Medical Practice Management Position Resume
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Resume:
OBJECTIVE
To obtain a leadership position in a fast paced, results oriented healthcare environment with specialty in coding, front office management, billing, collections and revenue recovery.
SUMMARY
Excellent written and oral communication skills, skilled in CPT & ICD- coding and Local medical Review Policies. Extensive knowledge of insurance and patient billing, follow-up and appeals.
Proficient in Microsoft Office Suite, General Ledger Accounting and Patient Accounting Applications.
PROFESSIONAL EXPERIENCE
Adventist Healthcare Patient Financial Services March -Present
&#; Verify insurance coverage, limits and required authorizations
&#; Perform extensive follow up on outstanding hospital claims
&#; Review claims are paid in accordance to contractual agreement and appeal incorrect payments
&#; Reviews charge and payment posting errors and recommend corrections
&#; Contest denials and refer clinical review denials to attorney review when necessary.
&#; Request secondary claims, medical records and itemized bills when required.
Cardiovascular Consultants, PA Billing Cordinator Mar – Mar
&#; Billing – Paper & Electronic claims for Cardiology practice
&#; Respond to inquiries and helping to identify effective billing practices
&#; Charge and payment posting to meet closing deadlines
&#; Reviews and appeal rejections and re-bill claims
&#; Responds to correspondence and identify complaints
&#; Manage unbilled accounts receivable to minimize A/R days.
Nextmed System – (NRH) Insurance Specialist Feb – Mar
Specialist – Physical Therapy & Occupational Therapy
&#; Responsible for maintaining financial system to adequately comply with business standards
&#; Observe Insurance claims re-bills and work closely with other accounts representations
&#; A/R follow-up and collections
&#; Process Credit and Debit payment memos
&#; Updating Insurance and Patients demographics
&#; Follow-up on insurance and patient billing
&#; Compile and analyze statistical data and reports
&#; Identified misapplied checks and allocated payments
&#; Verified payment schedules for correct allowances and posted charges.
Thomas & Herbert LLC Staff Accountant Nov. – Jan
&#; Accounts Payable & Accounts Receivable functions
&#; General Ledger maintenance and weekly check run
&#; Provided key responsibilities with month end close; general ledger, accrual entries, labor allocations.
&#; Preparation of revenue recognition and invoiced accordingly
&#; Process vouchers and employees expense reimbursements.
&#; Provided key internal support during audits by independent public accounting firms
&#; Software Applications - QuickBooks
THOMAS KYEREMEH – Continue Page
USWeb/CKS Bethesda, Finance Specialist June – Oct
&#; Verifying, Recording and Entering Accounts Payable on daily basis via Oracle Financials
&#; Process Vouchers Payable for payment to vendors and preparation of purchase orders
&#; Prepare Expense Reimbursements to Staff and Consultants. Accounts analysis and special projects
&#; Reported directly to Controller and led key responsibilities with month end closing such as general ledger adjusting entries, accruals entries and job costing allocations
&#; Software – Oracle Financials & Peachtree.
Other Accounting / Consulting
Healthy DC Foundation Financial Consultant March – Dec
EDUCATION
US Career Institute May - Aug,
Diploma: Medical Coding Specialist
US Career Institute Sept. –
Certificate: Medical Claims and Billing Specialist
Course Outline:
Medical Terminology – word part; anatomy of human body
Medicare & Medicaid; private insurance and managed care programs
Integrating ICD--CM and CPT Codes
Preparing the HCFA- claims form for various carriers. Preparing the UB (HCFA ) claim forms
Bachelor of Science Business Administration
YORK UNIVERSITY Sept – May
Major course; Intermediate Financial Accounting
Management Accounting & Finance
COMPUTER SKILLS
Certificate of Micro-Computing and Business Applications
York University
Courses included; DOS, Windows ., Word . Local Area Networking. Access, Excel & Power Point
OTHER TECHINICAL SKILLS
Medical Manager: Billing, Collections and Audit, MAS ; NextGen-Medical Billing application; Navicure-Electronic Billing application; SMS; Groupwise; Microsoft Office suites; QuickBooks Pro; Peachtree & Oracle Financial Application
OTHER Licenses & Qualifications
Maryland Licensed producer of Accident and Health Insurance
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