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Medical Billing Data Entry

Location:
Jackson, MI
Salary:
90000
Posted:
October 20, 2022

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Resume:

*** ***** ******

Jackson, MI *****

Sandra K. Holdorf, DBA, CPC

810-***-****

ads37r@r.postjobfree.com

CAREER SUMMARY

Performance driven healthcare executive with professional revenue cycle experience. Known for process improvement and fostering an environment of continuous improvement.

CAREER HISTORY

COMPASS HEALTH LANSING NEUROSURGERY East Lansing, MI 7/2016-Current

Premier 31 provider multi-specialty group serving East Lansing, MI

Office Manager /Revenue Cycle Manager

Direct all aspects of revenue cycle for 16 physicians and 15 midlevel providers specializing in pain management, chiropractic medicine, physical therapy, urology, and pulmonary.

Successfully resolved outstanding billing issues with multiple payers by working with the payers’ management

Successfully implemented two system conversions.

Effectively negotiated payer contracts with upper management

Responsible for maintaining system files in the practice management system

Responsible for running month end and producing various month end reports

Practice management systems Allscripts

KURE PAIN MANAGEMENT Annapolis, MD 4/2014-7/2016

Premier 14 provider multi-specialty group serving Annapolis Maryland

Director of Revenue Cycle

Direct all aspects of revenue cycle for 10 physicians and 5 midlevel providers specializing in pain management and physical therapy

Successfully resolved outstanding billing issues with multiple payers by working with the payers’ management

Managed the consolidation of processes to reduce days in A/R and increase collection rates.

Practice management systems Allscripts and SRS

NEURO PAIN CONSULTANTS P.C., Bloomfield Hills, MI 2/2012-4/2014

Premier 14 provider multi-specialty group serving Southeast Michigan

Director of Revenue Cycle

Direct all aspects of revenue cycle for 10 physicians and 5 midlevel providers specializing in pain management, neurosurgery and physical therapy

Successfully resolved outstanding billing issues with multiple payers by working with the payers’ management

Managed the consolidation of multiple systems to achieve results higher than MGMA benchmarks (decreased days in A/R 15 days, increased collections by 2-5% overall, decreased over 121+ A/R 15%, etc)

Increased point of service collections by 40% by revamping front desk procedures

Practice management systems Allscripts and Greenway

Practice management systems Allscripts and Greenway

MCLAREN MEDICAL MANAGMENT, Flint, MI 4/2009 -2/2012

Premier healthcare system with dominate presence throughout the State of Michigan.

Physician Billing Manager

Managed all aspects of physician billing - data entry, payment posting, claim edits and occupational health for a large health care system

Managed and facilitated the posting of $5M in monthly payments (manual posting and 835 posting)

Successfully implemented a new Medicare payment posting process for use when Medicare updated fee screens and pays minimal additional money

Initiated bringing on new 835 payers

Revised payment controls to ensure all insurance money received was posted

Created multi-disciplined teams to address billing issues

Identified and resolved payer issues

Practice management system Horizon Practice Plus

ROSS EDUCATION, Davison, MI 1/ 2010 – 8/2010

Large school that offers healthcare training programs for medical administrative certificates

Instructor – Part Time

Taught medical billing modules for a certificate program

Medisoft billing software

Medicare, BCBSM, Workers’ Compensation, Tricare and other payers

Claim forms

CPT-4 and ICD-9

HURLEY MEDICAL CENTER, Flint, MI 11/ 2008 – 4/2009

City hospital in the Greater Flint area with a trauma center

Physician Billing Supervisor

Managed the unionized charge entry staff and payment posting staff for multi-site/mutli-specialty group practice

Successfully helped implement a new billing system

Implemented new systems to monitor work flow

Practice management system Cerner

BANKERS LIFE AND CASUALTY, Grand Blanc, MI 7/2008 – 11/2008

Highest quality and comprehensive healthcare coverage and financial programs focused on the retired population

Insurance Agent

Helped clients meet their insurance needs

Wrote business for life insurance, Medicare advantage plans, annuities, and other financial instruments

BAKER COLLEGE, Flint, MI 1/2004 – 6/2008

Largest independent accredited college in Michigan

Adjunct Instructor

Worked as an adjunct faculty member in the medical billing program and taught a variety of medical billing courses for students in the associate degree program.

CPT-4 and ICD-9 courses

Billing and claims courses

MMP TriMed, Flint, MI 3/2003 – 1/2008

Premier national medical billing company

Operations Manager

Directed all aspects of the data entry, collections, operations, payment prep, payment entry, payment refunds and research departments

Coordinated interface set up between client and technical operation departments

Reviewed monthly charges and payments for all clients and identified possible problems

Revised one process and increased efficiency by 40%

Practice management system TriMed

EDUCATION

BAKER COLLEGE, Flint, MI

Master of Business Administration

Bachelor of Business Administration

Doctorate of Business Administration

PUBLICATIONS

Dissertation, “Impact of the Affordable Care Act”. Published in 2015

Contributor to the Bulletin, “Compliance and the Physician’s Office.” Published in 1999

Contributor to Advance for Health Information Professionals, "Management Q & A." Published in 1999

Billing Bulletin, Neuro Pain Consultants, PC

PROFESSIONAL AFFILIATIONS

Medical Group Management Association

Michigan Medical Billers Association Board Member

American Academy of Professional Coders



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