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.
Knowledge of Medicaid, Medicaid MCO, and Medicare statutes and regulations
Electronic Claims Submission and retrievals.
Developing patient billing and collection processes.
Behavioral Health billing and coding.
Medicaid Management Information Systems
Attention to detail
Strong interpersonal skills
Accurate and detailed
Excellent planner and coordinator
Dedicated team player
Reimbursement Coordinator, 09/1992 to Current Gulf Coast Center – 4444 West Main Street
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, 01/1979 to 04/1989 STASCO – Houston Texas 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, 06/1975 to 08/1978 Southwestern Bell – Houston Texas
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.
High School Diploma: Deer Park High School - Deer Park Texas
Participating Member of Texas Council's Reimbursement Coordinators Special Interest Group for 12 years