Manager Insurance
Resume:
S
ISTORY
SKILLS
PROFESSIONAL
WORK H
MARIA GARCIA
***** ***** **** **, *******, Texas 77084
Home: 281-***-**** - Cell: 832-***-**** - acqc3c@r.postjobfree.com
Strategic planning EMR eClinical software
Customer relations Medical Manager sofware
Accounts payable and receivable Microsoft word
Talented multi-tasker Excel
Flexible thinker Multi-line phone system
Results-oriented Organized
Employee scheduling
Deadline-oriented
UMMARY
High energy manager successful in building and motivating dynamic teams. Cultivates a
company culture in which staff members feel comfortable voicing questions and concerns, as well
as contributing new ideas that drive company growth.
Billing Department Supervisor
Katy Cardiology Associates – Houston
In charge overseeing three offices front office staff, and billing department.
FRONT OFFICE:
Oversee all aspects of the front office check in and check out responsibilities, making sure
everyone had all the t0ols necessary to perform they job to the best of their ability, cross
train and provide back up for each of them.
Responsible for scheduled and vacation/sick leave.
Responsible for turning in employee time for payroll
Oversee that daily closes are completed in a timely manner
Oversee and review all office claims created and make sure they are completed in a timely
manner
BILLING OFFICE:
Oversee that all hospital charges are entered into our EMR (eClinical) system daily and
insurance verification and authorizations are updated
Oversee all major insurance contracts and physician updates are up to date in our EMR
(eClinical) system
In charge of claim editing and insurance filing, post all insurance payments, in charge of
A/R, insurance appeals, month end reports
Oversee that all of in office procedures are pre-authorized as needed
Oversee patient A/R, collections and payment posting
In charge of producing a bi-weekly production reports to keep management and physicians
inform of any issues that might arise with in my department.
Knowledge of principals of CPT, ICD and HCPCS coding
Assist with the implementation of new software and equipment.
Keep up with HIPPA and OSHA standards and training.
Insurance Billing
Oncology Consultants – Houston
In charge of Insurance collections, appeals, procedure authorizations, keeping up to date
information of our network fee schedules and contracts in order to maximize our insurance
reimbursement and minimize insurance denials.
Maintain communication with insurance provider relations and submitting spreadsheets and
word documents as project for payments.
01/1991 to 04/1999 Office Manager
OB/GYN Leslie Cohan, MD – Houston
Front office:
In charge of supervising all aspects of the front office staff including employee schedules
Billing Department: Insurance filling, appeals, authorizations. Accounts receivables, EDI and
ERA reports,
Managements: In charge of employee payroll, account payables, end of the month reports
including CPA reports.
04/1984 to 10/1990 Front Office Supervisor
Latin American Medical/Surgical Clinic – Houston
Responsible for all front office performance such as check in patients, insurance verifications,
patient payment collections, daily closes, telephone calls, patient appointment schedules, charge
entry, claim creation (at this time we were filling paper claim to all payors), insurance appeals,
surgery schedules,
Monthly end reports: Accounts receivables, account paybles, network adjustment reports, other
adjustment reports, total productivity reports.
Managed front desk schedule
EDUCATION
1985 High School Diploma:
Jefferson Davis High School - Houston, TX
ACCOMPLISHMENTS
Increased company revenue by [37]% in 10 months by [].re-constructing the billing
department and creating a team atmosphere
REFERENCES UPON REQUEST
References upon request
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