Office Manager Customer Service
Resume:
John Bryant
Medical Office Manager
Beckley, WV *5801
*************@*****.***
Professional Summary
To obtain employment where my experience and skills can be utilized to better not only my agency, but the lives of the individuals we serve.
Willing to relocate: Anywhere
Authorized to work in the US for any employer.
Work Experience
Office Manager- HIPAA Privacy Officer
Allay Home Care-Beckley, WV
May 2018 to August 2024
Assess incoming referrals for medical necessity. Complete patient packet and all required documentation. Insurance verification, benefits and eligibility, prior authorizations if required. Scheduleddeliveries and pickups.
Management of the Customer Service/Office Staff. Staff scheduling and training, as well as on boarding of new staff. Provide ongoing mentoring and support to ensure Customer Service staff function at the optimum level.
Reviewed timesheets to ensure time was turned in and entered timely. Compile all billing to be sent to contracted billing company. Complete all reports, budgeting and end of month Reconciliation documentation.
Medical Support Assistant
Beckley VA Medical Center-Beckley, WV
March 2017 to December 2018
Perform administration of Non VA services in accordance with the policies and procedures of the Veterans Health Administration. Reviews medical record documents and interpret the type of care being requested. Review and determine veteran eligibility for Non VA Care. Review medical claims and associated documents to verify that services rendered were authorized. Process Non VA Care requests (review consults, obtain approval/disapproval, create an authorization, entering information and data into the Fee Basis Claims System). Update, monitor and track all authorized Medical Non VA Care services in the Fee Basis Claims System. Process scheduling and cancellation of appointments in the Vista Appointment Management System. Ensure all required clinical documentation is received and appropriately scanned in Vista Imaging and/or the associated CPRS Non VA Care Consult is closed. Conduct research to determine authorization and claim status. Provide general administrative support for the office, such as, making copies, gathering information from various systems for special reports. Perform research on inquiries by examination of facts in resolving problems. Prepare mail and/or fax letters to veterans and Non VA Care vendors. Maintain close contact with medical providers including Physicians as well as mid-level providers, nurses, clerical staff as well as outside vendors to resolve delays and misunderstanding in the medical administrative aspect of providing care. Resolve issues and answer questions (orally or in writing) presented by veterans, providers, vendors and/or Veteran Service Organizations regarding claims and their status.
Registration Team Lead
Raleigh General Hospital
June 2015 to December 2016
Provided supervisory support and ongoing education to hospital Registration staff. This included Interviewing incoming patients, his/her relatives, or other responsible individuals to obtain identifying and biographical information with insurance and financial information. Verified insurance information and completed bill estimates to collect patient copay's/ deductibles at time of service, when applicable. Conducted and tracked QA information for each employee to allow ongoing feedback to the employee, while reporting results to the Patient Access Director. Worked with other Team Lead to complete the employee weekly schedule for the Emergency Department. Rotated On-Call responsibility with other Team Lead to ensure support was always available and to assist with after-hours emergencies. Work closely and professionally with physicians, nurses and ancillary departments in effort to create an outstanding patient experience, and ensure that excellent customer service was provided at all times
. Central Billing Office Director
Love Family Practice Group
January 2012 to June 2015
Provided day to day operational oversight of all non-clinical staff to include the front desk, medical records, insurance verification, scheduling and billing & collections. Created staff schedules, completed biweekly payroll, and carried out necessary disciplinary actions to ensure that policy and procedures of the medical group were observed. Worked closely with the Operations Director and Physician to conduct cost analysis of all ancillary services offered by the group. Assisted in establishing the practice fee schedule. Maintained OSHA records and monitored possible compliance issues. Conducted new hire/ annual training of staff. Maintained the providers' business schedules for conferences and trainings, including travel arrangements and accomodations. Closely monitored use of the EMR/Billing software and trained staff on proper use.
Utilized ICD-9, CPT, and HCPCS Coding for billing of physician office services to insurance companies. Experience with procedures and billing guidelines to Medicare, Medicaid, UMWA, as well as all private insurance companies. Provided customer service to patients with billing or payment issues. Reviewed/ approved all patient financial agreements. Reviewed patient accounts for accuracy, provided follow up, and ensured excellent service was delivered at all times.
Education
Bachelor of Science - Psychology in Addictions Counseling - In process Liberty University-Remote
January 2023 to Present
Certified Medical Office Manager
Practice Management Institute-West Virginia
2012
Oak Hill High School/ Plateau Vo Tech Center
1994
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