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Medical Biller/Office Manager

Location:
Alexandria, LA
Posted:
August 13, 2023

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Resume:

SUZANNE FAYE EDENS

*** ******** ******, **********, ** 71303

Telephone: 318-***-****

Email: adywqu@r.postjobfree.com

I am a loyal and dedicated individual who has an ambition to succeed in any given situation. I am willing to learn and am always up to a challenge whatever the situation. I get along well with others, while also working efficiently on my own.

Education:

*Oak Hill High School, Elmer, LA, general studies, May 1993

*LSUA, Alexandria, LA, completed Medical Coding I, II and III, 2012-2014

Experience:

May 2002 – July 2023

Office Manager and Biller for Cenla Urology Clinic, Alexandria, LA

My daily responsibilities included preparing deposit reports from the previous business day and depositing those collections remotely and/or the bank. I was also responsible for coding and billing daily charges for five providers, which included office, surgery and consults. I accessed hospital and surgery center records to code surgeries and consults appropriately. I verified all CPT, HCPCS and ICD-10 codes were correct prior to submitting the claims. Once insurance and/or patient payments were received, I was responsible for posting those payments, filing secondary claims and making corrections and providing any additional information for denied claims. I also worked the aging A/R throughout the week. I prepared end of day balance sheets to prepare for the deposit report the next business day. During each week, I would place orders for the injectable medications required for our patients, to be assured those medications were readily available for their appointment. I assisted and supported the clerical staff which included scheduling, rescheduling appointments, updating demographic and insurance information, answering multi-line phone system, and obtaining authorizations for diagnostic procedures and/or surgeries.

I have billing, clerical, office and customer service experience. I am proficient in Microsoft Word, Microsoft Excel and Microsoft Outlook. I participated in monthly meetings with my providers to go over practice and financial reports. I also led staff meetings to introduce new policies and guidelines, and to discuss day-to-day activities to help improve our care and support for our patients.

I also maintained updated credentialing for all five providers. Monitoring CAQH and uploading active licenses, certifications, and malpractice insurance. I submitted the Louisiana Standardized Credentialing Application and supporting documentation to insurance plans and facilities who do not access CAQH. Communicated with providers when their medical license, DEA, CDS and ACLS were approaching expiration dates.

Skills:

*Advanced medical terminology

*Microsoft Word, Excel and Outlook

*CPT, HCPCS and ICD-10 coding

References:

Joshua P. Holstead, MD

Cenla Urology Clinic

Mobile 318-***-****

Robert L. Fontane, MD

Cenla Urology Clinic

Mobile 318-***-****

Michelle Miles

VA Health Care System, RN Case Manager

Mobile 318-***-****



Contact this candidate