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Click here or scroll down to respond to this candidate12229 Red Hawk Dr, Waynesboro, PA 17268Phone PHONE NUMBER AVAILABLE * email- EMAIL AVAILABLECandidate's Name
US CitizenMedical Practice AdministratorHighly capable health care professional offering 20 years of multiple-practice management experience, clerical proficiencies, and educated in business administration with a concentration in Healthcare management, customer service and business retention.Business Unit ManagementContinuous Quality ImprovementWeb Site Development and MaintenanceSearch Engine Monitoring with Corrective Measures for Optimal Traffic FlowPatient Care and Relations internally/externallyHR/Staff Training and SupervisionData and Records ManagementResearch/evaluation of programs/operations...Review analyze and provide information with recommendationsBudget ControlCost AnalysisBillingAccounts Payable/ReceivablePayrollPurchasingData EntryTranscriptionQuality Measures Reporting and Implementation of Correctional Course to Achieve Desired ResultsProvide oversight to all procedural areas and ensure goals and objectives Researching laws, guidelines and regulations, report findings and recommend processRisk assessments with recommendations according to lawEvaluating the effectiveness of changes to procedure or policy and report findingsPharmaceutical billingpresenting recommendations for productsproviding direction for policies for paymentWindows XP, Microsoft Word, Excel, Power Point, Quick Books, Data Management Systems, Multiple EMR systemWORK EXPERIENCE10/2021-04/2023 Savage Family Pharmacy,Waynesboro, PAMedicare Billing SpecialistBill items to medicare, apply reimbursements, monitor accounts receivable and add items to the billing cycle.Review changes in laws and regulations for coverage and payment.Advise owner on findings and recommendations.Evaluate pharmacy inventory, place orders, add inventory to the system with pricing, stock items in place.Operate cash register while providing cross checks for dispensing medications ensuring compliance with HIPAA regulations.1/2016 6/2019 Internal Medicine Specialists of Frederick,Frederick, MDOffice Administrator/ManagerFully direct the management of two high-volume medical practices, promoting superior care for 250-300 weekly patients through supervision of 17 administrative and medical employees.Coordinates multiple office functions by analyzing, designing, developing, and maintaining database structure and applications to effectively manage computerized scheduling, organizational billing/data assets, data management, and payment plans that demonstrate knowledge of insurance carriers and medical terminology.Design and develop interactive website to provide information and forms.Monitor web traffic via search engines and implement strategic corrections.Responsible for ensuring that the database collects, stores, and processes data that supports all business needs, both current and future, for billing, collections, accounts payable/receivable, patient records, and payment plans.Performed in-depth analysis made difficult by end user complaints or conflicting data. Identified adverse data trends, practices, and procedures that were ineffective and deficiencies in system processes.As Human Resources Administrator, oversee staff recruitment, training, supervision, and appraisals to support employees understanding of enhancement and improvement on a variety of automated systems and tools; develop job duties; advertise open position announcements; and address employee issues with confidentiality. Producing payroll and direct distribution to banking systems or printing checks.As Human Resources Administrator, utilized HRIS to provide user training, both formal and informal.Analyzed results based upon product performance.Serve as primary point of contact for and liaison between, patients, administrative staffs, physicians, and technicians to facilitate proper lines of communication and expedient problem resolutions.Consulted with internal and external stakeholders on program deployment, implementation of new or large-scale modification of databases used by customer: office leadership and private businesses.Implemented continuous quality improvement guidelines to measure the performance of the business operations; prepared monthly financial report; and managed Physicians Quality Reporting Systems (PQRS) to improve business operations and patient satisfaction.Maintained multiple EMR systems and managed networks patient records database.Manages internal and external electronic platforms including intranet, internet, SharePoint, Quick Books, Microsoft Office, Excel, Word, etc.Successfully negotiates and manages suppliers and vender relationships to optimize win-win partnerships including pharmaceuticals and specialty pharmacies.Consistently plans and manages all day-to-day operations and reports status to leadership and physicians.Championed proactive approach in providing customer assistance and quality improvement towards all services and products.11/2009-6/2019 Gastroenterology Specialists of Frederick, Frederick, MDOffice Administrator/Manager Medical SecretaryManage the daily operations of a high-volume medical office.Triaged to multiple facilities needs working with executive leadership and development leads.Conducted Billing and collection audits to ensure regulatory compliance.Ensured compliance with Medicare, Credential Medical providers, and private insurance.Monitored web traffic and advised/implemented corrective action for optimal flow.Maintained current accounts receivable.Keeps up to date on newly developed technologies for future database improvements and informs customers of new features.Served as subject matter expert to all functional area users on database and file retrieval techniques, processing a variety of personnel actions. Applied security procedures, program recovery techniques and space utilization performance improvement plans.Utilized extensive knowledge of ICD 10 and CPT codes.Prepared and distributed end of month billing reports.Researched claim denials worked accounts receivable and patient account collections.Developed, analyzed, and presented relative information to stakeholders including related items concerning staffing turnover, succession planning, inspection preparation and investigations (JCAHO, EEO), preparing briefs and budget materials, database management and presentations using a wide variety of charts and graphs to effectively communicate to Human Resources and management.Maintained department of Health Services compliance and certification.Administrated briefings and budget presentation materials to executive leadership.Completed physician credentialing, license renewal and reappointments.Handle client services via phone and in person, including appointment scheduling, question management, check-ins, and issue resolution.10/1998-8/2009 McCagh & Roberts Dermatology,Cumberland, MDMedical SecretaryMaintain daily transaction sheets and end of day reports.Generate new patient charts.Answer multiple line phone systems.Orchestrated unit with scheduling and patient flow.Cross trained as Medical assistant, receptionist, and telephone operator.Transcription5/1991-10/1998 Memorial HospitalCumberland, MDUnit Secretary 3 South Telemetry/RespiratoryTranscribe doctors orders.Maintain patient charts.Order medication from pharmacy and transcribe to patient medication sheet.Order testing including preps and pre procedure order sets.Assist nursing and medical staff with patient care and procedure.Answer intercom system and request assistance.Answer multiple line phone system and direct calls.Inventory supplies and request supplies.Notify appropriate departments for maintenance requests.4/1990-5/1991 WTBO/WKGO Radio StationCumberland, MDSecretaryReceptionist for station greeting visitors and directing them to the appropriate department.Answer multiple line phone systems.Monitor prize giveaways and distribute to winner.Schedule radio spotsDistribute and assign sale referrals to sales department.1/1989-4/1990 Nu Tech Housing CorporationShort Gap, WVHud Housing ManagerManage a 12-unit Hud based Townhouse property.Advertise available units.Application process completion and notification of results to applicantBondedCollect RentDeposit CollectionsConduct inspections to meet Hud specifications.Grounds maintenanceProcess maintenance request, oversee hiring of qualified professional, sign off on completion and provide payment.EDUCATION1982 / 1989 Allegany Community College Cumberland, MDBusiness Administration/ Medical Secretary1980 1982 Allegany Co Vocational Center Cumberland, MDComputer Technology8/1982 Graduate of Fort Hill High School, Cumberland MDGeneral Studies/Business SecretaryReferencesJason WyantVA Medical Center, Huntington, WVFisher House ManagerPHONE NUMBER AVAILABLEDana PeakeWashington County Maryland Public SchoolsPrincipalPHONE NUMBER AVAILABLEJune Cuddy PA-CBristol Myers SquibbSenior Territory Business ManagerPHONE NUMBER AVAILABLE/pre> |
