Mandy Clayton

• Maintained confidentiality of patient data and condition to safeguard health information.
• Upheld confidentiality requirements and regulatory compliance guidelines.
• Reviewed each step of patient care and made proactive adjustments to avert issues.
• Handled prescription refill requests.
• Responded to patient queries and concerns concerning insurance coverages and deductibles.
• I reviewed various types of insurance policy contracts and qualified patients for DME equipment.
• I obtained all qualifying documentation per insurance contract guidelines and obtained authorizations.
• Screened patients for financial assistance and aided in preparing required funding documents.
• Communicated with insurance providers to resolve denied claims and resubmitted.
• Filed and updated patient information and medical records.
• Reviewed patient records, identified qualifying DX codes for billing purposes.
• Reviewed patient diagnosis codes to verify accuracy and completeness.
• Adhered to established standards to safeguard patients' health information.
• Liaised between patients, insurance companies and billing office.
• Gathered information from multiple sources to simplify billing and organize accounts.

• Maintained computer and physical filing systems.
• Oversaw office inventory activities by ordering and requisitions and stocking and shipment receiving.
• Optimized organizational systems for payment collections, AP/AR, deposits and recordkeeping.
• Established workflow processes, monitored daily productivity and implemented modifications to improve overall performance of personnel.
• Recruited, hired and trained all staff, providing direct supervision, ongoing staff development and continuing education to employees.
• Developed and updated policies and procedures, maintaining compliance with statutory, regulatory and local, state and federal guidelines relating to HIPAA, benefits administration and general liability.
• Communicated with patients, ensuring that medical information was kept private.
• Fostered excellence by example by "setting pace" and being hands on mentor to clinical staff.
• Recruited, hired and coached employees to offer high-quality, cost-effective care to all residents.
• Discussed medical histories with patients in effort to provide most effective medical advice.
• Spearheaded and implemented new projects to expand scope of engagement.
• Managed office operations while scheduling appointments for patients.
• Coached new hires on company processes while managing employees to achieve maximum production.
• Managed budgets, appointment scheduling, employee and event itineraries and accounts to improve productivity initiatives.
• Coordinated special projects and managed schedules.
• Utilized client and staff feedback to maintain a positive, efficient work environment
• Arranged corporate and office meetings for company Staff and guests

**** This company closed due to the owner passing away due to a heart attack. I was still employed when the company closed. ***********

• Entered client details and notes into system for interdepartmental access and review.
• Worked with customer to create debt repayment plan based on current financial condition.
• Listened to customers and negotiated solutions that met creditor and debtor needs.
• Quickly learned new skills and applied them to daily tasks, improving efficiency and productivity.
• Carried out day-day-day duties accurately and efficiently.
• Performed duties in accordance with applicable standards, policies and regulatory guidelines to promote safe working environment.
• Used critical thinking to break down problems, evaluate solutions and make decisions.
• Researched CPT and ICD-9 coding discrepancies for compliance and reimbursement accuracy.
• Determined prior authorizations for medication and outpatient procedures.
• Performed billing and coding procedures for DME equipment and outpatient services.
• Pre-certified and pre-qualified patients for medical DME equipment and procedures
• Actively maintained current working knowledge of CPT and ICD-9 coding principles, government regulation, protocols and third party requirements regarding billing.
• Communicated with insurance providers to resolve denied claims and resubmitted.
• Filed and updated patient information and medical records.
• Reviewed patient records, identified medical codes for billing purposes.
• Reviewed patient diagnosis codes to verify accuracy and completeness.
• Adhered to established standards to safeguard patients' health information.
• Liaised between patients, insurance companies and billing office.
• Gathered information from multiple sources to simplify billing and to get patients qualified in a timely manner
• Translated and interpreted medical billing codes with strong accuracy to enable swift payment from insurance agencies.