Medical Billing Manager

Location:

Posted:

October 11, 2010

Wendie Nonclerc

Brandon, FL 33511

E-Mail: abigb6@r.postjobfree.com

Experience: P.M.S.I.

June 2005-April 2010 175 Kelsey Lane, Tampa FL. 33619 813-***-****

Senior Operations Supervisor:

• Manage and coordinate daily operations of 20+ medical billing

associates to successfully bill insurance carriers for maximize reimbursement & process

vendor invoices within contractual guidelines ensuring timely payment.

• Collect, maintain, and analyze data and other information related to the

business unit to minimize denials, credits, and short pays.

• Responsible for processing expense reports, maintaining account

reconciliation & month end journal entries and analysis.

• Manage and mentor associates to the level of performance expected by

the business unit.

• Successfully work within contractual compliance and all applicable state

and federal guidelines.

October 2002-April 2005 Medistat Pharmacy Services

1421 Massaro Boulevard Tampa, FL 33619 813-***-****

Office Manager:

• Manage & coordinate daily operations of 15 long term care billing and collection

specialists.

• Negotiate contracts with providers and vendors within the parameters established by

management

• Responsible for monitoring and facilitating all aspects of company, state and federal

contracts.

• Responsible for pharmacist & doctor credentialing ensuring compliance with all state &

regulatory guidelines.

• Inventory control & reporting

September 1989-May 1999 Merck-Medco

3504 Cragmont Drive, Tampa, Fl 33619 813-***-****

Assistant Supervisor Call Center:

• Assist with daily operations of a large call center (100+ representatives).

• Responsible for training, monitoring & coaching of representatives.

• Liaison between Blue Cross/Blue Shield and Federal Employee Program as they relate to

pharmacy policies and procedures.

Proficient in: 6 Sigma Methodology, Microsoft Office Suite, Visio, Access, Quick Books,

Oracle, ACD Phone System, Mosiax, AS400, JDE, Kronos, SAP, Medicare, Medicaid,

Managed Care, VA, PIP, Worker’s Comp, and all third party insurance.