Medical Practice Management Position

Posted on: 2008-01-02

THOMAS KYEREMEH Home: (301) 528-9028 14240 Kings crossing Blvd Cell: (240) 606-5872 Boyds, MD 20841 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-9 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 2006-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 2005 – Mar 2006  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 2002 – Mar 2005 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. 1999 – Jan 2002  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 2 USWeb/CKS Bethesda, Finance Specialist June 1996 – Oct 1999  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 2003 – Dec 2006 EDUCATION US Career Institute May 2006 - Aug, 2007 Diploma: Medical Coding Specialist US Career Institute Sept. 2000 – 2001 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-9-CM and CPT Codes Preparing the HCFA-1500 claims form for various carriers. Preparing the UB90 (HCFA 1450) claim forms Bachelor of Science Business Administration YORK UNIVERSITY Sept 1989 – May 1993 Major course; Intermediate Financial Accounting Management Accounting & Finance COMPUTER SKILLS Certificate of Micro-Computing and Business Applications York University Courses included; DOS, Windows 3.1, Word 6.0 Local Area Networking. Access, Excel & Power Point OTHER TECHINICAL SKILLS Medical Manager: Billing, Collections and Audit, MAS 90; 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