Practice Manager at Pee Dee Nephrology

Family Medicine Associates of Florence, MPA Accomplishments included but not limited to: Increase in revenue due to implementing client billing with Labcorp, increase in employee moral due to implementing “Employee of the Month” and “Office Suggestion Box”, established monthly physician meetings and monthly staff meetings, developed office policy and procedures, created an clinical protocol manual and established a PRN pool specific for our office alone. Management of employees and provide support for two to three providers. Key in all inpatient charges for Carolinas Hospital System. Pay invoices and order clinical and office supplies. Review of monthly provider financial reports.

Supervise and direct nine employees. Resolve employee conflict. Handle patient complaints and explain patient bills. Refiled claims as needed on accounts. Daily deposit and reconcile cash drawer. ICD-9, CPT and HCPS medical coding and charge entry for five primary care physicians. Also coding and charge entry of Nuclear Medicine, Urgent Care, Pulmonary Rehab and Imaging. Close of day and close of month reporting. Post money from patients and from third parties for medical records to patient accounts. Follow up on claim denials, including transmission report, carrier reports, Medicaid ECFS and Medicare denials. Handle billing questions from patient and insurance companies.

ICD-9, CPT and HCPCS PM&R medical coding daily of outpatient physician and inpatient hospital physician charges as well as specialty procedures including ESI, NCS/EMG studies, Spinal Stimulator trials, Botox therapeutic injections, Wound Center and Baclofen pump refills and maintenance. Responsibly for sending all 1500/HCFA forms electronic and hardcopy. End of day, end of month and end of year processing. Patient collections on past due balances. Send all patient account statements and make account adjustments as needed. Insurance tracking on claims for all payers. Post all money from all third party payers including personal payments. Responsible for total AR. Credentialing and the renewal of physician contracts with carriers. Purchase office supplies and medications. Authorizations for procedures. Appeals on denied claims for payment. Resolve patient complaints or questions. Help front desk with check in/out patients, make patient appointments and answer phones as needed.

Advertise for, interview and hire office employees. Supervise, train, reprimand, evaluate and terminate office employees as needed. Pay nurses from facility time slips three times a week. Reconcile paid hours and invoiced hours. Send invoices to facilities and follow up on payment. Maintain and revise newspaper ads for the recruitment of nurses. Interview and take applications for nursing staff. Weekly office reports, and stay abreast of what other nursing agencies and healthcare facilities are doing. Adjust billing and pay rates as the market warrants. Resolve problems as they arise with clients and with nurses. Visit facilities for public relations and contracts needed for clinical staffing.

1/2005 to 5/2006 West Florence Family Practice, Office MangerProvides management of the physician practice office. Works with physicians to provide information relative to the physician practice's financial and operational performance. Manage employees and maintains records of employee time for Payroll. CPT, ICD9 and HCPCS coding 3/2004 to 1/2005 Administration, Staff AccountantPay all monthly bills, invoices for suppliers and all special check requests for payment for all of Carolinas Medical Alliance to include thirteen separate physician offices. Create and enter data from Microsoft spreadsheets for accruals on the general ledger at month end for reporting. Journal preparation and entry into database. Maintain lease and service agreements. Worked closely with company CFO, and CEO. Administration, HR Coordinator 8/2002 to 3/2004Ensured enforcement of the Human Resources polices and procedures. FMLA paperwork and employee assignment of other leaves of absentness. New hire paperwork for staffing 13 physician offices and a Central Business Office. Enrolled employees into company Stock, 401k, Medical and Dental Insurance, Long and Short Term Disability, Flexible spending accounts. Maintained all employee evaluations and all other employee information in HOST data base. Recruit, hire, and direct clerical and clinical staff for the PRN pool. Workers compensation claims reporting. . Conducted company‘s yearly OSHA, Compliance, HIPAA, and other educational training for all employees.9/2000 to 8/2002 Central Billing Office, Coordinator of Patient AccountsQuality control management of the medical billing and insurance department. Audited insurance tracker’s work. Refunded patients and third party payers for over-payments on accounts. Responsible for end of month credit card and refund reconcile reports for staff accountant. AR reversals and write offs as need for patient account corrections. CPT, ICD9 and HCPCS Coding.