Office Manager Medical Billing

JOANNE GERMAIN

P: 470-***-**** E: *.*********@*****.*** A: Conyers, GA

EDUCATION

Associate of Arts

Nassau Community

College

Garden City, NY

KEY SKILLS

HMO, PPO POS,

Indemnity

Medisoft

Eclinicalworks

EPIC

ICD-10

CPT Codes

HCPC Coding

Office Management

Leadership

Training &

Development

Payroll

Billing & Collections

Health Insurances

Interpersonal

Critical Thinking

Multitasking

LANGUAGES

Haitian Creole - Fluent

PROFILE

Results-driven, Medical Billing and Coding Specialist and Office Manager with 18+ years of progressive experience leading multi-client medical billing companies and medical facilities in health operations management. Expert in accurately analyzing and validating patient information, diagnoses, and billing data in high-volume settings. Adept in interfacing with insurance representatives, medical providers, and patients and performing complex ICD-10, CPT and HCPC coding. Proficient in overseeing all daily operations and providing support to senior and high-level officials to ensure compliance with company objectives to achieve revenue generation goals. PROFESSIONAL EXPERIENCE

Office Manager, Eastside Premier Nephrology & Hypertension, PC 2019 – Current Full Revenue Cycle Management.

• Manage Inpatient and Outpatient billing for Cardiology, Nephrology Mental Health, and Home Health in 5 medical office locations with 10 employees

• Delegate Payment posting and adjustment

• Analyze billing errors

• Reduced claim denials 50%

• Liaise with AR and Self- Pay to receive rightful reimbursement

• Resolve patient account inquiries

• Organize and conduct new employee orientation

• Oversee the recruitment, and hiring of new employees

• Conduct disciplinary actions up to and including terminations

• Maintain positive relationships with clients, providers and staff

• Ensure compliance for provider licensing and credentials

• MIPS specialist

• Generate new EMRs

Office Manager, SN Billing & Consulting Inc. 2011 – Current Responsible for of all office daily operations.

• Oversaw the operations of the billing department, including medical coding, charge entry, claims submissions, payment receivable follow-up, and reimbursement management

• Arranged scheduling of office hours

• Established and oversaw the orientation and training program for new and existing staff on applicable operating policies, protocols, systems and procedures, standards, and techniques

• Liaised with other departments to obtain and analyze additional patient information needed to document and process billings

• Administered payroll

Medical Biller, South Nassau Billing and Consulting, Inc. 2005 – 2011 Ensured accurate and fast billing in compliance with ICD 10 coding guidelines.

• Coded inpatient/outpatient claims at a rate of 100 per day

• Examined patients' insurance coverage, deductible, possible insurance carrier payment and remaining balances not covered under their policies when applicable

• Accurately resolved claims denials and/or appeals

• Submitted electronic/paper claims documentation for timely filling

• Proficiently managed a multi-line phone system and pleasantly greeted all patients

• Diligently filed and followed up on third party insurances

• Posted and adjusted payments from insurances and patients

• Maintained and updated working knowledge of coding requirements, through continuing education and certification renewal

CERTIFICATIONS

Medical Coding Specialist

ICD 10

AAPC CPC – In progress

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