Posted on: 2008-07-16
Sandra Ferguson 2700 NE 95th Court Vancouver, WA 98662 360-896-3936 [email protected] Attention: Hiring Manager I would like to apply for the available position within your organization. I have a Bachelors of Science degree in Health Care Administration, Associate Degree in Marketing and Management, Certification in; Practice Management and Dental Assisting. In the position of Office manager in the healthcare field, my major objective has been to promote and improve a cohesive culture of compliance, ethics and integrity in the execution of daily clinic operations. Supervise administrative team daily activities including; the selection, development, motivation, appraisal, and salary recommendations of the team. Promote superior effective customer service in an accurate and timely manner; implement process improvements to reduce costs and/or enhance customer service. Coordinate departmental training activities in consideration to; HIPA and OSHA updates and monitor ongoing participation of team I have the ability; to lead, coordinate and or provide consultation on complex business, analytical and operational projects with the ability to define unstructured project requests, independently complete all required work, and manage related issues. I am well versed in all aspects of ; accounts payable and receivable, insurance; verification, billing, preauthorization’s, appeals and investigation, managed care, indemnity insurance, data entry, collection process and account conflict resolution, appeals and investigation. I am experienced and knowledgeable in the application of; collection policies and procedures, billing requirements, coverage and benefits of private health insurers, and knowledge of State, Federal and HCFA agencies regulations. Expert knowledge of medical and dental terminology; CPT and ICD-9 coding procedures and protocols. I have demonstrated the ability to ensure accurate and timely billing and appropriate reimbursement for all dental procedures payment from; Medicare, Medicaid, Champus, private payer and traditional fee for service insurance. This includes accurate and timely identification, registration, billing, payment posting, completing contractual writer-offs, and follow-up and collection of unpaid accounts per state and federal regulations, insurance billing and coding protocol and appeal process. I have twenty years of professional executive-level Office Management/Supervisor experience with over one year primary objective of a clinical assistant. I have over 2 years experience working in the Insurance processing aspect of healthcare environment. I would appreciate a personal interview to discuss my skills and desire to fill the available position in your organization. I look forward to scheduling a time to meet with you to discuss my possible employment. Sincerely, Sandy Ferguson Sandy Ferguson 2700 NE 95th Court Vancouver, WA 98662 360-896-3936 [email protected] OBJECTIVE: To obtain a position in the Office Administration that allows me to utilize my knowledge and skills to enhance my career by providing a superior service and asset to your organization. SUMMARY OF QUALIFICATIONS .I am well versed in all aspects of accounts payable and receivable, insurance; verification, billing, preauthorization’s, appeals and investigation, managed care, indemnity insurance, data entry, collection process and account conflict resolution, appeals and investigation. Experienced and knowledgeable in the application of collection policies and procedures, billing requirements, coverage and benefits of private health insurers, federal and state agencies and knowledge of State, Federal and HCFA agencies regulations. Expert knowledge of medical and dental terminology; CPT and ICD-9 coding procedures and protocols. I have demonstrated the ability to ensure accurate and timely billing and appropriate reimbursement for all dental procedures payment from; Medicare, Medicaid, Champus, private payer and traditional fee for service insurance. This includes accurate and timely identification, registration, billing, payment posting, completing contractual writer-offs, and follow-up and collection of unpaid accounts per state and federal regulations, insurance billing and coding protocol and appeal process. I have demonstrated the ability to lead, coordinate and or provide consultation on complex business, analytical and operational projects with the ability to define unstructured project requests, independently complete all required work, and manage related issues. I have demonstrated the ability to set realistic goals and achieve results by maximizing the use of limited resources, fostering teamwork and collaboration, and encouraging communicating in a candid and open manner. I have excellent oral and written communications skills, including the ability to communicate complex financial data in understandable terms. I have twenty years of professional executive-level Office Management/Supervisor experience with over one year primary objective of a clinical assistant. I am well versed in all aspects of accounts payable and receivable, insurance; verification, billing, preauthorization’s, appeals and investigation, managed care, indemnity insurance, data entry, collection process and account conflict resolution, appeals and investigation. Expert knowledge of medical and dental terminology; CPT and ICD-9 coding procedures and protocols. I am knowledgeable and experienced in implementing fee and benefit policies and procedures including training staff in appropriate application. Extensive education and ability to analyze and resolve problems that affect the bill submission and the collection process. EMPLOYMENT SUMMARY Office Manager: Major objective to promote and improve a cohesive culture of compliance, ethics and integrity in the execution of daily clinic operations, Supervise administrative team daily activities including the selection, development, motivation, appraisal, and salary recommendations of team. Promote superior effective customer service in an accurate and timely manner; implement process improvements to reduce costs and/or enhance customer service. Coordinate departmental training activities in consideration to; HIPA and OSHA updates, monitor ongoing participation of team members. .Participate in systems development and process improvement projects; monitor system utilization to support service strategies, administration, and customer information needs. Support product development/procedure implementation and treatment acceptance activities as an administration resource to maintain and improve operational efficiencies and service. Analyze and apply technical, legal, and marketing information to practical situations, make decisions, and recommendations; effectively handle change and function as a member of a team; to direct and motivate employees. Supervise and train staff to enhance communications between staff and patients to make presentations to existing and perspective patients. Provide support and direction to staff to ensure their accomplishments meet established goals and objectives. All aspects of insurance; verification, billing, preauthorization’s, appeals and investigation, expert knowledge of medical and dental terminology; CPT and ICD-9 coding procedures and protocols. Comprehensive experience in a wide range of administrative functions including: patient registration, account and record management, all aspects of insurance; verification, billing, preauthorization, appeals and investigation, data entry and account conflict resolution. I demonstrate positive, clear, and effective oral and written communication skills with both patients and staff. I have the ability to problem solve, independently resolve conflicts, and make decisions. Coordinate and consolidate service with suppliers in order to obtain the best possible service revenue. Monitor practice trends and gather competitive information, recommend revisions in fee schedules and services when necessary. Review current systems using a variety of reports to increase practice revenue and improve efficiency. Ability to tolerate frequent change, perform a wide variety of tasks and change focus quickly, manage smooth transition from task to task, and effectively tolerate ambiguity in assignments, be flexible in daily work functions. Effective organizational skills, ability to handle multiple complex tasks, detail oriented, advanced keyboard and computer skills and training/practical application on several dental software systems. Claims Analyst: Investigate and apply contract benefits; provide claims processing, evaluate information ensuring it consists of clarity, accuracy, validity, issue payment for processed claims. Proficient working knowledge and understanding of medical and dental terminology, CPT and ICD-9 coding procedures and protocols. Keyboarding skills of 45 wpm or 8,500 keystrokes per hour with 99% accuracy, ability to organize and prioritize workload and make effective decisions. Utilize and apply excellent verbal and written communication, math and accounting skills. Demonstrate ability to work independently or as a contributing member in a team environment. Accept assigned projects and execute in a timely manner. Demonstrate proficiency with PCs, Lotus notes, dental and medical software systems and insurance contract procedural protocols. EMPLOYMENT HISTORY Contract Administrative Employment Alls Well Health Care February 2007-current 111 SW Fifth Ave, Suite 1720, Portland, Oregon 97204 503-265-0542 Claims Analyst October 2005-December 2006 Regence Blue Cross, 100 SW Market Street, Portland, OR 97215 (503)225-6465 Office Manager October 2001-January 2005 Constant Lu, D.D.S., PC, 616-C NE 81st Street, Vancouver, Washington 98665 (360)576-3570 Office Manager June 1991-May 2001 Edward Barnes, D.M.D., 1832 N Lombard Street, Portland, Oregon 97217 (503)629-5587 Office Manager July 1990-May 1991 Edward Ward, D.M.D., 627 SW Alder, Portland, Oregon 97205 (503)228-3009 Office Manager July 1989-April 1990 Ronald Snyder, D.M.D., 712 Swift Blvd. Suite 8 Richland, Washington 99352 (509)946-2258 EDUCATION Concordia University BS in Healthcare Administration April 2005 Concorde Institute Medical Transcription December 2000 Mt. Hood Community College Medical Coding and Terminology December 2000 Blue Mountain Community College Pendleton, Oregon June 1981 Associate in Marketing and Management Dental Assisting National Boards Certification in Dental Assisting October 1989 Dental Association National Boards Certification in Practice Management June 1988 PERSONAL REFERENCES Edward Barnes, D.M.D.,PC 1832 N. Lombard, Portland, Oregon 97217 (503) 629-5587 Professor Mark Jager, Professor of Healthcare Administration Concordia University Chair, Department of Health and Science 2811 NE Holman Street, Portland, OR 97211 (503)280-8600 Tom Ohling, Volunteer Coordinator at Free Clinic of Southwest Washington 4100 Plomondon Street, Vancouver, WA 98662 (503)284-7386 Leslie Cooper, RRT, RPsgT, Clinical Coordinator of Respiratory Services St. Vincent Medical Center 9205 SW Barnes Road, Portland, OR 97225 (503)216-6631 Holly Hagist - Administrative Assistant 6854 21st Ave., Vancouver, WA 98664 (360)694-7195 (503)664-2424 Danni Dahlstrom Dental Fill-Ins 123 E Powell, Suite 209, Gresham, OR 97030 (503)661-6048