Category: ADVOCATE

         REVENUE CYCLE ADVOCATE       Summary     Dedicated and focused Office Manager/Supervisor who excels at prioritizing, completing multiple tasks simultaneously and following through to achieve project goals. Seeking a role of increased responsibility and authority.Energetic Revenue Cycle Advocate with 20+ years experience in high-level executive support roles. Organized and professional.       Highlights          Microsoft Office proficiency  Excel spreadsheets  Self-directed  Results-oriented  Meticulous attention to detail  Time management  Professional and mature  Strong problem solver  Advanced MS Office Suite knowledge  Resourceful      Strong interpersonal skills  Medical terminology  Meeting planning  Report development  Report writing  Billing and coding  Workers' compensation knowledge  Claims appeal procedures  Insurance eligibility verifications            Accomplishments     Coordinated all department functions for team of 10+ employees.Received a merit raise for strong attention to detail, exemplary customer service and team-player attitude.Successfully planned and executed corporate meetings, lunches and special events for groups of 10+ employees.  Planned and executed all aspects of a major office headquarter move.Increased office organization by developing more efficient filing system and customer database protocols.Promoted to Revenue Cycle Advocate.Successfully planned and executed corporate meetings, lunches and special events for groups of 10+ employees.       Experience     06/2011   to   Current     Revenue Cycle Advocate    Company Name   －   City  ,   State      Planned travel arrangements for 2 executives and 10+ staff. Educate and train clinics and hospital departments on Epic, Signature, MS Word, Excel, Emdeon  and Payment Manager system. Assist clinical staff and office staff their assigned Work Queue. Monitor trends on staff and provide training & updates to company data base systems.  Assist with patient account merge on  Duplicate Guarantor Acct, Provide assistance to patients such as Medicaid, Physician Reach Out & Financial Assistance. Planned meetings and prepared conference rooms.Wrote reports and correspondence from dictation and handwritten notes and send Weekly Status reports to all clinical managers on trends, audits from the clinic WQ's errors from office staff and patient complaints Work Contested Work charges received from customer service.  Collecting self pay payments from patients and post in the Epic System Set payment plans in Epic Financial Assistance using Search of America and On Point system.         09/2009   to   06/2011     Payment Reconciliation Rep    Company Name   －   City  ,   State      Research unidentified payments on Epic System, Signature, Emdeon System Payment manager system, and commercial insurance websites.  Created PDF files on Epic system Create naming conventions for electronic files in Epic Electronic payment postings on Epic System Wachovia Lock Box Denials and electronic lockbox receipts in Epic Resolve unidentified payments follow up with Independent Clinics and Insurance Companies for missing payment or unidentified electronic remits and paper remit.  Drafted meeting agendas, supplied advance materials and executed follow-up for meetings and team conferences.Managed the receptionist area, including greeting visitors and responding to telephone and in-person requests for information.Designed electronic file systems and maintained electronic and paper files.Served as central point of contact for all outside vendors needing to gain access to the building.Maintained an up-to-Made copies, sent faxes and handled all incoming and outgoing correspondence. department organizational chart.         06/2007   to   09/2009     Patient Accounts Rep III    Company Name   －   City  ,   State      Insurance follow up for Denied Claims and Self Pay after Created and maintained spreadsheets using advanced Excel functions and calculations to develop reports and lists.Managed daily office operations and maintenance of equipment.Isurance Balances Work ATB report for insurance follow-up Work Dun level report for Guarantor/patient follow-up Work Bill-hold Report for Guarantor follow-up Appeals for Medical Necessity to insurance companies.         10/2002   to   06/2007     Medical Insurance Specialist III    Company Name   －   City  ,   State      Insurance follow-up, customer service, served as central point of contact for all outside vendors needing to gain access to the building.Made copies, sent faxes and handled all incoming and outgoing correspondence.Organized files, developed spreadsheets, faxed reports and scanned documents.         01/2000   to   06/2002     Medical Billing /Recovery Specialist    Company Name   －   City  ,   State      Billing and collections Insurance follow up for Denied Claims and Self Pay after Insurance Balances Credit balances - Refunds Verify demographic information Verification List from SSI for Billing Errors Set budget plans Answer in/out bound calls Use automated dialer system Medical Terminology Insurance verification Follow up with doctor office for accurate CPT and ICD-9 codes obtained for maximum reimbursement. Customer service and clerical duties.         09/1990   to   09/1997     Health Unit Coordinator    Company Name   －   City  ,   State      Duties involve standard administrative responsibilities, answering multi-line phones, making copies, scheduling appointments and maintaining supplies.Cooperated with Medicare, Medicaid and private insurance providers to resolve billing issues.Managed daily office operations and maintenance of equipment.Created and maintained spreadsheets using advanced Excel functions and calculations to develop reports and lists.Received and distributed faxes and mail in a timely manner.Properly routed agreements, contracts and invoices through the signature process.Made copies, sent faxes and handled all incoming and outgoing correspondence.Dispersed incoming mail to correct recipients throughout the office.Maintained an up-to-date department organizational chart.Drafted meeting agendas, supplied advance materials and executed follow-up for meetings and team conferences.  Admit patients, administer and maintain patient records, break down medical charts for record keeping and coordinate billing.  Communicate with the clinical staff to ensure all appropriate patient information gathered Responsible for typing up discharge instructions for a patient.          Education     6 1990     High School Diploma  :   Business    Northern High School Durham NC UNITED States   －   City  ,   State  ,   US     Top 10% of class Emphasis in BusinessOffice Administration courseworkCoursework in Administrative Technology and Coursework in Human Resource Management and Business Administration        2002     Business Diploma  :   Medical Billing & Coding    Georgia Medical (EverestUniversity) ATLANTA GA United States   －   City  ,   State  ,   US     Top 10% of class, Emphasis in Medical Billing and Coding, medical terminology,Coursework in Human Resource Management and Business Administration             Bachelor of Science  :   Business Administration Management    Walden University   －   City  ,   State  ,   US     Top 10% of class,Emphasis in management and team building, Coursework in Administrative Technology, Coursework in Human Resource Management and Business Administration         Skills     Experience with Epic System, Epicare, Emdeon, Training and educating staff on Epic WQ's, Creating Workers Comp cases in Epic, Signature, IDX, Medical Manager, MS Word, Excel, NC Tracks, Customer Service skills, Collect payment over the phone and posting payments in Epic