Experience

Oakview Dermatology

• United States
• Medical Practices
• 1 - 100 Employee

• Billing Manager CPC, CPCO

  • Oct 2020 - Present

  Oversee all operations of the billing department Oversee all operations of the billing department



Dermatology, Laser and Vein Specialists of The Carolinas

• Billing supervisor/CPC, CPCO

  • Aug 2014 - Oct 2020

  Post charges, post payment, work insurance AR , process refunds, post EFT's, work insurance denials, work any general billing issue. Complete insurance credentialing for providers and update CAQH. Implemented icd-10 within practice. Implemented PQRS within practice, complete all insurance audits, send any accounts needed to collection. Post any collections payments received, monitor all medical records requested by insurance companies, ensure all coding compliance within the billing department, validate all claims and make any corrections then send to clearing house, credentialing , auditing, MIPS compliance , implemented compliance plan



Oncology Specialists

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

• Financial Counselor

  • Apr 2012 - Aug 2014

  -Manage all patient accounts for a practice of 8 providers-Very insurance benefits/oop cost for each patient undergoing Chemotherapy-Obtain all authorizations for Chemotherapy-Find/obtain and apply patients for any assistance programs available-find any additional recources such as wigs/food/shelter/transportation available for the patient-Monitor and bill every advocate/copay assist company for each patient-Monitor payments, create payment arrangements for each patient-work any aging reports for each patient to make sure insurance is paying in timely manner-work any denied claims for corrections-check and verify all scheduled appointments two days prior to check if any authorizations/billing or collection is needed-Act as direct personal contact for all patients to the billing department



Presbyterian Neurology Center

• Patient service coordinator IV

  • Jul 2007 - Apr 2012

  - Created and maintained office setting, structure and flow of office- Handle all responsibilities of front office - Handle all money transaction and bank deposits- Handle check-in, check-out, switchboard, medical records, dictation, and billing- Handle all complaints- Handle all ordering of supplies for office- Acted as leason for physicians and office manager- Call in presriptions, bring back patients and handled irate patients for CMA's as needed.- Handle any issues with office equipment- Create and maintain any documents needed for office- Familiar with all office billing, insurance and diagnosis coding- Obtain any authorizations for radiology procedures- Obtain any referrals to and from our office- Schedule, 24 hour, sleep deprived and regular EEG as well as EMG testing- Schedule any outside testing or consults needed- Maintain daily transaction reports- Maintain all no show/cancellation reports, letters and billing- Maintain any reports necessary for day to day operations-Created all patient forms used in office



Kingston Neurology

• United States
• Medical Practices

• Office Floater/Front Desk Receptionist

  • Mar 2003 - Jul 2005

  - Handle front desk duties for a Neurologist group consisting of 12 physicians- Trained in all positions of doctors office- Handle all patient traffic, including, not restricted to retrieving all informationfor patient charts before they reach the doctors for the visits, verifying referrals,insurance information, testing and any thing relevant for their visit- Make, change, and cancel patient appointments- Distribute patient charts to appropriate offices- Bring patients to the offices at the doctors request- Take requests for medical records, prescription and messages from patients,distribute to appropriate department and follow up assuring completion



UnitedHealth Group

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

• Claims Adjuster

  • Jan 2000 - Mar 2003

  - Familiar with all aspects of claims processing and corrections for insurance processing- Received and corrected all corrections needed with a production of 9 claimsan hour- Corresponded with insured parties as well as doctors offices to ensurecorrections due to claims processing- Familiar with PC-ORS, UNET, Cosmos, Ibaag, Lotus Notes, Power Point, andPC-SAL programs- Created spreadsheets of claims history for insured parties- Became very efficient in multi-tasking



Benedictine Hospital

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

• Unit Clerk

  • Jan 1999 - Jul 2001

  - Responsible for gathering patient history, clinical information, and assisting nurses with set-up care plans for patient charts- Schedule appointments for medical testing, lab work, etc. for patients- Familiar with Hospital's computer system (AFFINITY) this is used forentering and retrieving patient data and information- Responsible for data entry and paperwork relating to admitting, transferring, and discharging patients- Enter physician orders into AFFINITY System and contact the Hospital'sPharmacy regarding patient medications- Responsible for interpreting physician orders, medical terminology, pharmacyprescriptions, etc.