|Typing speed 90 WPM, 10-key by touch, Computer programs and languages; Word Perfect, Agency Manager, Novel, Microsoft Word for Windows, Excel, Quarto Pro, Paradox, Harvard Graphics, Relay Gold, SRS, MMS, MS4 Siemens (IBM), SSI, Premis & Epic (billing programs), Cerner (Power Chart, FirstNet, PharmNet, RadNet Scheduling), Appointment Pro (Rehabilitation Scheduling program) Risarc Admitting Error Tracking System (AETS) System Administrator, Cognos, budget system, Medicare & Medicare systems, Scan It (document imaging), and Express Time and Attendance System.||Received the following awards and was recognized for Director of the year in 2009, most improved revenue trends in a short period of time, and consistently meeting pre-registration targets throughout the year. Assisted in development of the electronic medical record and standardization in charge master and policies and procedures. Lead in developing standardization for all registration staff in both clinic and facility staff. Lead in developing electronic remittance from all major payers. Assisted, Co-Chair, in development of patient and employee satisfaction. Lead in developing the standardization for patient on-line bill pay for Adventist Health Corporation. Lead in developing Adventist Health standardization project for registration training and continued education program.|
Plans and direct business office operations of the medical facility and clinics to ensure that revenue management functions meet customer and organizational requirements. Plans and direct business office operations to include such functions as admitting, patient registration, pre-registration, centralized scheduling, billing, collections, insurance claims and information desk. Assists in coordinating and maintaining patient financial services programs to ensure compliance with current payments, rules, and regulations that impact the medical center and/or physician's billing and collections process. Monitor and ensures compliance with Medicare and Medicaid documentation guidelines. Monitor and evaluates current reimbursement/payment rules and ensures that legislative and regulatory changes impacting medical billing are anticipated and communicated to the clinical faculty, staff, and departmental billing, scheduling and admitting personnel. Develops techniques for effective analyzes of billing and collections efforts. Oversees resolution of third party denials and assists with reimbursement appeals and problems. Prepares financial reports and analyzes to show progress or adverse trends and makes appropriate recommendations or conclusions. Assists in identification of new technologies that will improve departmental operations. Develops departmental strategies to meet cash projection formulas, reduce days in Accounts Receivable, and reduce denials. Ensures compliance with State and Federal law, compliance plans, HIPAA, and JCAHO guidelines. Prepares and manages the departmental budget. Hires, develops, and motivates qualified Patient Financial Services staff. Provide assistance to physicians at the clinic and hospital and other clinical Directors.
Tillamook County General Hospital, Tillamook, OR (Oct 1999 to June 2000) Patient Billing Supervisor Responsible for oversight of the Accounts Receivable/Patient Accounts Department, including HR responsibilities, supervision of staff, collections, and account reconciliation; plans, directs and supervises billing staff to ensure timely, accurate and complete processing of billing services. Continuously monitors reimbursement of visits and procedures and identifies changes in reimbursement and coding patterns; keeps current with CPT and ICD-9 codes, updates and effectively communicates changes to physicians, nurses, billing staff and Administrator. Maintain and updated the facility charge master and room and bed master files. Assisted in hiring process of new billing department applicants and performance evaluations for existing employees. Trains new hires and set-up training sessions for new and existing employees.
Tillamook County General Hospital, Tillamook, OR (Feb 1997 to Oct 1999) Patient Billing Representative Coordinates billing functions to insure accuracy, efficiency, and maximum financial return; includes insurance verification, pre-certification, payment posting, Medicare billing compliance, and reimbursement tracking; maintains knowledge of billing codes, rules, and regulations; audits medical documents; serves as a resource to faculty and staff.
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