Could not get the attachment to work, please see unformatted resume below. Thank you.
Austin Wentworth, M.S., CPC-A
Liverpool, NY 13088
austinwentworth@ymail.com
SUMMARY
Skilled professional with exceptional team communication and task management ability. Demonstrated success on many levels in a fast-paced organization. Experience includes excellent managerial skills, customer service skills and over five years work in a medical environment. Strengths include leadership, innovative ways of multitasking, dynamic organizational skills, diplomacy and sound judgment. Team-oriented professional with passion for development and learning.
PROFESSIONAL EXPERIENCE
SUNY UPSTATE MEDICAL UNIVERSITY- UPSTATE ORTHOPEDICS: East Syracuse, NY August 2014- Present
Assistant Billing Manager (August 2014-Present)
• Performs administrative and supervisory functions to support efficiency and effectiveness of the various billing departments in the practice.
• Coordinates and delegates daily tasks for 40 team members of the billing department including supervisors and team leaders.
• Performs a wide range of administrative duties to support the HR department, including but not limited to: recruitment/ new hires, employee changes and terminations, participation in disciplinary procedures and conflict resolution, training and performance review.
• Assist in the development and implementation of PQRS, meaningful use, ICD-10 and compliance policies and procedures.
• Oversee and assist in the provider and billing audits set forth by the compliance action plan.
• Provides education and training to physicians on audit results, new laws, policies and procedures.
• Responsible for the creation and implementation of billing department policies and procedures.
• Prepares performance improvement reports by researching, collecting data, and creating daily and monthly reports.
• Participates in practice and campus wide strategic planning committees (E.g., ICD-10, practice planning, medical service group managers.)
• Completes patient financial hardship applications, bankruptcies, and self pay surgical cases.
ASSOCIATED MEDICAL PROFESSIONALS OF NEW YORK: Syracuse, NY September 2013- August 2014
Billing Operations Supervisor (September 2013-Present)
• Performs administrative and supervisory functions to support efficiency and effectiveness in the billing and collections departments.
• Coordinates and delegates daily tasks for members of the billing and collections departments.
• Responsible for daily balancing of finances for twelve urology offices (Cash, Check, Credit and EFT).
• Responsible for submission and error correction of all electronic and paper claims.
• Manage physician certification and verification processes.
• Responsible for monitoring and providing employees access to insurance company websites.
• Completes patient and insurance refunds.
• Responsible for the creation and implementation of billing department policies and procedures.
• Prepares performance improvement reports by researching, collecting data, and creating daily and monthly reports.
• Responsible for the maintenance and accuracy of the drug verification log.
CENTRAL NEW YORK INFUSION SERVICES: Dewitt, NY July 2010 – September 2013
Executive Support Specialist (February 2012- September 2013)
• Performs administrative functions and operational tasks to support department and agency operations.
• Responsible for all medical billing and coding.
• Assists marketing, billing, pharmacy, and nursing staff in company projects.
• Complete understanding of the operational procedures for all infusion control devices.
• Assists in maintain the pharmacy, nursing, and billing departments in adherence to policy and procedure, state and federal regulations, and Joint Commission standards.
• Assists with the agency Joint Commission survey and preparation.
• Serves as a reimbursement specialist and follows up on complex insurance denials. Preparation of letters, appeals and appropriate documentation for CMS, NYS Insurance Board and Attorney General’s office as necessary.
• Coordinates all patient billing specifics with other members of the healthcare team.
• Responsible for compiling data and developing monthly materials management reports.
• Responsible for entering new patient referral information into the system and coordinating the delivery of this information to each department as appropriate.
• Responsible for the preparation and mixing of sterile parenteral/enteral pharmaceuticals, antibiotics, and immune globulins under a pharmacist’s supervision.
Patient Service Representative (July 2011 – February 2012)
• Coordinate efforts between nursing, pharmacy and billing department.
• Function as a patient representative between all departments.
• Responsible for the preparation and mixing of sterile parenteral/enteral pharmaceuticals, antibiotics, and immune globulins under a pharmacist’s supervision.
• Assist in gathering patient information from referral sources and enter into office-wide database.
• Prepare all new patient admission forms, and incorporating into patient file.
• Manage physician license verification processes monthly and as requested by staff.
• Assist in marketing, billing, pharmacy and nursing staff projects.
• Assist in the gathering of patient insurance information and/or supporting documentation required for billing.
• Responsible for contacting patients to obtain daily drug and supply inventories and coordinate delivery and pick up.
• Obtain patient medical records, lab results, and other medical information as requested by nursing and pharmacy departments.
• Participate in the quality improvement program by obtaining data as requested by management.
Delivery Technician (July 2010 – July2011)
• Transported medication, supplies and equipment for prescribed patient therapy in a safe and secure manner so as to prevent damage, spoilage or loss of such items.
• Reviewed all mandatory paperwork with the patients including patient agreement forms and HIPAA forms.
• Coordinated pick-up and return of medications, supplies, and equipment, upon discharge of the patient from CNY Infusion Services.
• Gathered supplies and equipment for patient orders including completing delivery tickets, supply order forms and selecting supplies from the pharmacy prior to delivery.
• Responsible for cleaning and processing returned equipment and supplies in accordance with company policies and procedures.
• Assisted with inventory control; including purchasing, receiving, stocking and record keeping.
CENTRAL NEW YORK INTERNISTS PC: Syracuse, NY March 2010 - August 2010
Electronic Medical Records Clerk Intern
• Scanned, processed, and filed electronic medical records.
• Managed hardcopy files as requested by staff.
WEGMAN’S SUPERMARKET: Syracuse, NY and Pittsford, NY June 2004 - April 2010
Customer Service
• Front End Cashier and café associate.
• Stocking associate.
• Customer service associate as part of Helping Hands Program.
EDUCATION
St John Fisher College. Rochester, NY. Bachelor of Science degree, Major: Business Management, May 2010.
Rochester Institute of Technology. Rochester, NY. Master of Science degree, Major: Healthcare Systems Administration, High Honors, December 2011.
CPC Course. August 2015. Course completed during current employment, Certified Professional Coder. Obtained CPC-A in December 2015.
SOFTWARE
Microsoft Office, Microsoft Word, Microsoft PowerPoint, Microsoft Excel, EPIC, Medent, Allscripts, CPR+ (Infusion electronic medical record software), and QuickBooks.
Austin Wentworth, M.S., CPC-A
Liverpool, NY 13088
austinwentworth@ymail.com
SUMMARY
Skilled professional with exceptional team communication and task management ability. Demonstrated success on many levels in a fast-paced organization. Experience includes excellent managerial skills, customer service skills and over five years work in a medical environment. Strengths include leadership, innovative ways of multitasking, dynamic organizational skills, diplomacy and sound judgment. Team-oriented professional with passion for development and learning.
PROFESSIONAL EXPERIENCE
SUNY UPSTATE MEDICAL UNIVERSITY- UPSTATE ORTHOPEDICS: East Syracuse, NY August 2014- Present
Assistant Billing Manager (August 2014-Present)
• Performs administrative and supervisory functions to support efficiency and effectiveness of the various billing departments in the practice.
• Coordinates and delegates daily tasks for 40 team members of the billing department including supervisors and team leaders.
• Performs a wide range of administrative duties to support the HR department, including but not limited to: recruitment/ new hires, employee changes and terminations, participation in disciplinary procedures and conflict resolution, training and performance review.
• Assist in the development and implementation of PQRS, meaningful use, ICD-10 and compliance policies and procedures.
• Oversee and assist in the provider and billing audits set forth by the compliance action plan.
• Provides education and training to physicians on audit results, new laws, policies and procedures.
• Responsible for the creation and implementation of billing department policies and procedures.
• Prepares performance improvement reports by researching, collecting data, and creating daily and monthly reports.
• Participates in practice and campus wide strategic planning committees (E.g., ICD-10, practice planning, medical service group managers.)
• Completes patient financial hardship applications, bankruptcies, and self pay surgical cases.
ASSOCIATED MEDICAL PROFESSIONALS OF NEW YORK: Syracuse, NY September 2013- August 2014
Billing Operations Supervisor (September 2013-Present)
• Performs administrative and supervisory functions to support efficiency and effectiveness in the billing and collections departments.
• Coordinates and delegates daily tasks for members of the billing and collections departments.
• Responsible for daily balancing of finances for twelve urology offices (Cash, Check, Credit and EFT).
• Responsible for submission and error correction of all electronic and paper claims.
• Manage physician certification and verification processes.
• Responsible for monitoring and providing employees access to insurance company websites.
• Completes patient and insurance refunds.
• Responsible for the creation and implementation of billing department policies and procedures.
• Prepares performance improvement reports by researching, collecting data, and creating daily and monthly reports.
• Responsible for the maintenance and accuracy of the drug verification log.
CENTRAL NEW YORK INFUSION SERVICES: Dewitt, NY July 2010 – September 2013
Executive Support Specialist (February 2012- September 2013)
• Performs administrative functions and operational tasks to support department and agency operations.
• Responsible for all medical billing and coding.
• Assists marketing, billing, pharmacy, and nursing staff in company projects.
• Complete understanding of the operational procedures for all infusion control devices.
• Assists in maintain the pharmacy, nursing, and billing departments in adherence to policy and procedure, state and federal regulations, and Joint Commission standards.
• Assists with the agency Joint Commission survey and preparation.
• Serves as a reimbursement specialist and follows up on complex insurance denials. Preparation of letters, appeals and appropriate documentation for CMS, NYS Insurance Board and Attorney General’s office as necessary.
• Coordinates all patient billing specifics with other members of the healthcare team.
• Responsible for compiling data and developing monthly materials management reports.
• Responsible for entering new patient referral information into the system and coordinating the delivery of this information to each department as appropriate.
• Responsible for the preparation and mixing of sterile parenteral/enteral pharmaceuticals, antibiotics, and immune globulins under a pharmacist’s supervision.
Patient Service Representative (July 2011 – February 2012)
• Coordinate efforts between nursing, pharmacy and billing department.
• Function as a patient representative between all departments.
• Responsible for the preparation and mixing of sterile parenteral/enteral pharmaceuticals, antibiotics, and immune globulins under a pharmacist’s supervision.
• Assist in gathering patient information from referral sources and enter into office-wide database.
• Prepare all new patient admission forms, and incorporating into patient file.
• Manage physician license verification processes monthly and as requested by staff.
• Assist in marketing, billing, pharmacy and nursing staff projects.
• Assist in the gathering of patient insurance information and/or supporting documentation required for billing.
• Responsible for contacting patients to obtain daily drug and supply inventories and coordinate delivery and pick up.
• Obtain patient medical records, lab results, and other medical information as requested by nursing and pharmacy departments.
• Participate in the quality improvement program by obtaining data as requested by management.
Delivery Technician (July 2010 – July2011)
• Transported medication, supplies and equipment for prescribed patient therapy in a safe and secure manner so as to prevent damage, spoilage or loss of such items.
• Reviewed all mandatory paperwork with the patients including patient agreement forms and HIPAA forms.
• Coordinated pick-up and return of medications, supplies, and equipment, upon discharge of the patient from CNY Infusion Services.
• Gathered supplies and equipment for patient orders including completing delivery tickets, supply order forms and selecting supplies from the pharmacy prior to delivery.
• Responsible for cleaning and processing returned equipment and supplies in accordance with company policies and procedures.
• Assisted with inventory control; including purchasing, receiving, stocking and record keeping.
CENTRAL NEW YORK INTERNISTS PC: Syracuse, NY March 2010 - August 2010
Electronic Medical Records Clerk Intern
• Scanned, processed, and filed electronic medical records.
• Managed hardcopy files as requested by staff.
WEGMAN’S SUPERMARKET: Syracuse, NY and Pittsford, NY June 2004 - April 2010
Customer Service
• Front End Cashier and café associate.
• Stocking associate.
• Customer service associate as part of Helping Hands Program.
EDUCATION
St John Fisher College. Rochester, NY. Bachelor of Science degree, Major: Business Management, May 2010.
Rochester Institute of Technology. Rochester, NY. Master of Science degree, Major: Healthcare Systems Administration, High Honors, December 2011.
CPC Course. August 2015. Course completed during current employment, Certified Professional Coder. Obtained CPC-A in December 2015.
SOFTWARE
Microsoft Office, Microsoft Word, Microsoft PowerPoint, Microsoft Excel, EPIC, Medent, Allscripts, CPR+ (Infusion electronic medical record software), and QuickBooks.