Third Party Office Operations

DAWN BLYTHE

Kingsland, GA · 904-***-****

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

Healthcare professional with 27 years of successful experience in management and office procedures. Recognized consistently for performance excellence and contributions. Excellent reputation for resolving problems and improving patient and office satisfaction. EXPERIENCE

10/2022 – CURRENT

PATIENT ADVOCATE, RADIATION BUSINESS SOLUTIONS

Daily charge review to ensure clean claims are released to third party payers. Post incoming insurance and patient payments. Managing A/R by working denials and delinquent insurance balances. Verify patient insurance eligibility and benefits to ensure correct information is processed. All other aspects of Revenue Cycle.

09/2019 – 10/2022

FINANCIAL COUNSELOR, CANCER SPECIALISTS OF NORTH FLORIDA Responsible for insurance verification and eligibility, assessment of patient financial requirements, counseling patients on insurance benefits and financial responsibility. Obtaining pre-authorizations of services. Assist patients in obtaining financial assistance, outside assistance, transportation and/or other community services. Set patients up on payment plans in accordance with company policy. Assist in maintaining manuals, logs and other required documentation.

07/2018-09/2019

ASSISTANT BILLING MANAGER, NORTH FLORIDA SURGEONS

Assist billing manager with overseeing accounts receivable activities. Communicated with the manager regarding open issues. Oversee daily office operations and delegates work assignments to staff. Assists staff in understanding and implementing office procedures and policies. Review and solve escalated billing and claims issues from Claims Analysts. Conduct internal audits of outstanding A/R and staff productivity. Assists manager with oversight of charge entry and makes recommendations for improvement. Review and approve insurance and patient refunds. Works on special projects, compiles data and prepares reports as deemed necessary by senior management.

01/2016-07/2018

ASSISTANT ADMINISTRATOR, THERAPYCARE HOME HEALTH

HR duties including ensuring all personnel files are completed and up to date. Credentialing new insurances to become in network. Billing of home health visits to ensure timely payments. Verifying all patient demographic and insurance benefits. Managing office staff to ensure office runs smoothly, including counseling and education. Hold weekly meetings with Owner and staff for improvement and policy updates.

2

10/2011-01/2016

FINANCIAL REPRESENTATIVE/PATIENT CARE COORDINATOR, MAYO CLINIC OF FLORIDA

Collects, reviews, documents and discusses demographic, insurance and financial information with patients and payers. Management and collections of A/R. Intake of referrals from a variety of entities. Verifying insurance benefits and eligibility and discussing responsibilities with patients. Scheduling evaluations for new and established patients for all departments. Training new employees on department and company guidelines. 11/2005-08/2011

Office Manager/Financial Counselor, 21st Century Oncology Managed day to day operations of a multi-provider facility. Addressed patient, staff and provider concerns and issues.

EDUCATION

DECEMBER 1996

MEDICAL ASSISTANT, SANFORD BROWN

JUNE 1992

HIGH SCHOOL DIPLOMA, ORANGE PARK HIGH SCHOOL

It’s okay to brag about your GPA, awards, and honors. Feel free to summarize your coursework too.

SKILLS

• Management and supervision

• Computer proficiency

• Dependable

• Goal setting

• Health insurance and medical practices

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