Experience

Depoe Eye Center

• United States
• Hospitals and Health Care
• 1 - 100 Employee

• Insurance Director

  • Aug 2017 - Present

  • Insurance Director of a $7M optometry practice • Promoted two times in five years • As Insurance Director, I have helped the practice grow from a $3.5M company to a $7M company • Efficiently opened two new successful locations in the last four years • Expanded business and increased profitability by successfully negotiation prices for contracts with insurance companies, suppliers, and outside contractors such as Care Credit and Passport (insurance verification… Show more • Insurance Director of a $7M optometry practice • Promoted two times in five years • As Insurance Director, I have helped the practice grow from a $3.5M company to a $7M company • Efficiently opened two new successful locations in the last four years • Expanded business and increased profitability by successfully negotiation prices for contracts with insurance companies, suppliers, and outside contractors such as Care Credit and Passport (insurance verification service) • Replaced in-house billing department with a contracted medical insurance billing company saving $60,200 annually by reducing staffing by two positions • Managing contracted medical insurance billing company • 100% pass rate for all medical and vision insurance audits • Oversee medical credentialing / CAQH for all current updates for established doctors and all new doctors hired. • Successfully oversee two Medical Billing Specialists (prior to disbursement of in-house billing department) • Monitor Medical Insurance Accounts Receivables for accuracy and correct and provide coaching and feedback of any errors to staff • Oversee Communication between Referring Doctors for Cataract patients (COMAN and Records) • Monitor Medical Insurance posting, processing, and filing of insurance claims for accuracy • Implemented Passport Onesource to help ensure accurate collection from patients (deductible and copays) • Partnered with Care Credit to assist compliant payments from patients, including the introduction of IPad Care Credit applications • Daily Close of Business Report for all seven locations to verify all money was accurately collected and properly posted, • Reconciled all deposits with bank statements monthly • Submitted any patient refunds bi-weekly

• Billing & Front Desk Manager

  • Aug 2016 - Aug 2017

  • Post and process all insurance EOB/Remittances for all vision insurance carriers (VSP, Eyemed, Davis, VCP, Superior, Ambetter, Peachstate, Medicaid), Vision insurance is 85% of our practices profit • Maintain Vision Insurance Receivables including researching past due claims with each insurance carrier • Maintain all patient account receivables including researching and sending out monthly statement for all seven locations • Collection accounts to follow process and send patients to… Show more • Post and process all insurance EOB/Remittances for all vision insurance carriers (VSP, Eyemed, Davis, VCP, Superior, Ambetter, Peachstate, Medicaid), Vision insurance is 85% of our practices profit • Maintain Vision Insurance Receivables including researching past due claims with each insurance carrier • Maintain all patient account receivables including researching and sending out monthly statement for all seven locations • Collection accounts to follow process and send patients to outside collections if necessary, report to Carter Young Collection Agency • Train all new hires on back office processes, route slip preparation, understanding insurance authorizations and accurately making appointments • Properly credential all vision insurance carriers each year for renewing contracts for established doctors and fully credential all new doctors hired • Assist in interview process with all new hires for all positions (front desk) • File all claims manually for all locations via Envolve Vision Web for Peachstate and Ambetter • Wrote, implemented, and trained Policy and Procedure Manual in all seven locations • Created user guides for all procedures to ensure understanding and accuracy • Created all current forms used in all offices, such as: Welcome Forms and Office Policies • Created and implemented Employee Communication form that is used for all employees as a training tool used to give guidance when employees make errors • Created and implemented testing order form to ensure compliance from patient • Call center for Griffin location for six months

• Front Desk Associate

  • Jun 2013 - Aug 2016

  • Point person for all decisions made regarding the location • Became new hire trainer for entire company after six weeks of hire date • Achieved and sustained an average of $80K per month of sales, highest ever for the location • Schedule patient appointments • Ordered contact lenses • Scanned all documents and insurance cards into system • Entered all patient date correctly • Posted all charges • Filed all claims to insurance companies • Assisted in sale of… Show more • Point person for all decisions made regarding the location • Became new hire trainer for entire company after six weeks of hire date • Achieved and sustained an average of $80K per month of sales, highest ever for the location • Schedule patient appointments • Ordered contact lenses • Scanned all documents and insurance cards into system • Entered all patient date correctly • Posted all charges • Filed all claims to insurance companies • Assisted in sale of glasses • Led company sales of one year supply contact lenses by achieving 80% of repeat sales



Georgia Ophthalmology Assoc

• United States
• Medical Practices
• 1 - 100 Employee

• Medical Office Assistant

  • Apr 2013 - Aug 2013

  • General office assistant and clerical responsibilities including, answering phone calls, conducting reminder appointment calls, scheduling appointments, data entry, and filing patient charts • Responsible for checking in patients and collecting co-payments. • Knowledge and use of computer systems to include Microsoft Office Programs, Nextgen, and Medical Manager. • General office assistant and clerical responsibilities including, answering phone calls, conducting reminder appointment calls, scheduling appointments, data entry, and filing patient charts • Responsible for checking in patients and collecting co-payments. • Knowledge and use of computer systems to include Microsoft Office Programs, Nextgen, and Medical Manager.



CaroMont Health

• United States
• Hospitals and Health Care
• 700 & Above Employee

• Registration Specialist & Phlebotomist

  • Jan 2005 - Apr 2013

  • Five years experience as team lead in a fast paced Outpatient Lab of a top 100 hospital with a strong emphasis on safety and customer satisfaction • Accurate collection and processing of various specimens, including EKG’s • One-on-one interaction with up to 130 patients daily • Assists RN Clinical Manager with office related tasks such as data entry and statistical analysis • First point of contact for adverse situations such as difficult patients, challenging venipunctures… Show more • Five years experience as team lead in a fast paced Outpatient Lab of a top 100 hospital with a strong emphasis on safety and customer satisfaction • Accurate collection and processing of various specimens, including EKG’s • One-on-one interaction with up to 130 patients daily • Assists RN Clinical Manager with office related tasks such as data entry and statistical analysis • First point of contact for adverse situations such as difficult patients, challenging venipunctures, and data entry questions • Extensive contact with both private and hospital contracted doctors to clarify laboratory orders and verify correct insurance coding to adhere to government regulated and Medicare specific guidelines • Primary new-hire/student trainer • Responsible for attending “Super User” classes for changes in registration programs and protocol with the added responsibility of training fellow team members. Show less • Five years experience as team lead in a fast paced Outpatient Lab of a top 100 hospital with a strong emphasis on safety and customer satisfaction • Accurate collection and processing of various specimens, including EKG’s • One-on-one interaction with up to 130 patients daily • Assists RN Clinical Manager with office related tasks such as data entry and statistical analysis • First point of contact for adverse situations such as difficult patients, challenging venipunctures… Show more • Five years experience as team lead in a fast paced Outpatient Lab of a top 100 hospital with a strong emphasis on safety and customer satisfaction • Accurate collection and processing of various specimens, including EKG’s • One-on-one interaction with up to 130 patients daily • Assists RN Clinical Manager with office related tasks such as data entry and statistical analysis • First point of contact for adverse situations such as difficult patients, challenging venipunctures, and data entry questions • Extensive contact with both private and hospital contracted doctors to clarify laboratory orders and verify correct insurance coding to adhere to government regulated and Medicare specific guidelines • Primary new-hire/student trainer • Responsible for attending “Super User” classes for changes in registration programs and protocol with the added responsibility of training fellow team members. Show less



Portamedic Insurance Examin

• United States
• Insurance
• 1 - 100 Employee

• Paramedical Examiner & Phlebotomist

  • Nov 2002 - Mar 2011

  Mobile Paramedic Examiner • Regional coverage included 20 zip codes covering two counties with the Piedmont Region of NC • Responsibilities included: scheduling of appointments to accommodate customers schedules and locations, paramedical exams, detailed health assessments, venipunctures, finger sticks, urine specimen collection, and EKG’s • Knowledge of use of centrifuge devices • Extensive knowledge of logistic systems to ensure timely specimen delivery • Maintained an… Show more Mobile Paramedic Examiner • Regional coverage included 20 zip codes covering two counties with the Piedmont Region of NC • Responsibilities included: scheduling of appointments to accommodate customers schedules and locations, paramedical exams, detailed health assessments, venipunctures, finger sticks, urine specimen collection, and EKG’s • Knowledge of use of centrifuge devices • Extensive knowledge of logistic systems to ensure timely specimen delivery • Maintained an excellent service record with a focused approach to detail. In-House Employee Examiner • Responsible for completion of detailed in-office paramedical exams, specimen collection, venipunctures, finger sticks, and EKG’s • At times required to perform out-of-office exams • Responsible for scheduling client appointments and reporting daily case status and updates • Customer Service Representative duties including: answering phone lines, data entry, facing, filing, and scheduling. Show less Mobile Paramedic Examiner • Regional coverage included 20 zip codes covering two counties with the Piedmont Region of NC • Responsibilities included: scheduling of appointments to accommodate customers schedules and locations, paramedical exams, detailed health assessments, venipunctures, finger sticks, urine specimen collection, and EKG’s • Knowledge of use of centrifuge devices • Extensive knowledge of logistic systems to ensure timely specimen delivery • Maintained an… Show more Mobile Paramedic Examiner • Regional coverage included 20 zip codes covering two counties with the Piedmont Region of NC • Responsibilities included: scheduling of appointments to accommodate customers schedules and locations, paramedical exams, detailed health assessments, venipunctures, finger sticks, urine specimen collection, and EKG’s • Knowledge of use of centrifuge devices • Extensive knowledge of logistic systems to ensure timely specimen delivery • Maintained an excellent service record with a focused approach to detail. In-House Employee Examiner • Responsible for completion of detailed in-office paramedical exams, specimen collection, venipunctures, finger sticks, and EKG’s • At times required to perform out-of-office exams • Responsible for scheduling client appointments and reporting daily case status and updates • Customer Service Representative duties including: answering phone lines, data entry, facing, filing, and scheduling. Show less