Office Manager Resume

Desired Industry: Healthcare	SpiderID: 8637
Desired Job Location: Grand Junction, Colorado	Date Posted: 9/6/2006
Type of Position: Full-Time Permanent	Availability Date: anytime
Desired Wage: $65,000
	U.S. Work Authorization: Yes
Job Level: Management (Manager, Director)	Willing to Travel: Yes, Less Than 25%
Highest Degree Attained: None	Willing to Relocate: Yes

Objective:
To Whom It May Concern:

I am interested in medical practice management.My objective is to further my professional growth either in a practice management position or as a consultant.I have had a wealth of experience within the medical field. I was raised with an undying work ethic that I feel represents dependability and a willingness to work hard and go the extra mile. I believe that I have an excellent rapport with the public while pursuing integrity and honesty in all interactions. I attempt to anticipate business needs and secure the resources with which those needs will be met. You may find my skills and experience to be a key to meeting some of your needs.

By combining hands on management experience with a broad-based knowledge of the health and managed care fields, I have delivered positive results in areas including office management, provider relations, customer service, accounts and claims management, billing and collections, human resources, administration and education and development. By training and supervising individuals and groups, creating and implementing systems and procedures, and coordinating and managing diverse projects and responsibilities, I have enhanced operations, improved customer relations and met company objectives. I am an effective leader and team player with strong communication and interpersonal skills and analytical and problem solving capabilities.

I have a strong working knowledge of systems and truly enjoy working with people. I am hoping to meet with you soon and should you have any questions or concerns, please do not hesitate to contact me by email, rebelcjg@aol.com.

Experience:
CCMC/FPP/CBO 2006-
Billing Specialist II
Accomplishments:
Connecticut Children�s Medical Center, Faculty Practice Plan Central Billing Office�s sole purpose is to collect all outstanding accounts receivables for 125 practicing, specialty physicians within CCMC.

�Collection of all initially denied claims for Community health Network, FirstChoice/WellCare Managed Medicaid health Insurance programs as well as Medicare, Oxford and TriCare Federal programs. Worked solely on settlement process of old AR for the managed medicaids creating very fruitful settlements for the Faculty Practice Plans.
�Work intimately with insurance carriers through customer service representatives, provider reps and Medical Directors, through both written and verbal communications
�Investigated and created Excel Spreadsheet reporting, as well as additional utilization through the IDX Medical software system.
�Work closely with management and director for contractual verbiage and par status.
�Responsible for all Provider meetings, agenda as minutes as well as creating new policy and procedures for billing and coding.
�Integrated new CPT/ICD9-10 codes into fee schedules and policy within the practice.

Connie J. Gibson Page 2

Integrated Physicians Management Services 2004-2005 Medical Reimbursement Specialists
Accomplishments:
�Collected for all Medicare, HealthNet and all commercial insurance collections for a 6 physician based dermatology practice.
�Posted the reconciliation of daily insurance payments as well as daily charges for all physicians.
�Reconciled all co-pays, personal payments, and insurance payments, problem logs that were created by the posters for both charges and payments.
�Reported daily accounts receivables to the accountants.

CT Orthopedics & Sports Medicine, P.C. 2000-2004
Practice Manager
Accomplishments:
�Performed the daily operations of a 3 physician, 2-office orthopedic surgeons office.
�In charge of scheduling, billing and collections, management of all insurance contracts and credentialing, full time, part-time and per diem staffing.
�Supervised all electronic and other billing and collection processes.
�Created and reported A/R and monthly financials to partners, as well as company accountants.
�In charge of computer network systems, both externally and internally, along with the training of physicians and staff.
�Human resource director with complete responsibility of staff management and electronic payroll system.
�Supervised patient and surgery scheduling.
�HIPAA compliance officer and produced complete HIPAA training manual as well as a complete HIPAA Compliance office manual.
�Confirmed consistent cash flow utilizing the IDX system to ensure and strengthen accelerated submission of claims to carriers and reduce days in accounts receivable.

Connie J. Gibson Page 3

Orthopedic Associates of Hartford, P.C. 1997-2000
Managed Care Specialist/ Customer Service
Accomplishments:
�Worked ATB (Age Trial Balance) on a daily basis and pusued the collection of outstanding monies.
�Compiled and distributed accounts receivable data for monthly aging reports using Excel spreadsheets.
�Trained new employees on IDX computer system technology and utilization.
�Liaison between managed care companies regarding contractual issues including reimbursement rates and revenue practices.

Allied Health Group, Windsor, CT 1996-1997
Supervisor Of Provider Relations/Customer Service
Accomplishments:
�Developed and implemented objectives regarding knowledge of procedures and policies for physicians and staff.
�Coordinated with Cigna HealthCare in developing hands-on reference guides for participating, credentialed providers and hospitals.
�Created training objectives for new codes and educated providers on correct claim submission.
�Implemented training for employees and providers to improve knowledge of CPT-ICD-9 coding and code link systems.

Education:
I have had over 48 hours of college and over 25 years in the medical fields such as of psychiatry, orthopedics, dermatology and numerous specialties at a children's hospital.
I have attended Columbia College, Columbia, MO.
University of Missouri, Columbia, MO
Numerous outside training courses regarding staffing network systems, computer education, coding and billing as well as personal management systems.

Affiliations:
CT. State Medical Society

Skills:
I am exploring new opportunities within the Managed Care Market. I believe that I have the capacity to make a contribution to your organization.
I am familiar with Managed Care Reimbursement and Contracting concepts.
I have Technical Knowledge of Risk Sharing models, including Specialty Capitation and credentialing.
I am familiar with Network, System planning and development.
I have Sales and Marketing skills, including Telemarketing.
I am familiar with Provider and Member Education.
I have the ability to coordinate and manage multiple tasks and responsibilities.
Most of all I am people oriented with strong interpersonal skills.
I am familiar with and am able to use Microsoft systems, Word Perfect Excel etc.

Additional Information:
My daughter lives in Avon, Colorado and the rest of my family in Missouri. I am very anxious to return to the Midwest/West and am looking forward to utilizing my experience in the medical field to make your business a success.

Reference:
As requested.

Candidate Contact Information:

Name: Connie Gibson
Street:	Phone: 860-430-9475
City: Glastonbury	Fax: -
State: Connecticut
Zip: 06033
Web Site: