Manager Medical

Carol Fredlund

**** ******* *** ****

Apex, NC **539

Phone: 239-***-**** xd0x1z@r.postjobfree.com

PROFESSIONAL SUMMAY:

A talented Medical Practice Manager with extensive experience in Radiology and Family/Urgent Care Practices. Areas of expertise include training staff on use of medical software, EMR and billing application while ensuring HIPPA compliance. Additional experience includes recruitment of medical staff, negotiating equipment lease/purchase with vendors and maintains accounts payable and receivables. Outstanding communication skills and proven ability to deliver results. Expert at processing of 835/837 claims and vast knowledge of trouble shooting issues with EDI claims, software modifications and customization of software to meet clients needs. Professional expertise includes processing of Medicare/Medicaid/commercial claims and vast knowledge of trouble shooting issues with CPT codes and working with a variety of platforms supporting PMS modules including scheduling, billing, patient records, electronic claims, debugging EDI claims.

• Sales of Lytec Medical Software, set-up, installation, training

• On-line support and training for clients by PC Anywhere, Windows Remote Desktop

• Resolutions of EDI issues, customization of software, modification to software

• Proficient in Microsoft Office

WORK EXPERIENCE

DEPENDABLE MEDICAL ACCOUNTS, Naples, FL 08/2009 to 11/2010

Account Manager

• Account Manager for seven radiology centers

• Increased revenues by 40%

• Streamlined Workers Compensation Claims and Motor Vehicle accounts

• Created protocols, processing and expediting information for accelerated reimbursement

• Modifications in EDI and Emperic software to improve and expedite processing

• Proficient in Medicare/Medicaid/Commercial claims processing.

COLLIER HEALTH SERVICES, INC., Immokalee, FL 01/2008 to 07/2009

Manager, Family Unit

• Non-profit organization increased patient payments by 30%

• Proficient in Medicare/Medicare procedures/protocol

• Managed 24 staff clerical/clinical staff

• Trained and support clerical staff with PMS issues

• Co-chaired EMR program induction project

PRACTICE MANAGEMENT CONSULTANTS, INC., Naples, FL 01/1990 to 12/2006

Owner/Manager

• Lytec Medical Software and Medinotes Reseller, Gold status

• Sales, installation, support, training, customization of software,

• Proficient in resolving billing and insurance claim issues

• Supported and trained clients via PC Anywhere/Windows Remote Desktop

• Reduced client overhead and improved reliability by pioneering use of DSL VPN’s in remote offices

• Provided Practice Management support functions for Radiology, Internal Medicine, Ophthalmology and Family/Urgent Care practices. Duties included staffing, HR and benefits administration.

• Implemented HIPPA regulations and reviewed policies for compliance issues

• Negotiated healthcare coverage contracts and benefits for employees

• Managed all accounts payable and receivable

• A/R was at 10% or less in over 90 day for billing clients.

• Improved reimbursement for physicians by working with staff to resolve billing issues.

• Proficient in Medicare/Medicaid/Commercial claims processing

• Resolved issued with EDI systems, modifications, claims modifications in software.

• Proficient with Lytec, Medical Manager, Medisoft, Emperic PMS.

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