Operations Manager - Medical Office Leadership
Resume:
JUAN J. MONTOYA
Lubbock, Texas **416
***********@*****.***
OBJECTIVE: To work and challenge myself in a new environment of Practice Operations within your Organization.
EXPERIENCE:
December 2020-Present Covenant Medical Group-Neurosurgery Lubbock, TX
Office Supervisor
Manage billing office for five Neurosurgery providers and four Mid-levels, manage six employees directly in the office and manage their time, education with ICD 10 codes and CPT codes, daily closes, support front desk/receptionist with check in/out of patients, phones and collection of payment at time of service, credentialing for all providers for insurance plans and facilities. Duties include but not limited to daily close, productivity reports, system summary reports in Allscripts, responsible for monthly and annual close, enters on average $300k of patient hospital and surgical charges monthly, post manually and electronically, training of all support staff daily, office education with ICD-10 and new CPT code updates, updating of fee schedules. Responsible for accounts payable within the clinic along with operational duties such as setting up contracts with vendors.
January 2019-Decenber 2020 Neurosurgery Associates of Lubbock, LLP Lubbock, TX
Office Supervisor
Manage billing office for five Neurosurgery providers and four Mid-levels, manage six employees directly in the office and manage their time, education with ICD 10 codes and CPT codes, daily closes, support front desk/receptionist with check in/out of patients, phones and collection of payment at time of service, credentialing for all providers for insurance plans and facilities. Duties include but not limited to daily close, productivity reports, system summary reports in Allscripts, responsible for monthly and annual close, enters on average $300k of patient hospital and surgical charges monthly, post manually and electronically, training of all support staff daily, office education with ICD-10 and new CPT code updates, updating of fee schedules. Responsible for accounts payable within the clinic along with operational duties such as setting up contracts with vendors.
April 2016-December 2018 Covenant Medical Group (Neurosurgery) Lubbock, TX
Office Supervisor
Manage billing office for three Neurosurgery providers and three Mid-levels, manage thirteen employees directly in the office and manage their time, education and daily closes, support front desk/receptionist with check in/out of patients, phones and collection of payment at time of service, assisted in credentialing for all providers for insurance plans and facilities. Managed MRI department along with marketing and assisting with credentialing/billing with CBO. Duties include but not limited to daily closes, productivity reports, system summary reports in Allscripts, responsible for monthly and annual close, and office education with ICD-10 and new CPT code updates. Accounts payable with clinic invoices in coordination with account payables department within Administration.
March 2013-April 2016 Lubbock Family Medicine Lubbock, TX
Billing Manager
Manage billing office for five Family Practice providers and eight Mid-levels, manage six employees directly in the billing office and manage their time, education and daily closes, support front desk/receptionist with check in/out of patients, phones and collection of payment at time of service, credentialing for all providers for insurance plans and facilities. Duties include but not limited to daily close, productivity reports, system summary reports in eClinical, responsible for monthly and annual close, enters on average $100k of patient hospital and surgical charges monthly, training of all support staff daily, office education with ICD-10 and new CPT code updates, updating of fee schedules.
January 2012-April 2015 Patricia Arledge, MD Lubbock, TX
Consulting/Contract Labor
Managed four employees including time, daily closes and daily procedures. In charge of credentialing Plastic Surgeon and surgery tech with insurance plans and facilities. Entered $100-250k hospital and clinical charges monthly. Daily closes and daily deposits. Created policies for front office, clinical staff and billing department. Worked closely with accountants on bill payments, deposits, and QuickBooks.
June 2012-March 2013 Comprehensive Family & Women’s HC, LLP Lubbock, TX
Consulting/Contract Labor
Consulted an OBGYN/Family Medicine private practice for two providers, established Tax ID and NPI numbers for both providers and group, negotiated and contracted insurance plans for practice, hired and trained support staff & set up payroll, involved in the decision making of Practice Management Software/EHR purchased, implemented software and trained personnel, implemented HR benefits and employment policies/procedures.
December 2011-June 2012 South Plains Surgical Associates, PA Lubbock, TX
Billing Manager
Manage billing office for one General Surgeon and Nurse Practitioner containing approximately seven employees. Duties include but not limited to daily close, productivity reports, system summary reports in eMD’s, responsible for monthly and annual close, entered an average $150k of patient hospital and surgical charges monthly, training of all support staff daily, facilitates interoffice meetings, HMO/PPO contract & reimbursements updating of fee schedules, coordinate receptionists and file clerks schedules, pull dictation and operative reports as needed for eMD’s appeals, entering of all hospital patient demographics from all campuses: CMC, UMC and Grace Medical Center, coordination of 5-15 workers compensation billing within eMD’s weekly, transmission of patient statements monthly, refund patients and insurance companies biweekly, negotiating of insurance reimbursement on a per claim basis, responds to patient inquiry (via estimates, interoffice and phone), oversee medical records and scanning.
May 2003-December 2011 Neurosurgical Associates, LLP Lubbock, TX
Billing Manager
Manage billing office for five physician Neurosurgery practice containing approximately 24 employees. Duties include but not limited to daily close, productivity reports, system summary reports and system purges in Medical Manager and Athena, responsible for monthly and annual closes, enters on average $175k of patient hospital and surgical charges daily, training of all support staff daily, facilitates interoffice meetings, HMO/PPO contract & reimbursements, updating of fee schedules, coordinate receptionists/file clerks schedules, contact person for personnel call-ins, work accounts receivable on a daily basis, research accounts prior to calling insurance, work A/R online/phone, claim corrections, works payment denials daily, appeal insurance claims, filing of corrected claims, pull dictation and operative reports as needed for Athena/Medical Manager appeals, entering of all hospital patient demographics from all campuses: CMC, UMC and High Plains Surgery Center, coordinate of 30-40 workers compensation billing within Athena weekly, transmission of patient statements monthly, refund patients and insurance companies biweekly, negotiating of insurance reimbursement on a per claim basis, responds to patient inquiry (via estimates, interoffice and phone), oversee medical records and scanning. Credentialing processes for physicians and physician assistants daily for hospital privileges, interstate licensing, drug enforcement agencies, Texas Department of Public Safety, national board certifications, and CME.
February 2000-May 2003 Covenant Business Office Lubbock, TX
Billing / Collection Specialist
Responsible for accounts receivable in Medicaid for five healthcare centers, experienced in Medicare, Medicaid, HMO Insurance Plans, Commercial Insurance’s, and some workers compensation, responsible for double entry and follow up with Medicare UB 92 claims for nine healthcare centers, Team Leader to work with TDH connect program within our Medicaid team.
EDUCATION:
May 2008-May 5, 2010 - Wayland Baptist University Lubbock, TX
Bachelor’s in Business Administration Specified General Business
August 1999 – June 2000 - Texas Tech University Lubbock, TX
Business Administration (General Business)
June 1994 - December 1997 - Clovis Community College Clovis, NM
Computer Graphic Design
Transferred to Texas Tech University to pursue and continue education in BA
May 1994 - Clovis High School Clovis, NM
High School Diploma
REFERENCES:
Available upon request.
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