Medical Billing Data Entry
Resume:
Jackson, MI *****
Sandra K. Holdorf, DBA, CPC
***********@*****.***
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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