Office Manager Medical

LESIA G. SEDORIS

**** ***** *** **

Springfield Ohio 45502

CP: 937-***-****

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

QUALIFICATION SUMMARY: Experienced medical practice/office manager with varied skills, including human relations, medical billing, and coding, insurance verification, expense tracking, payroll, physician scheduling, reception, patient screening/care, manual and automated record utilization/maintenance/filing, coordination with external medical offices/specialty clinics for referral treatment via phone/email/fax.

AREAS OF EXPERTISE: Medical Practice and Office Management, Medical Office Billing, Medical Office Administration, Office Automation

EXPERIENCE:

Mar 2025 to Present Practice Manager, Madison-Health, 55 Park Ave, London, OH 43140

•Responsible for day-to-day oversight of seven geographically separated Primary Care clinics.

•Manages a team of 48 comprised of physicians, NPs, RNs, LPNs, MAs, and patient service coordinators

•Key contributions to standing-up new clinic from construction walk-throughs, coordinating facility and IT requirements, supply requirements, etc.

•Regularly meets with senior leadership to discuss day-to-day clinical activities, personnel concerns/needs, profits/losses, etc.

Responsibilities include hiring, training, developing employee relations, evaluating, and termination.

•Ensure business functions and clinical activities follow all company policies and procedures.

•Supply Management tasks included inventory, ordering, and maintaining required supplies for all clinics.

•Discusses/recommend procedural changes to the Practice Director to increase efficiency in the workflow.

•Oversees and approves monthly staff schedules, ensuring coverage of all staff and clinics.

•Reviews and approves employee payroll timecards, ensuring accurate processing.

•Creates and maintains statistics via spreadsheets and databases.

Jul 2024 to Feb 2025 Office Manager, Path Behavioral Healthcare, 2057 South Limestone Street, Springfield, OH 45505

•Scheduled new clients for intake appointments and prepare/explains the individual processes.

•Verified client insurance before initial appointment.

•Collaborated with clients and billing to resolve any insurance issues ensuring their ability to receive treatment.

•Received clients upon arrival and initiate/completes documentation for inclusion into electronic health records.

•Scheduled for return/follow-up appointments for clients.

•Reviewed/updated clients' care records for submission to the billing department.

•Gathered client information to assist the billing department in the event of a coding denial.

•Requested and scanned prior care records as needed by clinical providers at the site.

•Managed mail, faxes, and office supply ordering for the site.

•Participated in site and/or company team meetings.

Feb 2020 to July 2024, Practice Manager, Access MD Urgent Care, 1010 Woodman Drive, Dayton, OH 45342

•Oversaw day-to-day execution of three urgent care clinic activities through effectively managing a team of 32.

•HR responsibilities included recruiting, hiring, training, developing employee relations, evaluating, and termination.

•Ensured business functions and clinical activities follow all company policies and procedures.

•Interpreted and communicated policy and/or program changes with clinic staff to improve client services.

•Investigated provider insurance, payment, and billing issues, ensuring accurate outcomes.

•Scrutinized OSHA and CLIA standards, ensuring compliance and adherence.

•Supply Management tasks included inventory, ordering, and maintaining required supplies for all clinics.

•Coordinated/facilitates vendor activities and services, facilitated appropriate supplies/equipment for clinic procedures.

•Input ICD-10 and CPT codes for submittal to EMR, allowing expedient processing.

•Discussed/recommended procedural changes to the Practice Administrator to increase efficiency in the workflow.

•Oversaw and approves monthly staff schedules, ensuring coverage of providers, MAs, and receptionists for all clinics.

•Reviewed and approved employee payroll timecards, ensuring accurate processing.

From November 2019 to February 2020, I was the business office manager at Northwood Skilled Nursing and Rehabilitation Home, 2000 Villa Rd. Springfield, OH 45503

•Coordinated/managed office functions to include employee safety, accounts receivable/payable, and customer service.

•Set up/maintained financial files for residents, including billing, state, and Medicare reimbursement documents.

•Discussed/recommended procedural changes to the Practice Administrator to increase efficiency in the workflow.

•Managed billing and collection processes, ensuring the accuracy of overall long-term care insurance billing.

Sep 2016 to Sep 2019, Regional Manager, Family Urgent Care, 879 North Bridge St, Chillicothe, OH 45601

•Oversaw the day-to-day execution of six urgent care clinic activities through effective management to team of 52.

•Spearheaded a company-wide scheduling and payroll system to decrease overtime, decrease payroll, and improve personnel utilization while not compromising customer service.

•HR-related responsibilities included recruiting, hiring, training, developing employee relations, evaluating, and terminating.

•Ensured that business functions and clinical activities followed all company policies and procedures.

•Communicated policy and/or program changes with staff to improve client services.

•Oversight of provider files, ensuring all met credential requirements and specifications.

•Investigated provider insurance, payment, and billing issues.

•Ensured compliance with OSHA and CLIA standards.

•Supply Management tasks included inventory, ordering, and maintaining required supplies for all clinics.

•Coordinated and facilitated vendor activities and services

•Created and maintained statistics via spreadsheets and databases.

•Maintained Patient Medical Record Confidentiality (HIPAA).

Nov 2013 to Sep 2016, Medical Billing Coordinator, Family Urgent Care, 879 North Bridge St, Chillicothe, OH 45601

•Solely responsible for managing the billing and claims department for six urgent care clinics.

•Input ICD-9/10 and CPT code for submittal to Supreme Open EMR.

•Confirmed insurance coverage before billing submittal to the clearing house.

•Researched and resolved denials and EOB rejections within the standard billing cycle timeframe.

•Resolved billing issues identified by insurance carriers and patients.

•Reviewed claim denials and payer requirements for corrective action and prevention in the future.

•Researched and replied promptly to insurance, patient, and internal customer inquiries.

•Quickly identified and resolved medical billing, coding, and insurance discrepancies.

•Responsible for all follow-up on Medicare, Medicaid, and commercial insurance claims.

•Maintained Patient Medical Record Confidentiality (HIPAA)

May 2012 to June 2013, Administrative Assistant/Medical Billing Coordinator, ECI/Symmetric Revenue Solutions, Inc. 1 South Limestone St, Springfield, OH 45502

•Compiled and reconciled daily charts to log and transmit to the billing company within 7 days of DOS

•Assisted the hospital’s HIM Department in the completion of Emergency Department (ED) Physician’s incomplete patient charts

•Worked from the Exception Report (Website) daily and provided information to Symmetric to minimize the percentage of monthly ED volume to align with partnership goals

•Provided support to the ED physicians to include preparation of correspondence, opening and sorting of mail, and answering phones

•Created and maintained statistics via spreadsheets and databases

•Coordinated/collaborated with all levels of hospital and staff personnel

•I identified problem areas and communicated those to the Symmetric Supervisor for resolution

•Notified Symmetric of unusual circumstances affecting patient volume, billing, and/or collections.

•Completed assigned tasks and applied innovative problem-solving

•Maintained Patient Medical Record Confidentiality (HIPAA)

Jan 2012 to May 2012, Medical Billing Associate, Cardiologists of Clark and Champaign Counties, Inc., 1911 E. High St, Springfield, OH 45505

•Input ICD-9 and CPT codes for submittal to NextGen

•Collected co-pay before a client visit

•Confirmed insurance coverage before billing submittal to clearing house

•Input ICD-9 and CPT codes for submittal to NextGen

•Proficient in MS Office programs

Nov 2009 to Feb 2011, Medical Manager, Gastroenterology, Dr. K. L Reed, 2330 East High St, Springfield, OH 45505

Responsible for the scheduling of patient appointments

Input ICD-9 and CPT codes for submittal to Medisoft

Confirmed insurance coverage before client visit

Collected co-pay before a client visit

Performed office administrative functions, including filing, faxing, email, and standard mail correspondence

Proficient in MS Office programs

Positioned clients in treatment rooms

Obtained vital signs and history and physical

Gathered pre-certification for patient procedures

Verified and deposited daily insurance payments

Followed up with patients regarding test results

Received/verified patient referrals

Coordinated special procedures at surgical centers

Sep 2007 to Nov 2009, Medical Office Manager, Springfield Gastroenterology, 2355 Derr Rd, Springfield, OH 45503

Responsible for all daily operations of the gastroenterology center, treating over 125 patients weekly

Troubleshot and resolved operational problems requiring management intervention

Input ICD-9 and CPT codes for submittal to Quadax Corporation

Built, maintained, and monitored patient records within the NextGen EMR software program

Received and posted EOBs electronically via NextGen

Evaluated candidates and hired personnel

Trained, educated, and evaluated seven staff members on all aspects of facility functions

Ensured timely and accurate payroll submission for all clinic personnel

Coordinated Medical Representative meetings and training sessions

Instituted training in OSHA, customer service, infection control, and all software technologies

Mar 2005 to Sep 2007, Medical Secretary, Advanced Neurosurgery, Inc. 3533 Southern Blvd. Suite 3000, Kettering OH 45429

Coordinated patient’s schedules for up to 50 patients per day for two neurosurgeons

Utilized and input medical diagnosis codes into the medical database, ensuring accurate insurance billing

Collected and input insurance information into the database

Utilized Appointment Pro and Medi-Soft software programs

Received patients to include check-in procedures, insurance verification, service fee collection (co-pay), and patient positioning in the exam room

Provided and instructed patients on the use of numerous medical forms

Prepared and filed patient records to include billing data

Followed up with patients to ensure appointment availability and ensure all required items, i.e., lab results and X-rays, accompany the patient

Coordinated with other medical facilities about patient referrals

Responsible for overall office administrative functions, including faxing and automated faxing, answering phone inquiries, obtaining pertinent patient reports, and office mail screening and distribution

Feb 2004 to Jun 2004, Office Automation Clerk, Evaluations Section, USAF, 426 5th Ave STE 5, Sheppard AFB TX 76311

Accurately reviewed Evaluation Performance Reports (EPR) and Officer Performance Reports (OPR)

Tracked and filed all EPR/OPRs in the local automated system

Ensured EPR/OPRs were received by the customer service function and placed into individual Unit Personnel Record Groups (UPRG). Updated all new data in the Military Personnel Data Base (MILPDS)

Coordinated referral reports with the Air Force Personnel Center (AFPC) and individual units

Communicated/tracked overdue and late reports with AFPC and individual units

Coordinated EPR/OPRS with gaining/losing bases, ensuring timely inclusion in UPRG

Mar 2002 to Feb 2004, Office Automation Clerk, Student Assignments, USAF, 426 5th Ave STE 5, Sheppard AFB TX 76311

Maintained vast knowledge/use of office programs such as electronic mail and Microsoft Office automation programs: Word/Excel/Access/Outlook.

Maintained 300 student records annually

Briefed students on relocation processes

Assisted students with administrative requirements

Controlled assignment notification process/out-processing actions for technical training squadron

Created/edited a variety of standardized documents necessary for the performance of assigned duties

Prepared/maintained office records of various types

Directed telephone calls/visitors to appropriate staff/office

Mar 2001 to Mar 2002, Mail Clerk, USAF, BITC, 527 I Ave, Sheppard AFB TX 76311

Processed in/outgoing mail. Delivered/picked up all base mail

Operated paragon machine to affix accurate postage

Utilized pertinent AF Forms to accomplish postal actions

Analyzed all transactions with automated information systems

Sorted all mail by base organization

Drove/delivered base mail to more than 20 squadrons daily

Designated as sole trainer for new staff

EDUCATION:

Fairdale High School, Fairdale KY, 1982

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