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Manager Medical Billing

Location:
Las Vegas, NV, 89149
Salary:
50,000
Posted:
September 19, 2011

Contact this candidate

Resume:

Amy Mark ‘Hinton

**** *** ****** **** #****

Las Vegas, Nevada 89149

Home: 702-***-****

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

Objective

High Performing Manager with 11 years Healthcare experience in an

Ambulatory Surgery Center and Medical office environment, seeking a long

term position where I can utilize my management skills.

Skills

Excellent communication skills

Interpersonal skills

Clinical skill, Business skill

Highly organized and detailed oriented

Financial Management

Legal Regulatory, Licensing, and Credentialing

State Certifications

Medicare Regulations

Employment Law

Medical Billing and Coding

Computer skills, including Microsoft office 2010, QuickBooks Pro 2010,

Quicken, Excel

Experience

Spring Valley Surgery Center/Ave’a Wellnes and Beauty Center/Plastic Surgery

3835 S. Jones Blvd. Suite

101 B Las Vegas, Nevada

89103

06/2008 to Present

Administrator/Billing Manager/Aesthetic Services

Oversees medical billing financials: including production, revenue, RVU's,

accounts receivable, billing trends, visits, and communicate findings to

Medical Director, Doctors, and billing staff members. Plan and direct

registration, patient insurance, billing and collections, and data processing to

ensure accurate patient billing and efficient billing collection. Reviews

current status of patient accounts to identify and resolve billing and

processing problems in a timely manner. Manages efficient and effective

system for collection of delinquent accounts ensuring third-party payers are

contracted. Assists in developing, and implementing annual capital budget and

initiate corrective action with significant variances. Maintains knowledge of

and complies with established policies and procedures including

government, insurance, and third-party pay or regulations. Ensures that

payments from insurance carriers are in alignment with the contracted rate.

Oversees A/R follow up in communications with insurance companies and

work load. Supervises, trains, and orients and evaluates performance over

assigned personal. Duties for Ave’a encluded scheduling facials aesthetic services, massages, botox, juverderm, and all other services offered. As well as schedule and bill for all plastic surgery cases.

Red rock Surgery Center,

7135 W. Sahara Las

Vegas, Nevada 89117

01/2005 to 06/2008

Business Office Manager

Responsible for effective and strategic operational plan; manage and

Direct the daily operational activities of the ASC which includes planning,

organizing and coordinating the clinical and administrative functions.

Monitored managed care contracts and reimbursement. Including

reimbursement rates for Medicare, Health plans, and other type of payers.

Implications of In-Network VS out of Network, and Workers compensation

cases. Financial Management and reporting, which includes financial

analysis, audits/taxes, quartly and year end reporting. Establish a budgeting

process, define and update operational and capital budgets. Responsible

for Medical staff, credentialing, and privlegiving, including verification of

record for new surgeons, and ongoing updates for DEA, and state boards.

Managing and following up on the work of patient care, medical advisory

committees. Managing quality improvement process. Fostering a healthy

work environment that promotes growth and development. Servicing as a

liaison between other healthcare providers in the community, promoting the

ASC's reputation, and maintaining strong networks with suppliers and

service providers. Creating and implementing physician recruitment.

Specializing in plastic surgery.

Complete Cosmetic

Surgery Center, 7710 W.

Sahara Las Vegas, Nevada

89117

02/2003 to 01/2005

Office Manager/Patient Coordinator/Sales

Assists patients with all accepts of plastic surgery procedures. Promotes

Patient’s confidence in their surgical/non surgical experience. Liaison

Between the patient and the office, ongoing contact and communication.

Arrange all accepts of plastic surgery scheduling, pre-op, labs/clearance,

And post-op care, answering patient questions and concerns, and follow-up

Care. Reviewing recommendations, treatment plans, and making

Arrangements for them. Collecting, recording, communication, facilitating

Physician orders. Meet and or exceed expectation goals. Promotes practice

As marketing representative. Recruit, hire, train and develop staff. Payroll,

And all daily and monthly reporting.

Education

Grambling State University, 403 Main St. Grambling, LA 71245 1996

BA- Business Management

Glendale Career College, 240 N. Brand Blvd. Glendale, CA 91203 2000

Medical Billing and Coding



Contact this candidate