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Management:: Healthcare/Customer Service Resume
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| Desired Industry: Healthcare |
SpiderID: 5165 |
| Desired Job Location: Phoenix, Arizona |
Date Posted: 1/26/2006 |
| Type of Position: Full-Time Permanent |
Availability Date: Immediate |
| Desired Wage: 50.000 |
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U.S. Work Authorization: Yes |
| Job Level: Experienced with over 2 years experience |
Willing to Travel: |
| Highest Degree Attained: Bachelors |
Willing to Relocate: No |
Objective:
OBJECTIVE:
MANAGER: HEALTHCARE/CUSTOMER SERVICE
LONG-TERM GOAL:
GOVERNMENT/PRIVATE-INDUSTRY COMPLIANCE PRIVACY OFFICER
Experience:
PERSONAL MISSION STATEMENT:
To serve with increasing skill in any capacity and to uphold the highest standards of ethical practices.
PROFESSIONAL HISTORY:
03/00-11/05:
Founders Healthcare dba Preferred Homecare
Mesa, AZ 480-446-9010
*Senior A/R Representative (Medicare)*:
•Award-winning expert: aging/DSO reduction
•Acknowledged strategist:
•“WORK THE ENTIRE ACCOUNT”:
•Eobs; remits; credit balances; adjustments
•Accurate/efficient Q.A.. process =
•Clean electronic/hcfa-1500 claims =
•Fewer denials =
•Timely reimbursement =
•Reduced bad-debt
•Timely filing: reviews and appeals
•Chart audits
•Methodical trainer: in-house and via telephone with branches
•Knowledge-base: HIPAA; Medicare compliance (CMNs); Fair Debt Act
•HCPCs-Level II ICD-9 coding
•Familiar with Level I CPT coding
•Software: HBO and Dezine
•Reason for leaving: to explore educational and other professional options
• Ending salary: $40,700.00/year
04/99-03/00:
Orthologic Corporation
Tempe, AZ 602-286-5520
*Reimbursement Specialist*
•Effective collector: private-insurance; private-pay
•Accurate claim resubmission-HCFA-1500
•Negotiated TPL insurance settlements
•Negotiated private-pay account payment
•Efficient workingof agings/A/R clean-up
•Timely adjustment requests
•Knowledge-base: individual insurance policy-specific criteria; Fair Debt Act
•Software: Solution One
•Reason for leaving: recruited by former coworker to next employer
02/96-04/99:
IHS/Signature Homecare (purchased by: Walgreen’s Health Initiatives)
Mesa, AZ 602-246-1490
*Entry services coordinator-team leader-acting supervisor-private-pay collector*:
• Recruited by previous manager for collection supervisory position-
removed from budget prior to formal implementation
•Collected private-pay balances; researched/addressed credit balances
•Recruited by R.N. to become first non-clinician to process clinical intakes
•Processed infusion, nursing and other clinical intakes; processed durable medical equipment/supply intakes
•Phone contact with physicians, nurses and referral sources
•Phone/personal contact with customers to verify demographics
•Phone contact with insurance companies to verify benefits/PAR
•Prioritize orders based on medical necessity/expedite delivery process
•Deliver customer satisfaction in a heavy-call volume setting
•Received written commendations for excellence in custom service
•Knowledge-base: Coverage criteria:
•Medicare Part A/B; managed care/FFS private insurance; AHCCCS; workers compensation; V.A.
• HCPCs-Level II ICD-9 coding; familiarity with Level I CPT coding
•Software: Mestamed
•Reason for leaving: company in process of being sold
03/93-02/96:
Tempe ST Luke’s Hospital Tempe, AZ 480-968-9411
*E.R. Financial Coordinator*:
•Recruited by former manager (Medical Billing Management/Tempe Emergency Physicians) to become first E.R. financial coordinator
•Created/implemented registration checklist
•Created benchmarks/standardized admitting process
•Created/implemented departmental employee duty checklist
•Designed/implemented E.R. registration staff questionnaire to effectively address employee-specific stress-related issues
•Trained/monitored staff; initiated employee interventions; processed verbal/written disciplinary actions; assisted in the interview/hiring process
•Analyzed front-end collection trends; trained staff appropriately
•Demonstrated success in the reduction of E.R. bad-debt referrals to outside collections
•Accurate Q.A. of all E.R. charts; census reconciliation; 24/7 on-call back-up
•Quantified registration errors-effectively addressed with staff
*Acting Director of Patient Affairs*- duties as above:
•Employee evaluations; timecards; department staffing schedules
•Coordinated communications/collaborated with hospital security department to circumvent registration delays during the 1996 Superbowl
•Software: HBO
•Reason for leaving: recruited by former manager to next employer
Education:
EDUCATION
Dates Attended School Degree Location
8/1971 - 12/1975 WHEELING JESUIT COLLEGE Bachelor's Degree Wheeling - WV - US
8/1967 - 6/1971 Madonna High School High School Weirton - WV - US
CURRENT HIPPA Academy:
CERTIFIED HIPPA COMPLIANCE ADMINISTRATOR
On-line - US
Affiliations:
Accreditations and Certifications
REALITY BASED MANAGEMENT, INC. CERTIFICATE: "SUPERVISING THE PASSIVE-AGGRESSIVE STAFF MEMBER"
COACHING AND TEAMBUILDING SKILLS FOR MANAGERS AND SUPERVISORS:.6 CEUs/6 CREDIT HOURS-CERTIFICATE
S.A.H.C. (SEXUAL ASSAULT HELP CENTER) WHEELING, WV: CRISIS INTERVENTION/ACTIVE LISTENING SKILLS
MEMBER: “AMERICAN HEALTH INFORMATION MANAGEMENT ASSOCIATION” (“AHIMA”)
Skills:
FORTES:
INTERNAL/EXTERNAL CUSTOMER-PROVIDER COMMUNICATIONS
HEALTHCARE SERVICE RECOVERY ANALYST/AUDITOR
HEALTHCARE TRAINER/FACILITATOR
Additional Information:
My considerable and diverse expertise in the fields of healthcare reimbursement and customer service reflect my ability to successfully multi-task, prioritize, problem-solve, and communicate effectively with others: I have always earned the respect of management, co-workers and customers due to my diligence, personal integrity and ethical code of conduct: it is not in my nature to take the low road nor is it to lower the bar with regard to my work-product.
I am confident that I will be a significant contributor to the success of any company.
Thank you in advance for your consideration of my credentials.
Sincerely,
Deborah A. Davin
Reference:
*PROFESSIONAL REFERENCES UPON REQUEST*
*PERSONAL REFERENCES UPON REQUEST*
Candidate Contact Information:
This candidate has chosen not to make contact information available on this page.
Click "Contact Candidate" to send this candidate a response. |
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