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reimbursement coordinator resume example with 20+ years of experience

Jessica Claire
  • Montgomery Street, San Francisco, CA 94105 609 Johnson Ave., 49204, Tulsa, OK
  • Home: (555) 432-1000
  • Cell:
  • resumesample@example.com
  • :
Professional Summary
My current position at the Gulf Coast Center is Reimbursement Coordinator.  I have been in this position for 12 years and have become adept at developing and maintaining detailed administrative and procedural processes that reduce redundancy, improve accuracy and efficiency and achieve organizational objectives. initiatives include reimbursement and revenue cycle actives, processes surrounding pricing, billing, and third party payer relationships.
Skills
  • Knowledge of Medicaid, Medicaid MCO, and Medicare statutes and regulations
  • Electronic Claims Submission and retrievals.
  • Developing patient billing and collection processes. 
  • Report development.
  • Behavioral Health billing and coding.
  • Medicaid Management Information Systems
  • Attention to detail
  • Project planning
  • Critical thinking
  • Strong interpersonal skills
  • Self-directed
  • Accurate and detailed
  • Excellent planner and coordinator
  • Dedicated team player
  • Resourceful
Work History
Reimbursement Coordinator, 08/1992 to Current
CarepathrxCO, ,
  • As the Reimbursement Coordinator I organize and manage the Billing Department in accordance with Texas Administrative and National Billing guidelines in order to provide specified reimbursement and billing requirements to meet the legal, organizational and revenue guidelines. Currently I continue to maintain Medicaid, Medicaid Managed Care, Medicare, and Third Party payers fee schedules and billing rules in Center's electronic billing system to insure appropriate billing.
  • In my department I  train and supervise the credentialing and re-enrollment process for The Gulf Coast Center's Medicaid, Medicaid Managed Care, and Medicare all with all Center employees and contractors.  
  • Attend quarterly meetings in Austin with Texas Council's Reimbursement Coordinators Special Interest Group to stay informed and educated around State Medicaid Rules, Medicaid Managed Care, State Performance Contract, and Revenue Cycle Management as it relates to Behavioral Health/Substance Use and Intellectual Disability Disorders.
  • Successfully implemented new and efficient processes for prompt patient payments and collections which increased revenue.
  • Educated staff on state and federal statutes, rules and regulations governing Behavioral Health, Substance Use Disorders, and Intellectual Disorders.
  • As new Federal Guidelines are implemented in Healthcare, I stay informed and implement processes to ensure services are being accurately billed and reported.

Purchasing Manager, 1979 to 03/1989
AdtranHuntsville, ,
Responsible for ordering, submitting and receiving heavy duty truck parts and accessories, tires and battery. Annual warehouse inventory and road side assistance dispatching for large trucking companies the company had contract and working relations with.

Telephone number assignment Center, 05/1975 to 07/1978
Southwestern BellCity, ,
  • Provided an elevated customer experience to individuals who were activating or changing their phone service addresses to include assigning local and toll free phone numbers.



Education
High School Diploma: , Expected in to Deer Park High School - Deer Park Texas ,
GPA:
Affiliations
Participating Member of Texas Council's Reimbursement Coordinators Special Interest Group for 12 years

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Resume Overview

School Attended

  • Deer Park High School

Job Titles Held:

  • Reimbursement Coordinator
  • Purchasing Manager
  • Telephone number assignment Center

Degrees

  • High School Diploma

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