Practice Administrator

• Aug 2021 - Present

Practice Manager

• Oct 2020 - Jul 2021

Small Business Owner

• Aug 2016 - Apr 2021

CMB Healthcare Consulting is a sole proprietorship based in Annapolis, MD. We strive to provide accurate, efficient, and effective assistance to medical providers and facilities who need help navigating the confusing and tedious world of insurance credentialing. What is Insurance Credentialing? Insurance credentialing, or medical credentialing, is the process by which a provider becomes affiliated with insurance companies so that patients can use their insurance to pay for services and the provider can accept that reimbursement. Providers are required to submit a credentialing application that details training and qualifications to treat patients to each insurance company that they wish to credential with. The insurance company will then decide if the provider meets their qualifications. CMB Healthcare Consulting can help you gather all necessary information for these applications and submit them on your behalf. We can also assist in matters of EHR/PM research and implementation, coding and billing including claims submission, and other general medical provider/facility questions.

Administrative Coordinator

• Dec 2015 - Mar 2020

1. Works with the Nurse Manager to provide input and planning into the daily operations of the surgical suite 2. Assists the Nurse Manager with staying current with all of Accreditation Standards and updates as well as CMS and Maryland State updates 3. Negotiates contracts with Medicare and all other insurance providers and assures that all documents associated with maintaining good standing with the insurance companies (i.e. malpractice insurance, State licenses, etc..) are up to date 4. Coordinates surgical scheduling with all the surgeon’s offices including assuring lens Diopter and clearances are accounted for 5. Maintains charts in accordance with State regulations after surgery 6. Enters all of the posting, clinical clearance data, and arranges the schedule with the Nurse Manager 7. Types up the next day’s schedule with assistance from the secretary as necessary 8. Assists in coordinating Anesthesia coverage for each surgical week with the providing Anesthesia company 9. Communicates any special instructions or needs notated on the posting sheet to the Nurse Manager or OR staff 10. Responsible for typing up all of the surgical dictations, and assuring they are put on the chart complete, correct, and signed by the surgeon. Then checks surgical charts for completion (all signatures and charting complete, operative report) See attached for full responsibilities.

Medical Coding Auditor

• Jun 2016 - Jan 2017

-Audits medical record documentation to identify undercoded and upcoded services; prepares reports of findings and meets with providers to provide education and training on accurate coding practices and compliance issues. -Provides second-level review of billing performances to ensure compliance with legal and procedural policies and to ensure optimal reimbursements while adhering to regulations prohibiting unbundling and other questionable practices. -Interacts with providers and management to review and/or implement codes and to update charge documents. -Ensures strict confidentiality of financial records. -Attends coding conferences, workshops, and webinars to receive updated coding information and changes in coding and/or regulations. -Performs miscellaneous job-related duties as assigned.

Secretary/Receptionist

• Dec 2014 - Nov 2015

* Scheduling all provider appointments including handling any cancellations, reschedules, or no-shows. * Greeting patients, verifying all personal information, method of payment and insurance, collecting co-payments when applicable, and entering all necessary information into the computer system for appropriate billing. * Working with patients, families, and staff in handling and resolving problems that may occur during the course of the visit and providing management with perception(s) of physician and practice services. * Answering patient phone calls and directing them to the appropriate area; and effectively manage dynamic and/or potentially stressful patient encounters.

Office Manager/Surgical Coordinator

• Oct 2012 - Oct 2014

•Manages personnel, computer systems, all administrative housekeeping, maintenance functions, supply functions, and marketing of the practice. •Responsible for planning, coordinating, and administering all clinical and non-clinical policies and procedures relating to the medical practice. •Organizes and assigns duties to employees relating to collections, insurance, typing and secretarial activities, medical records, telephone procedures, housekeeping, appointment scheduling, patient flow, patient relations, and coordination of clinical activities with physicians and professional staff. •Monitors duties assigned to practice personnel to ensure that employees are performing duties appropriately. •Establishes, implements, and revises all practice policies and operating procedures. •Manages vacation, sick, and personal leave. •Manages employee schedules, arranging for temporary staff or rearranging staff schedules for shortages. •Updates and educates staff to resolve and prevent problems. •Schedules and conducts monthly office meetings for staff and physicians. •Maintains physician schedule and manages office schedule in practice management system. •Acts as an effective liaison between the patient, surgeon, primary care physician, and the surgical facility in all aspects of pre-operative preparations. •Guides patients through surgical process and communicate in a clear, effective way that the patient can understand. •Answers patient inquiries about cataracts/LASIK (etc.), medications for surgery, and surgical scheduling, including pre-operative and post-operative instructions. •Maintains doctors surgical schedule including dates, times, and locations. •Compiles surgical “packets” for use at the surgery center. •Processes and posts patient payments, and interfaces with the billing department as needed. •Answers all telephone inquiries from patients, their families, or primary care physicians concerning surgery and/or related concerns.

Sales Associate/Cashier

• Oct 2012 - Mar 2013

-Create welcoming environment by greeting all customers -Provide prompt and courteous service and taking customers directly to requested merchandise -Provide product knowledge and project advice -Suggest buddy items to complete or compliment project -Know what is on sale that week, locations of the items in ad, events taking place, new planograms, and items. -Ensure consistent presentation standards in assigned sales areas -Recover area continually throughout entire work shift -Create welcoming environment by greeting all customers -Provide prompt and courteous service and taking customers directly to requested merchandise -Provide product knowledge and project advice -Suggest buddy items to complete or compliment project -Know what is on sale that week, locations of the items in ad, events taking place, new planograms, and items. -Ensure consistent presentation standards in assigned sales areas -Recover area continually throughout entire work shift

Sales Associate/Customer Service Representative

• Jun 2005 - Sep 2012

-Managed inventory including arranging inventory on the sales floor, tagging merchandise, setting up promotional material and displays, replenishing inventory, reorganizing items, and maintaining a neat and tidy store -Performed sales tasks including persuading customers to buy a product, being informed of the products’ specifications as well as and discounts or sales, and identifying customer needs and directing them to the appropriate product -Mastered customer service duties including providing courteous and prompt service and delivering excellent after-sales service.

Seasonal Summer Staff

• Jul 2012 - Aug 2012

Camp counselor working with disadvantaged/homeless children with a special emphasis on teaching the basics of forensic science and forensic anthropology. Camp counselor working with disadvantaged/homeless children with a special emphasis on teaching the basics of forensic science and forensic anthropology.

Intern

• Jun 2008 - Jun 2012

-Worked with the Event Coordinator and helped to prepare materials for the Annual Scientific Assembly -Prepared and maintained the online seasonal newsletter, On The Edge -Performed general office duties such as filing, scanning, maintaining and organizing the member database, and preparing online store orders for shipment. -Worked with the Event Coordinator and helped to prepare materials for the Annual Scientific Assembly -Prepared and maintained the online seasonal newsletter, On The Edge -Performed general office duties such as filing, scanning, maintaining and organizing the member database, and preparing online store orders for shipment.

Work-Study

• Sep 2011 - May 2012

-Assisted in the programming of the Saint Vincent College 9th Annual Academic Conference -Assisted in implementing the Saint Vincent College Chapter of Lambda Alpha, the Anthropology Honors Society -Completed general work-study tasks including identifying and describing human remains recently donated to the department, updating the Anthropology Department Video Collection Database, and assisted with general duties such as copying and updating the class attendance sheet. -Assisted in the programming of the Saint Vincent College 9th Annual Academic Conference -Assisted in implementing the Saint Vincent College Chapter of Lambda Alpha, the Anthropology Honors Society -Completed general work-study tasks including identifying and describing human remains recently donated to the department, updating the Anthropology Department Video Collection Database, and assisted with general duties such as copying and updating the class attendance sheet.

Intern

• Sep 2011 - Apr 2012

-Participated in on-scene evaluation of decedents including recording scene details, evaluating position and physical state of the decedent, and observing the interrelationships of the Coroner’s Office and the Pennsylvania State Police and Greensburg Police Department -Observed an autopsy under the direction of Dr. Cyril H. Wecht at Carlow University in Pittsburgh, PA -Trained in entering case data for cremation authorizations -Performed general office duties – answered phones, logged information, trained in data entry and filing.