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Click here or scroll down to respond to this candidateCandidate's Name
Office Manager, Administrator-Assistant Surgery Coordinator-Scheduler, Billing Specialist Trenton, FL, FL Street Address
EMAIL AVAILABLEPHONE NUMBER AVAILABLESummarization of SkillsCandidate's Name
I have been in the medical field for over 30 years. Pharmaceuatical research including patient recruitment, vitals, EKG, intake, description of program to patient entering the study, coordinator with pharmaceuatical company for computer input and programing.Surgery coordinator for cataracts, blephs, other procedures, obtained authorizations from insurance companies, scheduled surgery with patient and forwarded paperwork to surgery center, discussed surgery and prescription regiment, made follow-up appointments. Billing and claim follow up, contacted the insurance company 90 days + for nonpayment issues. Corrected claims, including documentation if needed and resubmitted claim. Collection of patient responsibility 90 days + setting up payment plans, etc. Workers Compensation claims processing from injury on the job to satisfied ending. Knowledge of commitment letter to billing properly HCFA. Contact with all parties involved including lawyers representing case. Scheduled IMEs for doctor to perform on client as well as collection of payment. Knowledge of auto claims from billing to letters of protection from the attorney involved. I have worked all aspects of a doctors office from check-in, check-out, collections, authorizations, medical records, drug representatives, cross-training to ensure the office ran smoothly and efficiently with coverage needed in my absence. I had an open door policy with all employees and handled any grievances as needed.I am very proud to have been part of North Florida Opthalmic Institute, Dr Levys graduate program. He taught residents who were in their last 6 months before graduating medical school. They all did their Ophthalmology rotation at his office. Part of the training was educating them to the front office, I got to train them in this area of how a private practice is run and the communication with patients. We felt this area was just important as the medical one they worked so hard to achieve. I was honored to be a part of this program.Willing to relocate: AnywhereAuthorized to work in the US for any employerWork ExperienceOffice Manager/Administrator to new PhysicianNorth Florida Eye Center - Gainesville, FLJune 2020 to Present Handled general office administration, including handle difficult situations Handled all financials for medical insurance and patient accounts Supervised office staff and handle all office hiring and scheduling Supported and trained staff cross training all positions Handled direct administrative issue while doctors out of country Introduced Work-Comp patients and trained and implanted to the practice to continue patient care from previous years at Florida Opthalmic Institute. Schedule attorney doctor meetings for workers-comp patients. Billed attorneys for doctors time and/ or court appearance. Schedule workers comp appointments, collect approval from claim adjusters and fill out DWC, and HCFA properly. Bill claims including submitting doctors notes, DWC and HCFA paper work for payment. Follow up on claims with any coding issues, over 30, 60 and 90 day claims. Patient customer service and schedule appointments, and answer questions about the visit, explain office procedures, surgery for Ophthalmology and Glaucoma and Blepharitis lift. Explain patients health insurance plan and what the patient would be responsible for before and after surgery. Prior authorization for surgery on all surgery procedures including glaucoma related surgeries and cataract surgery. Prior authorization for surgery Drops and search for affordable replacement prescriptions when needed. Patients with limited money for surgery, I would assist in finding financing for the patients. I educated myself with surgery centers program to assist the patient by applying with the patient for programs to help patients with cost of surgery if they had no insurance or limited money for procedure. The surgery ambulatory center did take Care Credit. Help patients register with the surgery center. Office Administrator, Billing Supervisor, Surgery Coordinator-Scheduler Florida Ophthalmic Instituted - Gainesville, FLJanuary 2015 to June 20201. Patient customer service and schedule appointments, and answer questions about the visit, explain office procedures, surgery for Ophthalmology and Glaucoma and Blepharitis lift. Explain patients health insurance plan and what the patient would be responsible for before and after surgery. 2. Surgery Coordinator for the practice. Explain the surgery and schedule the surgery with the ambulatory. Execute surgery documents and schedule surgery with surgery center. Schedule post-op appointments.3. Post daily charges and billed charges for the day. Called insurance companies to dispute charges not paid. Resubmit billing with corrections. Correct coding, appeal charges and resubmit corrected claims. 4. Schedule attorney doctor meetings for workers-comp patients. Billed attorneys for doctors time and/ or court appearance. Schedule workers comp appointments, collect approval from claim adjusters and fill out DWC, and HCFA properly. Bill claims including submitting doctors notes, DWC and HCFA paper work for payment. Follow up on claims with any coding issues, over 30, 60 and 90 day claims. 5. Patients with limited money for surgery, I would assist in finding financing for the patients. We did not take Care Credit and I have knowledge of processing for the patients. I would assist the patient by applying with the patient. The surgery ambulatory center did take Care Credit. Help patients register with the surgery center.6. Submit prior authorization for office procedures and for surgery's. 7. Prior authorization for prescriptions and surgery prescriptions. 8. Assisted the doctors with hiring and training new technicians for our technician gap year program. 9. Assisted in documentation of hours and submit attendance for Residents final rotation(Ophthalmology) before graduation.10. Train new technicians about CUSTOMER SERVICE, HIPPA, and complete knowledge on how a front office runs smoothly and maintaining a respectful and caring relationship with their patients. Proper phone etiquette. How to handle insurance questions from the patient and quickly defuse and expedite the callEducationCommunity College in Business ManagementSanta Fe Community College - Gainesville, FLAugust 1997 to December 1997Fleet Finance Assistant Branch Manager Training, in Business / Completed coarse & PromotedFleet Finance Office - Gainesville, FLAugust 1984 to February 1990Lawton's Jewelers Assistant Manager Trainee in Diamond and Gem Stones and ManagingLawton's Jewelers Store - Gainesville, FLApril 1983 to August 19841 year community collageSkills Ophthalmology Experience (10+ years) Office Management (10+ years) Workers' Compensation (10+ years) HIPAA (10+ years) Medical Scheduling (10+ years) Office Administration (10+ years) Accounts Payable Medical Records (10+ years) Phone Etiquette (10+ years) Payroll Accounts Receivable (10+ years) Medical Billing (10+ years) Medical Office Experience Human Resources (10+ years) Insurance Verification (10+ years) Medical Terminology (10+ years) Clerical Experience Microsoft Outlook Data Entry Bookkeeping EMR Systems (10+ years) Medical Coding Personal Assistant Experience ICD-10 (9 years) Leadership Sales Property management Microsoft Office Medical receptionist (10+ years) Medicare (10+ years) GAAP (8 years) Financial services (10+ years) Allscripts (7 years) Management (10+ years) POS (10+ years) VoIP Time management Customer service (10+ years) Microsoft Excel (3 years) Documentation review Ophthalmology (10+ years) Multi-line phone systems (10+ years) CPT coding (10+ years) General ledger reconciliation Microsoft Word (10+ years) Communication Skills (10+ years) Research (5 years) Front Desk (10+ years) Contracts (10+ years) Medical collection (10+ years) Managed care (10+ years) HCPCS (10+ years) Administrative experience (10+ years) ICD-9 (10+ years) Journal Entries Optical experience (10+ years) Computer skills (10+ years) English (10+ years) Team management (10+ years) Athenahealth (3 years) Strategic planning (10+ years) Anatomy knowledge (10+ years) Accounting QuickBooks Laboratory Experience (5 years)AssessmentsProtecting patient privacy Highly ProficientAugust 2021Understanding privacy rules and regulations associated with patient records Full results: Highly ProficientIndeed Assessments provides skills tests that are not indicative of a license or certification, or continued development in any professional field.GroupsFaturnal Order of EaglesFebruary 2000 to February 2006Organization that does charity events for children and families that are in need. I did belong to the ladies group. |
