Patient Services Manager
SELECT MEDICAL Physical Therapy
Total years of experience :8 years, 9 Months
Obtain patient, billing and insurance information to maintain current and accurate information in patient files, billing systems and EMR software.
•Coordinate and provide assistance in a fast paced environment that observes a weekly patient volume of over 400 people.
•Prepare forms or reports and conduct billing and/or collections as necessary.
•Enter, Approve and carefully commit to daily procedural charges of over 35K per day.
•Explain EOB's and provide counseling to patients advising them of their financial responsibility and payment at each visit.
•Verify insurance eligibility as needed and authorizations to determine if services are covered.
•Update insurance compliances to allow maximization of revenue.
•Administer quality assurance programs to ensure patient satisfaction.
•Collaborate with other disciplines, departments and support services to assure and improve patient outcomes.
•Ensure timely reporting of key center statistics for sales, revenue, cash and patient flow.
•Run daily, weekly and monthly reports with an objective to maximize revenue and minimize denials by insurances.
•Perform Batch reconciliations create and allocate unapplied encounter/ account credits to appropriate dates of services.
•Work with patients, doctors, payers, CBO, Select medical internal departments, etc to solve problems.
•Review patient cases for possible claim denials along with keeping a constant check on facility deficiencies and Insurance reimbursements.
•Create and submit weekly CSP reports to Regional Manager to quantify volume v/s revenue for each specific facility/ center.
•Ensure proper execution of protocols to comply by CMS guidelines.
•Training PSS's to perform daily clerical duties.
•Schedule patients, manage facility patient flow, acquire medical as well as office supplies and perform daily clerical duties.
Managed Scheduling of follow ups, Registration & Billing as well as management/maintenance of Patient records.
•Facilitated Process Flow Management along with assistance in administrative functions.
•Initiated and created travel itinerary for Director of Patient and Corporate services.
•Demonstrate professional management and leadership in the clinical practice.
•Helped set up and modify Dr. Chen's daily schedule with a variety of meetings, conferences and events.
•Created monthly and weekly A/R reports to ensure accuracy in collections along with 100% patient population encounters.
•Performed DEXA scans, Hearing, Vision and Spirometry tests along with reading and documenting EKG results.
•Created and reviewed a variety of correspondences as well as writing up letters of references on behalf of the MD and Director of Patient and Corporate services.
•Maintained day-to-day clinical activities and ensured adherence to departmental policies and procedures.
•Monitored Supply Chain Management.
•Review and follow up on any outstanding Contract Revenue for the clinic.
•Worked in compliance with CMS guidelines.
•Assessed Laboratory requisition forms for additional blood tests. (Familiar with ICD 9 as well as ICD 10 codes)
•Liaison between Physicians, Medical and Non Medical staff for all 3 clinical offices.
Outpatient: Scheduled Appointments/ Follow-ups, Registration & Billing
•Maintained batch reconciliation at end of shift.
•Inpatient: Carried out patient Admission, check-in to assigned rooms & posted payment on patient bill.
•Emergency: Performed Registrations, Billing, Verifying Insurance/ Eligibility in a timely manner.
•Operation Theater: Recorded Consumables utilized for Billing Adjustment
•Radiology: Facilitated in Bookings, Billing & transcribing record for report generation
•Pharmacy: Observed Insurance Approvals & Billings
•Switchboard Operator (Scheduling) for outpatient as well as inpatient.
Provided assistance in Patient registration
•Assisted Administrative staff
•Rendered help to patients when needed
Observed and performed regular CBC, positive selection for Malarial Parasites
•Inspected blood for PH Level and diabetes
•Provided assistance in clinical research.
•Received training to read ECG and CT scans
•Managed Appointment Bookings and followed up with clients
•Produced and delivered documentation reports to clients
Volunteer - Sunrise Senior Living (Sept' 14 - Present)
•Assist activities coordinator and cultivating caregiver empathy with patients.
,