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Medical Office Manager

Location:
Plainview, NY, 11803
Posted:
March 26, 2011

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Resume:

KATHY NAMM

** ****** ****, *********, *** York **803 516-***-**** ******@*****.***

PROFESSIONAL EXPERIENCE

MITCHELL A. COOPERMAN, DPM 1996 – Present

Office Manager/Medical Administrator

• Implemented appointment confirmation system which decreased patient “no-shows” by 95%

• Increased office efficiency by checking patient eligibility, coverage details, and status of insurance claims on the Internet, thereby eliminating time spent on phone with customer service

• Resolved problematic claims with major insurance companies resulting in the collection of office revenue that would have otherwise been written off

• Responsible for patient billing involving co-pays, co-insurance, deductibles, and non-payment of patient’s insurance

• Successfully collected a large portion of delinquent patient balances thereby increasing lost office revenue by 90%

• Kept doctor current on all regulatory requirements and mandates

• Monitored CAQH status which controls credentialing - made quarterly updates when necessary

• Enrolled office in DMERC Region A, resulting in practice participation in Diabetic Shoe Program

• Medicare Diabetic Shoe Program

o Assisted doctor in the selection and fitting of diabetic shoes for patients eligible for the program

o Tracked diabetic shoe process from initial fitting to distribution of shoes insuring that every diabetic patient receives shoes without incident and in a timely fashion

o Identified diabetic patients who were not informed about the Medicare Diabetic Shoe Program and made recommendation for them to get involved – this resulted in increased revenue for the practice

LAW OFFICES OF DAVID M. NAMM, Garden City, NY 1982 – 1996

Legal Assistant

• Prepared a variety of legal documents including Summons & Complaint, Order to Show Cause, Lis Pendens, etc.

• Ordered title reports and foreclosure searches

• Prepared client invoices and handled office correspondence

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SKILLS & ABILITIES

MEDICAL OFFICE EXPERIENCE

• Responsible for electronic billing to insurance companies including Blue Cross, DMERC Region A, Medicare, and more

• Proficient in the use of ICD-9 and CPT-4 coding systems

• Advise doctor of probability of reimbursement in the selection and pairing of codes and modifiers

• Able to read transmittal reports for Medicare, Blue Cross, DMERC Region A, and commercial insurance carriers

• Completed a wide variety of mandatory conversion applications and paperwork including:

o Physician ID number to National Provider Identifier

o Provider Enrollment Chain and Ownership System (PECOS) conversions

COMPUTER EXPERIENCE

• Used Sammy USA software system to enter patient treatment into office system

• Proficient in Microsoft Word and Excel

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EDUCATION

STATE UNIVERSITY OF NEW YORK - CORTLAND, Cortland, NY

• Bachelor’s Degree in Elementary Education



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