Laboratory Technician Resume Example

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Jessica Claire
Montgomery Street, San Francisco, CA 94105 (555) 432-1000,
Professional Summary
As a self-directed, highly motivate, healthcare professional in Revenue Cycle arena with a passion in helping people to enhance their knowledge and skills in revenue cycle. 15 years of experience in team building collaboration, employee*s education/training, facilitate government Regulations, Coordinating Projects, coding & billing, item master, and charge capturing processing improvement. It would be a great opportunity to make a different in a company financial and operation functionality& SKILLS Revenue Cycle operation in Patient Access, Denial Management, Case Management, Compliance billing regulation, billing & coding management Strong knowledge in CPT-4, ICD-9CM, ICD10PCS , HCPCS II, CCI, UB 04 , OCE Edits, MS-DRG, APR-DRG, OPPS, Medical fee-for-service, Worker*s Compensation and Manage Care billing regulation. Strong knowledge of the Charge Description Master, Patient Accounting Operation System, Contract Manager reimbursement operation system, System implementation migration, Meaningful Use 5010 HIPPA, OSHPD source of payment, Medicare and Medi-Cal method of payments.
Education and Training
Expected in Master of Health Administration | Health Information Management University of La Verne, La Verne, CA GPA:
Expected in Bachelor of Science | Business Administration University of Phoenix, Gardner, CA GPA:
Business Administration
Expected in Associate degree | Computer Science Roxbury Community College, Boston, Mass GPA:
Skill Highlights

MCCS system, Power Point, MS Excel, Microsoft Word, Meditech system, Cerner system, Internet explorer, Siemens, I-MACS, H-BOC, McKesson, E-Boss, CPSI system, Med Assets Contract Manager, and Health logic

Professional Experience
to Laboratory Technician Charles River | Hollister, CA,
to Patient Record Abstractor III UCLA Medical Center | City, STATE,
03/2006 to 09/2014 Corporate Sr. Revenue Cycle/CDM Analysis AHMC Health Care Inc | City, STATE,
  • Oversees all aspects of the hospitals charge master and Revenue Cycle activities,such as billing, charge capture, Data support system, supervisor APC Coordinator, and Term and Condition Coordinators, develop/revise operation policies and procedures.
  • Manage/maintain the contract manager reimbursement system which includes loading of all contracts for Manager Care Payers, Medical and Medicare, audit trail review, and updates of the Medicare & Medical Method of payments.
  • Provided support to CBO supervisors and Director of Finance Service in preparation of their month end reporting.
  • Attend monthly Revenue Cycle and Denial Management meetings at each faculty to discuss reimbursement enhancement of loss charges.
  • Provide support to refund and correspondence staff with patients* complaint audit requests that related to the patients bills and identify the best course of action in resolve their complaint.
  • Provide support in Meaningful Use Implementation for Clinical depts and PCOE Prepare monthly revenue reports for corporate CFO.
  • Completion of Medicaid Out-of-State enrollment applications.
  • Implementation of 5010 HIAA regulation.
  • Plan annually education arrangement house wide on Compliance FWA Direct implementation of the organization Charge Description master at the facility level.
  • Launched the APC process at the facility to ensure accuracy in providers reimbursement.
  • indirectly manage the hospitals HIM directors, Revenue Auditor, and Denial Managers.
  • Turnarounds underperformance Charge masters maintains files to and accelerates revenue growth over 15% within first 12 months gross revenue $8 million.
  • Increase gross revenue for new acquire hospital 13% over the previous year project budget.
  • Work with hospitals management team in developing RAC tracking program.
  • Work with Corporate CFO/CBO director in meeting the monthly goals and oversee new innovation process.
  • Resolve problems with coding, claims denials and insurance table FC.
  • Launch the facilities Revenue Cycle charge capture committee meetings.
  • Save corporation $1.5 million implementation item master, Revenue cycle software, and Medicare rules updates.
  • Save the corporation 50% in software for Medical necessity Part B updates.
  • Oversaw several CDM conversion process for newly acquired hospitals/Revenue cycle Improvement process for ancillary departments.
  • Provide item master consultant services to several affiliated hospitals.
  • Oversee the implementation of 5010 project Manage/oversaw all aspects of the campus hospitals charge capture processes/item master table maintenance operation system H-BOC and Siemen host system Manage the Compliance Checker-ABN program/operation system and trained end users system wide.
  • Monitor PCA Medicare write off reports Report Revenue Cycle progress and communicate outcomes to Regional stem committee on APC, CDM, billing compliance, third party contracts, and Information system issues.
  • Conduct ongoing education training for billing, coding, on DRG, CDM, and OPPS issues Performs quarterly reviews on outpatient encounters to validate the ICD-9CM, CPT codes, HCPCS level II& III, and CCI edits Prepare month-end statistic reports for coding, compliance, non-billable, APC errors, and CDM issues.
  • Liaison coordinator for DFS and CBO office staff, Work closely with CBO and HIM directors/manager team to resolve outstanding coding issues for government and third party billing.
  • Performs periodic claims reviews to validate CPT codes transferring accuracy from the abstract 3M and the charge master tables and periodical review of APC audits Work with department directors in setting- up their charge capture protocol/CDM benchmark Internal Revenue Audit evaluation/review for billing compliance Monitor One day Stay and Observation accounts admission status.
1999 to 2001 Laboratory Front office Supervisor/CDM Specialist Century City Hospital Centinela Hospital Medical Center | City, STATE,
  • Managed/oversaw two facilities front offices employees work performance day to day activities, lab technician, and phlebotomy team, in-service new hired employees, coordinated /schedule employee*s daily workflow assignments, conduct focal point audits on patient*s accounts, and manage the dept charge-master.
  • Monitored the department daily revenue charges, supply ordering, employee*s performance appraisals, develop policy & procedures for front office staff, and interview applicants.
  • Manage the dept FTE productivity and financial reports.
  • Monitor/maintain month end statistical reports for OIG compliance requirements and CDM issues.
  • Achievements Develop phlebotomy-training program for nursing staff Implemented APC process, policy and procedures for CFHS system.
  • Reduce late charges posting from 50% to
Professional Affiliations
American Academy of Professional Coders, AHIA (Internal Auditor Association, AHIMA, American Associations Medical Auditor Services, AAPC, APC Reader, CMS, and HCCA Healthcare Financial Management Association (HFMA) COMMITTEES Joint Commission, Patient Chart Review, Chart Audit, PSMS, and OIG committee
billing, budget, CA, consultant, contracts, conversion, CPT, Finance, financial, front office, government, innovation, insurance, Internet explorer, logic, MACS, Director, Meditech, meetings, MS Excel, office, Power Point, Microsoft Word, nursing, performance appraisals, phlebotomy, policies, processes, coding, progress, reporting, Siemens, supervisor, tables, technician, workflow
Additional Information
  • SPECIAL AWARDS Customer Services Award 1996, Loss Revenue Award in 1995, and Employee of the year 1993

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Resume Overview

School Attended
  • University of La Verne
  • University of Phoenix
  • Roxbury Community College
Job Titles Held:
  • Laboratory Technician
  • Patient Record Abstractor III
  • Corporate Sr. Revenue Cycle/CDM Analysis
  • Laboratory Front office Supervisor/CDM Specialist
  • Master of Health Administration
  • Bachelor of Science
  • Associate degree