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Medical Billing Data Entry

Location:
New Middletown, OH
Posted:
September 07, 2022

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Resume:

Tonya Dunn

PRACTICE MANAGER

New Middletown, OH *4442

**************@***********.***

+1-330-***-****

HIGHLIGHTS AND QUALIFICATIONS: Vast experience in growing medical environments. Experienced in medical and non-medical management. Works effectively and efficiently individually or as a team. Excels at meeting deadlines and works well under pressure. Knowledge and diversity allows for great rapport with people. Extensive knowledge in medical terminology, office procedures, and proficient in billing and coding.

#readytowork

Authorized to work in the US for any employer

Work Experience

Practice Manager

UPMC CCP ABC PEDIATRICS - New Castle, PA

September 2016 to Present

September, 2016 - • Responsibilities include management and administrative support for a very high paced pediatric office.

• Manage daily schedules for 5 physicians and 2 practice locations.

• Administer efficient working of all staff and ensure high levels of productivity

• Development and enforcement of practice policies and procedures to ensure compliance of all State and Federal regulations

• Scheduling daily work shifts for 18 employees and delegation of job duties

• Open, sort and distribute all of the daily mail

• Calculate the payroll, track sick, vacation and holiday pay

• Ensures the practice, providers and employees are all up to date certifications such as CPR, OSHA, CLIA, and VFC

• Keeps adequate stock in all medication and formula samples

• Handle all of the accounts payable, receivables and monthly reports

• Proficient in ordering all of the vaccines needed for the private stock and VFC stock.

• Handle all audits from the state for our CLIA certificate and VFC Program

• Order all of the front and lab supplies when needed and make sure we have adequate stock

• Excel at Micro MD practice management program and also have excellent knowledge of the EMR system Amazing Charts, and EPIC and EPIC CARE, Teams, Share Point, Vista

• Proficient with coding, billing and collections of patient accounts

• Post payments, daily charges and check insurances for patient accounts, daily deposits

• Have knowledge of hospital billing for outpatient services

• Implement day to day strategy for the scheduling of all patient visits

• Send electronic scripts to pharmacies for medications prescribed

• Filing, scanning and chart preparation and answer a multiple line phone system

• Have knowledge of referrals, prior authorizations, and follow up on any denials

• Meeting monthly management goals

OFFICE MANAGER

James P. D'Apolito Pediatrics Inc

November 2002 to September 2016

• Responsibilities include management and administrative support for a fast paced pediatric office

• Administer efficient working of all staff and ensure high levels of productivity

• Development and enforcement of practice policies and procedures to ensure compliance of all State and Federal regulations

• Scheduling of the employees for daily work

• Open and sort all of the daily mail

• Calculate the payroll, track sick, vacation and holiday pay

• Ensures the practice has all up to date certifications such as CPR, OSHA, CLIA, and VFC

• Keeps adequate stock in all medicines sample

• Handle all of the accounts payable, receivables and monthly reports

• Proficient in ordering all of the vaccines needed for the private stock and VFC stock.

• Handle all audits from the state for our CLIA certificate, Lead certificate and VFC Program

• Order all of the front and lab supplies when needed and make sure we have adequate stock

• Excel at Micro MD practice management program and also have excellent knowledge of the EMR system Amazing Charts

• Proficient with coding, billing and collections of patient accounts

• Post payments and charges to patient accounts

• Have knowledge of hospital billing for out patient services

• Daily scheduling for patient visits

• Call scripts in to pharmacies for medications prescribed

• Filing, chart preparation and answer a multiple line phone system

• Have knowledge of referrals, prior authorizations, and follow up on any denials

• Experienced in taking vitals, and patient intake information and placing in rooms for the doctors to see them

• Open all the patient rooms and get them ready for the daily work load. INSURANCE BILLING & CODING MANAGER

MILLENNIA WOMENS CENTER, DR. JAMES LEONELLI OBGYN

November 2013 to April 2015

• Medical coding and billing, referrals, precertification, insurance follow up, posting of all payments, patient intake, updating all of patient demographics, answer the phones, all patient billing, accounts receivables

• Have knowledge of Health Fusion EMR and Billing, Dr. Chrono EMR and Billing and Mac Practice Billing system.

CSR & CLAIMS PROCESSOR

HARRINGTON BENEFIT SERVICES

April 2000 to November 2002

• Excellent in explanations of medical and dental benefits, eligibility and claim information

• Experienced with a multiline phone system within a que setting

• Answered calls for a Que with 10 different groups taking up to 120 calls per day

• Also processed claims for 6 different groups

• Processing payments or pending medical claims up to 300 claims per day. OFFICE MANAGER

July 1997 to December 1999

• Managed a staff of 8 employees, some clinical and some clerical

• Scheduled all employees for work at two different office locations

• Scheduled patients for their allergy shots, skin testing, and maintenance visits

• Using Micro MD medical practice management program, sent out all paper claims and electronic claims

• Worked the front check in, and check out windows

• Balanced out daily and handled all of the deposits

• Opened and sorted all of the daily mail

• Printed all patient billings and managed collections

• Managed the ordering of the allergy serums and office supplies

• Kept track of all the medicine samples and handled all of the drug reps

• Answered the phones, filed, called in prescriptions to pharmacies and patients

• Checked insurance coverage and authorizations

• Posted patient charges, payments, and adjustments to patient accounts

• I did secondary billing for Medicare and private insurances

• I ran all of the month end reports.

Education

Some college

SPRINGFIELD LOCAL HIGH SCHOOL

1990

Skills

• Medical Billing

• Microsoft Excel

• CPT Coding

• ICD-10

• Medical Terminology

• Medical Coding

• ICD-9

• Managed Care

• Medical Collection

• Accounting

• Microsoft Powerpoint

• Microsoft Office

• Insurance Verification

• EMR Systems

• Practice Management

• Growing Experience

• Healthcare Management

• Medical Management

• Medical Office Experience

• Microsoft Word

• Data entry

• Documentation review

• Customer service

• Microsoft Outlook

• English

• Medical records

Certifications and Licenses

CPR

Assessments

Medical Billing — Proficient

December 2020

Understanding the procedures and forms used for medical billing Full results: Proficient

Indeed Assessments provides skills tests that are not indicative of a license or certification, or continued development in any professional field.



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