ggov57@r.postjobfree.com

MEDICAL BILLING AND SUPPORT ASSOCIATE

PROFILE A seasoned professional and effectual leader with a proven ability to exceed:

• 18 years of strong medical and management experience

• Significant understanding of coding, charting, billing, reporting, electronic records, managed care, contract compliance

• Extensive experience with clinic/physicians practice management

EMPLOYMENT

2008 – 2002 Tanning Salon CEO YU-CAN-TAN-TOO

• Responsible for overseeing all aspects of a small business operation.

• Included and are not limited to: financial control including payroll, accounting, all tax reporting, business development, marketing, inventory, production, sales, collections, employee human resources and administrative affairs.

• Selected results include and are not limited to: Initiated and launched new enterprise into a successful running establishment in under two years. Introduced process improvements that maximized operations by decreasing costs and reducing the required labor. Grew revenues and increased sales with innovative programs and business initiatives.

2003 – 2000 Cox HealthPlans Director of Provider Services

• Responsible for providing prompt, informative and courteous, service to providers in regard to any questions, inquiries or complaints that may occur.

• Responsibilities include: resolve provider reimbursement questions, educate providers with current process and procedures as appropriate, liaison with provider accreditation management, interpretation of contracts and awareness of provider subsystems and its overall impact.

• Maintaining all providers’ demographics; setup providers in system for proper reimbursement according to plan and provider health organization contracts.

• Run provider directories and state mandated access reports utilizing Microsoft software.

• Maintaining system database of provider information.

• Scheduling, budgeting, payroll, supervising the continued function of the provider build department.

• Coordinating the electronic billing for providers between their clearinghouse and our information technology department.

2000 – 1999 Cox Information Systems EMR Team Clinical Systems Consultant

• Train and educate clinics on the electronic medical records software.

• Assist with new electronic Medical record clinic implantation

• Provide support and training to existing clinics on the EMR software.

• Clinic fee slip revisions for coding compliance

2000 – 1998 Home by Choice Home Health Care Office Manager

• Duties included and are not limited to all phases of clinic management operations and financial reporting.

1999 – 1995 Cox Regional Services Physicians Billing Representative

• Duties included and are not limited to posting all charges and payments, processing insurance claim forms, accounts receivable and insurance follow up, along with clinic support and correspondence, use of multi-line phone system.

1995 – 1994 Lee Chiropractic X-Ray Development/Reception

• Responsible for preparation of insurance claims, appointment scheduling, developing x-rays, multi-line telephones, medical transcription and filing.

1994 – 1990 Illinois Eye Specialist Ophthalmic Technician

• Training/Teaching patients on contact lens care/wear, inventory, preparing, filing and follow up with insurance claims, collections, filing, and patient care with surgery center.

EDUCATION

Bachelor of Science Degree in General Business, Accredited Tanning Professional, Certified Salon Operator, Certified Medical Transcriptionist, Certified Medical Claims and Billing Specialist, ICD 9, CPT Coding, Medicare, Medicaid Workshops

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