Medical Practice Administrator/ Medical Practice Manager
Resume:
SHEILA SMEDLEY
Pittsburgh, PA **201
SUMMARY OF QUALIFICATIONS
Ø More than seven years of progressive accounting and customer relations experience.
Ø Proficiency in Microsoft Office as well as several computerized accounting programs including Delair, Oracle, Generic and Epic.
Ø Detail oriented with the ability to handle multiple tasks in a meticulous manner.
Ø Proven ability to analyze and reconcile monetary discrepancies efficiently and effectively.
EXPERIENCE
Accounts Payable / Receivable
Processed invoices through the Generic system * Calculated invoices for
payment processing * Batched and transmitted invoices electronically *
Filed and sorted invoices * Performed cash applications, including
payment posting and cash diversity * Analyzed month-end statements for accuracy * Converted attendance sheets into invoices for payment *Generated missing attendance and invoice reports * Corrected accounting errors to ensure the projected account balance as zero * Settled late, over, and under payments and generated check requests or credit memos to satisfy the impending transaction
Payment Processing
Processed medical insurance payments and entered information into the Epic system * Performed offsets as needed * Operated automatic payment processing system and posted missed payments manually * Re-associated checks directed through business accounts * Separated full pays, short pays, multi-pays, and over-pays for remittance * Performed label coding and packaging for delivery * Processed approximately 1,000 transactions per day * Prepared statistical and written reports as requested * Collected on delinquent accounts to restore current status
Customer Relations
Ensured the timely disbursement of payment through automotive and worker’s compensation insurance * Reconciled invoicing disputes with vendors to ensure proper payment * Handled inquiries from various sources regarding payments * Contacted providers for missing information to ensure proper disbursement * Collaborated with customers to resolve payment issues * Advise Benefit and Eligibility information * Resolve Billing and Payment Issues * Submit Provider Material requests * Ability to break down the Explanation of Benefits so that the Provider understands * Handle complaints and Issues that arise as a result of error’s in processing claims * Provider excellent customer service * Constantly meet established productivity, scheduled adherence, and quality standards *
Resource Management
Monitored the flow of calls coming through the que to the call center* alerted any agents that were out of adherence* directed call overflow to the appropriate area* analyzed and tracked trends of calls coming into the call center spiking the call volume* documented findings and alerted the appropriate department of findings via email* Managed overtime and call off spreadsheets*entered any segment request, team meetings, any off the phone activity into the agents schedules as directed by upper management.
EMPLOYMENT HISTORY
CVS Care Mark Pittsburgh, PA
2010
Comcast Pittsburgh, PA
2010-2010
Unison Health Plan Pittsburgh, PA
2007-2010
Coverall Cleaning Concepts Pittsburgh, PA
2006-2007
University of Pittsburgh Pittsburgh, PA
2005-2006
Jerry's Lawn Care Service Pittsburgh, PA
2004-2005
UMPC Health System Pittsburgh, PA
2002 - 2004
Child Care Information Services Pittsburgh, PA
2001 - 2002
Alcoa Financial Shared Services Pittsburgh, PA
2001
EDUCATION
Duffs Business Institute Associate in Specialized
Business 2001
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