Susan Newton **** Manassas Dr

Pewee Valley, KY **056

502-***-****

EXPERIENCE

Growing Healthy Children-Practice Manager

May 2022 - PRESENT

Managing the day to day functions of a multi provider pediatric practice. Hiring and management of clinical and clerical staff Supervision of all staff and work flow, counseling employees when needed. Providing disciplinary action when needed. Quarterly numbers and taxes

Accounts payable-review all invoices to ensure they are correct. Ensure all invoices are paid in a timely manner

Accounts receivable

Payroll- tracking time clock entries for late arrivals and early dismissals, counseling when necessary. Correcting any time clock errors. Billing charge entry

Provide coverage for front desk and clinical staff when needed Financial planning

Vendor contract negotiation

Log tickets with for any issues with IT, PM or EMR for resolution of any technical issues

Ensure all providers privileges are up to date with local hospitals Ensure all providers DEA and licensure are up to date Oldham County Pediatrics (A division of One

Pediatrics)-Practice Manager

June 2019 - May 2022

Managed day to day functions of a multi provider-multi office pediatric practice

Supervision of all staff and work flow. Counseling employees when needed and collaborated with supervisors on any issues Provided disciplinary action when needed

Conducted yearly evaluations on employees, tracked employee goals and objectives for follow up. Submitted change of pay forms to human resources for processing

Payroll- tracking time clock entries for late arrivals and early dismissals, counseling when necessary. Correcting any time clock errors. Accounts payable monitoring

Review and process each invoice to ensure charges are correct and paid in a timely manner

Vendor contract negotiation.

Logged tickets for any issues with IT, PM or EMR for resolution of any technical issues.

Ensuring all physician’s licensure were up to date Ensuring all physician’s hospital privileges were up to date Ordering general office supplies

Weekly deposits and deposit/cash reconciliation and tracking Coordinated with other One Pediatrics offices on quality improvement, PCMH and OSHA implementation and training. Implemented any new policies to ensure office was up to the standards of PCMH and OSHA Ensured that the office is consistently clean, safe and esthetically pleasing SKILLS

Practice management

Billing department

management

CPT and ICD 10 Coding

Accounts receivable

management

Accounts payable

management

Human resources

Proficient in the following PM

and EMR systems:

EClinical Works

Allscripts

QRS

to employees and patients.

Ensured that the outside of the office was clean and safe Ensured that any issues with the outside and inside of the building were taken care of in a timely manner, coordinating with vendors to ensure that any repairs were done correctly,timely and at a fair price. Responsible for review of every office note to ensure proper coding following CPT and ICD 10 guidelines. Provided counseling and suggestions to providers when needed.

Input and billed all charges relating to newborn nursery visits at local hospital

Kept up to date with all new coding policies and documentation guidelines ensuring providers were educated as well

Followed CCI edits and proper modifier policy to ensure claim payment with first submission.

Responsible for any billing questions or concerns ensuring resolution of any issues

Resolved any patient disputes with firm compassion Oversee and initiated any billing policies for the practice Ensured providers were given weekly and monthly updates on financial numbers. Ran all the end of month reports and reviewed for any discrepancies.

Monitored patient accounts for collections. Helping patients with resolution of any overdue balances when possible

Oldham County Pediatrics (a division of One

Pediatrics)—Site Manager/Billing Manager

July 2004 - June 2019

Responsible for review of all encounters for proper CPT and ICD coding. Ensured all providers were educated in any changes in CPT and ICD coding as well as CCI edits. Ensuring proper modifier use when required. Creating and monitoring billing policies for practice Manage and oversee all billing department employees. Provide counseling and disciplinary action when necessary.

Responsible for all accounts receivable followup ensuring claim payment and patient payment to be received in a timely manner. Credentialing of new providers as well as monitoring ongoing status of eligibility for providers in all local Medicaid and commercial plans. Monitoring and providing feedback to all providers regarding fee schedules of each plan.

Coordinated with supervisors and office manager in management of all employees of the Louisville office. Offering counseling and disciplinary action when needed.

Assisted office manager with payroll monitoring and management Management and ordering of all office supplies, medical supplies and immunizations for the Louisville office.

Maintained and managed all vendor communication for the Louisville office.

EDUCATION

Jefferson Community College-Louisville, KY

1984-1985 General studies

Oldham County High School

Graduated 1984

PROJECTS

PCMH Certification

Participated in the process of obtaining PCMH certification for Oldham County Pediatrics. Involved in creating new policies for the practice and ensuring they were in line with PCMH requirements

Assisted in reporting to help gain and maintain PCMH certification

Contact this candidate