| Candidate Information | | Title | Front Office | | Target Location | US-WV-Saint Albans |
| | 20,000+ Fresh Resumes Monthly | |
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Click here or scroll down to respond to this candidateSUMMARY OF QUALIFICATIONSAble to lead, supervise, and produce quality work. I have over 30 years of experience scheduling patient appointments, posting patient charges, billing insurance companies, and handling collections on past due accounts.I am proficient in negotiating problematic issues that are typically associated with payment or non-payment either to or from the patients or an array of insurance agencies. I am also knowledgeable in computer applications such as Microsoft Word, Medisoft, Medical Manager, eClinical Works, NextGen, HealthPac, AdvancedMD and Epic. I Posses excellent leadership and management skills and able to identify priorities, accurately interpret and apply regulations, policies, and procedures while producing quality work.The following are some of the insurance companies I am familiar with and communicate with on a daily basis. To include obtaining authorizations for office visits and procedures as necessary.Medicare and Virginia Medicaid (to include their affiliates) Humana Military East (Tricare) Anthem (most all products available) Aetna Optima Cigna UHC etc.Areas Of Specialty - Primary Care, Urology, Dermatology, Neurology, General Surgery, Podiatry, Mental Health, Optometry, Physical Therapy, Dental, Laboratory and Pediatrics.EXPERIENCEBilling Representative, Hampton Roads Behavioral Health2015-2020Prepared each patients account prior to their visit. Obtaining insurance eligibility and account balance.Educated patients regarding their office accounts and their insurance plans coverage.Obtained all patient authorizations for office visits and testing, if required by their insurance plan.Audited patient accounts for accuracy of charges, payments and refundsAssisted with front office procedures when needed.Senior Account Representative, Express Billing 2014-2015 Chesapeake, VAPosted all charges and payments for five (5) different medical offices.Was in the rotation of answering the phones for 35 different clients. Those calls were to handle patient account questions either from the patient or the insurance company.Performed a daily batch balance for each office I handled. Procedures and payments had to match the clients totals. Which resulted in my clients obtaining an excellent transaction accountability.Billing Liaison, Alliance Physical Therapy 2013-2013 Fredericksburg, VASupervised the front office for 4 office locations; ensuring they ran smoothly and efficientlyCoordinated and implemented customer bill changesBilling Manager, Burke Pediatrics 2010-2013 Burke, VAPrepared payroll accountabilityProcessed office revenue deposits dailyPerformed follow-up procedures on outstanding account balances with both the patient and insurance companyAssistant Office Manager, Ridgeview Internal Medicine 2007-2009 Woodbridge, VAPrepared payroll accountability for two office locations; posting all A/R payments efficiently and effectivelyAssisted the office manager with corporate level day to day procedures;Provided superb patient assistance by answering billing questions and concerns.Maintained a flexible work attitude and professional demeanor that enabled the office to maintain 100% of its patient load themInsurance & Collection Specialist, Potomac Urology Center, PC 2001-2007 Woodbridge, VAPosted patient charges associated with office visits and surgical procedures on a daily basisPerformed both primary and secondary insurance company billing procedures.Performed appointment scheduling procedures, and assisted with clerical work as neededPerformed end-of-day account balancing procedures which resulted with the office obtaining an excellent transaction accountabilityPerformed office Open/Close procedure on a daily basisAdministered payment collections on all past due accountsPerformed customer services such as: answering patients questions/concerns regarding insurance problems or issues in an effective mannerEDUCATION / TRAININGMedical Office Manager Certification, Practice Management Institute 2008Associate of Arts Degree in Accounting, West Virginia Career College 1996 |
