Practice Manager, Medical Biller, Pre Auth Utilization, Recruitment
Resume:
Etienne Marshall Thach
Long Beach CA *****
*********@*****.***
Mission:
Highly capable, critical-yet-cordial, BA searching for work in practice management, medical billing, utilization review, medical office consultation, or medical recruitment. Education
BA, Double Major: Linguistics and Legal Studies (2016) UC Santa Cruz -- Santa Cruz, CA
Skills
● Practice Management
● EHR Proficient
● UR Experience
● Microsoft Office Proficiency
● Spanish Language Proficiency
Experience
(June 2017 - Present)
Got-It! Medicine, Huntington Beach CA - O ce Manager, Prior Authorization Utilization Reviewer, Patient Liaison, Medical Biller/Coder/Scribe
● Daily management of four employees overseeing all office duties. Included: patient scheduling, patient intake/discharge, authorization creation/processing/confirmation, patient billing/coding, inventory management, ensuring patient eligibility
● Coordination of patient care: received medical concerns and conveyed to appropriate resource; i.e. specialist, insurance company, pharmacy, authorization department, etc
● Created management system for new private practice: scheduling checks/balances, efficiently and adequately addressing patient ailments and proper routing, medication management, labs/imaging/authorization coding corrections
● Was the sole medical biller in the office, responsible for following up with claims and ensuring insurance payment and/or patient payments regarding collection of deductible. Read and interpreted clinical notes and coded them appropriately
● Headed authorization AND billing processing, respectively coordinating with doctor to ensure appropriate coding and proper conveyance to appropriate departments, often interpreting clinical information in order to get authorization approved and billing paid. Ensured adequate timing and turnaround to address patient need and full payment
(June 2016-June 2017)
Huntington Beach Hospital, Huntington Beach CA - Medical Biller
● Organized clinical information in neat manner to produce CPT’s for billable services
● Billed for radiology services department
● Followed up on denied claims and resubmitted until payment received
● Made phone calls to insurance companies in order to ensure proper billing and receive payment
● Reported and balanced paid amounts in EHR system used by Hospital
● Sent unpaid patient balances to collections department and facilitated collections
(August 2014-June 2016)
Dr Jessica Smith, Santa Cruz CA - Receptionist
● Maintained patient schedule
● Ensured patient eligibility
● Collected co-pays, deductibles, and balances due from patients
● Managed office supplies
Contact this candidate