Medical Practice Administrator/ Medical Practice Manager
Resume:
Yvonne Chambers
Conyers, GA 30339
********@*****.***
Objectives To Obtain skilled, knowledgeable, and proficient Medical or credentialing specialist position with over 18 years of experience working in medical billing, collections, credentialing, patient account management, office , and customer care capacities throughout hospital and independent medical billing environment.
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Experience 2003-2010 Gentiva Health Services Atlanta, GA
Billing/Collection Specialist
Respond to inquiries from providers on coverage issues pertaining to eligibility, coordination, explanation of benefits and payment schedule.
Recognized, investigated and resolved issues with claims and appeals.
Prepared daily/weekly Excel reports and maintained AR spreadsheet.
Acted as relations representative between branch locations and main office to ensure accurate pre-bill processing.
Obtained Medicaid credentialing and re-credentialing for network providers.
Proficiently utilized electronic submission and web portal claim follow-up.
Collaborated with claim Review department to expedite the resolve of claim
Responsible for GA Medicaid and commercial payers billing and collections. Medicaid web-portal experience
Create patient charts and key Oasis records.
2000-2003 United Healthcare Insurance Atlanta ,GA
Billing Specialist
Processed medical claims for major insurance carriers including HMO/ PPO , Tricare, Aetna, BCBS, Medicaid, Medicare as well as UHC.
Assisted in process and activities related to obtaining precertification for procedures, services and hospitalization.
Performed as department trainer for new hires.
Assisted with special projects.
Wrote and implemented policy and procedure manual.
Post Cash and adjustments
1996-2000 Scandia Spine & Rehab Atlanta, GA
Office Manager
Handled contracts and credentialing for 5 offices locations.
Managed staff of 10 employees. Oversee front office from appointment scheduling to check-out.
Accounts payable/Accounts receivable . Bank deposits and Bi-weekly Payroll.
Recovered 77% of company lagged revenue(over half Workers Comp) greater than 360 days old.
Maintained budget control and regulatory compliance.
Monitored inventory and authorized purchase of equipment and supplies.
Education 1987–1990 Wright State University Dayton, Ohio
Associate in Accounting
Skill
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Proficient in MS Office, Excel, Power Point, Medisoft, Medical Manager, PMS, Lifesmart and other medical billing software.
Assertive, self-motivated, goal-oriented, organized and efficient .
A Flexible, Cooperative, hard worker, team player and reliable.
A good morale builder.
ICD-9/CPT Coding Certification.
Expertise in coordinating provider applications and the re-credentialing process.
Demonstrated knowledge of medical terminology.
Certified Medical Secretary
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