Medical Office Manager/Administrative Assistant

Susan Jones

Lexington, Kentucky 40509

(859) 421-9138

suzzieqjones@yahoo.com 

_______________________________________________________________________ 

 

EXPERIENCE 

 

        (Nov 2014-2015)  Grants Administrator, Inventiv Health Clinical:  Lexington, KY

                                          

  • Maintained and updated Excel spreadsheets utilized for investigator payments.
  • Researched past investigator site payments for errors and discrepancies
  • Analyzed  and processed site-related expense reports
  • Generated investigator check requests and prepared cover letters for investigator payments
  • Communicated with investigator sites on status of payments
  • Coordinated with Project Managers and accounts payable relating to site related payment issues

 

(Feb 2013- Dec-2013) Patient Services Surgical Coordinator, University of Kentucky Department of Ophthalmology: Lexington, KY

  • Coordinated and scheduled surgical procedures and obtained insurance pre-certifications
  • Registered and scheduled patients for pre-operative and post-operative follow-ups
  • Organized medical charts, obtained HIPAA and surgical consent forms
  • Verified and processed physician surgical orders
  • Obtained insurance pre-authorizations
  • Coded surgical procedures
  • Reviewed patient financial responsibilities and collected payments

       Billing Account Clerk III, University of Kentucky College of Dentistry: Lexington, KY

  • Analyzed and corrected denied insurance claims and resubmitted corrections               
  • Verified patient demographics and insurance information 
  • Prepared patient statements for billing and collections
  • Collected payments and applied to patient accounts
  • Analyzed monthly account receivables for delinquent payments
  • Contacted Medicare/Medicaid and third party insurance payors regarding unpaid/denied claims

(Oct 2012-Feb 2013) Customer Service Representative, Xerox: Lexington, KY

  • Responded to telephone inquiries and complaints using standard scripts and procedures
  • Retrieved information, researched/resolved inquiries and logged customer calls
  • Verified prescription requests and transmitted requests to the appropriate pharmacies
  • Updated medical insurance information and patient demographics

(Jun 2007-Jan 2011) Coding Specialist, Premier Heart & Vascular Center: London, KY

  • Applied appropriate, CPT, ICD-9, HCPCS billing codes and modifiers
  • Audited inpatient and outpatient procedure reports and fee tickets
  • Corresponded with insurance companies to resolve coding issues and denials
  • Held meetings with providers/clinicians to resolve any discrepancies in charges
  • Provided functional guidance, training and assistance to new hires and students

(May 2001-June 2007) Medical Office Manager, William D. Pratt M.D., PSC:  London, KY

  • Managed and supervised flow of the office/clinic staff to ensure patient satisfaction
  • Prepared and assigned office duties and schedules
  • Interviewed, hired and trained new office and clinical staff
  • Developed and implemented new office policies and procedures
  • Bank deposits, account payables, bookkeeping and analyzed bank statements
  • Patient account collections and account receivables
  • Performed daily, monthly and annual data accounting  reports
  • Coded and billed inpatient and outpatient visits and procedures
  • Processed time sheets and payroll deposits  
  • Insurance verifications and pre-authorizations
  • Processed and analyzed insurance claims and electronic transfers
  • Maintained budgets, purchased inventory and office equipment
  • Prepared agendas, calendars, organized and scheduled meetings
  • Developed on-call physician schedules
  • Made travel arrangements and personal appointments
  • Negotiated malpractice insurances
  • Renewed all business licensure as required  
  • HIPAA Compliance Officer

KNOWLEDGE/EXPERIENCE/PROFESSIONAL SKILLS

  • 6 years medical practice management/supervision of clinic, staff and patient coordination
  • Bookkeeping, account payables, account receivables and patient collections
  • 12 years medical coding and auditing experience  
  • 12 years billing Medicare, Medicaid, Workers Compensation and third party payors
  • Medical records charting, scanning, filing and retrieval
  • Secretarial skills: pc, typing, copying, mailing, filing, scanning and transcribing letters
  • Organizational skills with attention to details  and accuracy
  • Time management skills with ability to prioritize multiple tasks in a fast paced environment
  • Goal oriented, focused and reliable
  • Physician credentialing and licensure
  • 6 years medical assistant experience
  • Proficient in Microsoft Word, Excel, Power Point and Outlook
  • Experience with (APM) Allscripts Practice Management system, Meditech and Paradigm

EDUCATION:

Bachelors of Science Healthcare Management (expected completion Spring 2016)

2013- 2015 University of Kentucky, Lexington, KY                  

2011- 2013 DeVry University, Chicago, IL

High School Diploma  

1984-1988 Clay County High School, Manchester, KY    

(AAPC) American Academy of Professional Coders (2007-2015)

  • ID#: 90593
  • Location: Lexington, KY , 40509

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