Seasoned administrative staff support with more than 25 years of experience in fast-paced health care environment. Excellent customer service and interpersonal communication skills. Track record of achieving motivation with staff to stay focus, collaborate, and cooperate to get the job done. Core competencies includes handling multiple tasks for improved accuracy and efficiency.
Maintain strict confidentiality
Healthcare billing proficiency
Strong planning skills
Time management skills
Ability to motivate and teach staff, resourceful and careful attention to detail
Strong medical ethic
Activity Life Strategies of Arkansas, LLCWest Memphis, ArkansasActivity Therapist, MHPP03/2015 to Current
Responsible for participating in treatment team staffing in coordination with MHP and physicians*Assists with transportation for patients* Develops schedule for therapeutic activities for each day*assists with the upkeep for current patients records*Maintain accurate statistics for daily attendance of all program patients and deliver to program manager on daily basis*Participates in staffing and alerts MHP to any changes noted in the patient's behavior and appearance*Coordinates monthly safety exercises such as fire drills, etc., and other duties as assigned.
Site Coordinator: Provided DHS (Department of Health Services) with corrective action to Medicaid insurances,Maintained patient privacy and confidential patient information, prepared for HIPAA and JCAHO reviews, ensuring required brochures and pamphlets were available yo the clinic, ensured HIPAA compliance, responsible for coordinating organization-wide utilization management activities at a given site to promote high-quality services and for providing administrative support to the assigned location.*checks for requests for authorizations and concurrent reviews to payers; implements and manages the UR/UM plan, tracking benefit utilization, and compliance reports, monitors late notes/compliance infraction process, assesses staff developmental and training needs for the clinical staff, provided full file management, manages, including storage and development of files for new client, verification on all insurance for intakes, and other duties assigned,
Crittenden Regional HospitalWest Memphis, ArkansasPatient Financial Analyst11/2010 to 09/2014
Managed collections claims for unpaid bills against the estates of debtors *Interacted with providers and other medical professionals regarding billing and documentation policies, procedures and regulations *accurately posted and sent out all medical claims.
Submitted electronic/paper claims documentation for timely filing *precisely evaluated and verified benefits and eligibility *Responded to correspondence from insurance companies, posted, and adjusted payments from insurance companies *confidently and adeptly handled claim denials and/or appeals *Accessed computerized financial information to answer questions related to specific accounts * Reviewed files, records and other documents to obtain information and respond to requests.
Manage incoming and outgoing calls and email communications; ensures that message are delivered timely; interfaces with customers and maintains internal and external relationships; maintains various departmental database systems and lists; keeps inventory of office/clinical supplies and takes responsibility for maintaining adequate stock of these items.
UT Medical GroupMemphis, TennesseePatient Financial Representative04/2000 to 10/2010
Precisely completed appropriate claims paperwork, documentation and system entry Professionally and courteously verified appointment times with patients *meticulously identified and rectified inconsistencies, deficiencies and discrepancies in medical documentation *Adeptly managed a multi-line phone system and pleasantly greeted all patients.
Diligently filed and followed up on third party claims.
Researched questions and concerns from providers and provided detailed responses Maintained strict patient and physician confidentiality.
Maintains all public areas in an acceptable manner; compiles and prepares data required reports as requested; retrieves and distributes departmental mail.
Other duties assigned.
Stone River CorporationMemphis, TennesseeVerification/Approvals Agent05/1993 to 04/2000
Meticulously tracked and resolved underpayments *Updated patient financial Information to guarantee accuracy *Treated all patients, their families, visitors, peers, staff and providers in a pleasant and courteous manner *Inbound/Outbound calls Provided authorization for medication transmission *Implemented and coordinated training manuals for new employees *Ensured that all workers compensation claims were verified with a level of quality.
Master of Science:Health Administration/GerontologyJul 2015University of Phoenix, Memphis, TennesseeHealth Administration/Gerontology
Bachelor of Science:Health AdministrationApr 2013University of Phoenix, Memphis, TennesseeHealth Administration 3.74
AHA Healthcare Provider CPR Certification, CPI Intervention Certification
Sunshine Committee, church affiliated
TMG (Taylor-Made Girls;Totally Mentoring Girls) personal affiliation
a level, administrative support, attention to detail, benefits, billing, compliance reports, database, documentation, email, filing, financial, insurance, internal audits, inventory, notes, mail, office, works, monitors, phone system, policies, quality, safety, staffing, statistics, Time management, training manuals, transmission, transportation, written communication