Practice Manager/ Billing Operations Analyst
Summit Orthpaedics And Sport Medicine
Manage the daily operation of a 1.5 million yearly income of a busy Orthopaedics practice. ◆Collaborate with insurance companies to verify patient benefits & cost of services and collect due payments based on CPT and ICD-10 codes. ◆Leverage the insurance company portals and call centers to reach claim resolutions.◆Review EOBs daily to post payments and bill patients for their balance. ◆Communicate with multiple insurance companies, guarantors, and patients to resolve questions relating to bills or claims.◆Work with IT Department to update and resolve issues with phone systems, billing software, and EMR software to ensure compliance with HIPAA and that all files are backed up. ◆Run pre-submission reports and check for claims errors monthly and run claim tracking reports on unpaid claims and follow up with the insurance company.◆ Implemented EMR; sourced the software, worked with software/hardware professionals to install extra computers in exam rooms, trained staff, and doctors, and gathered data to receive refunds for software from Medicare. Implemented EMR; sourced the software, worked with software/hardware professionals to install extra computers in exam rooms, train staff, and doctors, and gathered data to receive refund for software from Medicare. ◆ Led successful project to overhaul phone system after crash; collaborated with IT company to set up software, installed new VOIP box, and ensured the operationality of all phone and fax lines. ◆Oversee client relationship development for the entire office by training, mentoring, and answering staff questions; increased patients returning after the first visit by 20% and new patient referrals by 10%. ◆Manage payroll and payroll costs; reduced payroll from five FT employees to five PT employees. ◆Advocated for staff, which improved office morale, reduced turnover, and increased loyalty