulk appeals, bank deposits, coding. Review EOBs and AR reports and taking appropriate action to resolve outstanding charges.

December 2006 – November 2013

Billing Manager Planned Parenthood Los Angeles, Los Angeles, CA

Daily claims and payment processing for 20 clinics and 1 lab, average patient visits 500 daily: monthly revenue of 3 million dollars. Reduced month end by 7 days, created billing manual for clinic staff, worked with IT and Client Services Department to create billing edits for ensure clean claims, managed main Nextgen system along with DSG which enable the company to reduce the re-billing medications based on Dx daily due to the restriction of the Medi-cal only seeing 2 Dx electronically. Review of monthly AR reports, address problem and communicate with insurance/IPAs with billing issues. Worked with Insurance/IPA to resolve billing issues, bulk and individual appeals.

October 2001 – April 2005

Billing Manager - Radiology Practice Management, Long Beach, CA

Oversight of 3 hospital based radiology practices and 3 out-patient radiology clinics. Developed work flow and tracking of daily charges, payment posting, EOB correspondence. Worked with clinic staff to ensure proper collection of data that is required for payment from insurance carriers. Worked with Contracting and IT department to correct system and reimbursement issues.

Awards & Acknowledgements

•Pride Award 2013 and Team Player Award 2008 Planned Parenthood

•Education

•Towson High School, Towson, Maryland

Real Estate License New Jersey

Susan J Goo

References:

Tiesha Jones

Phone: 562-***-****

Email: ********@***.***

Tammy Leahy

Phone: 314-***-****