Rhonda R. Stonum

**** ***** ****** **** #****

Pflugerville, TX 78660

512-***-**** Cell

acg1lu@r.postjobfree.com

[pic]

Medical Biller/Mediator/Manager

With strong background in medical billing, medical training

experience, administrative experience and skills, accounting, coding,

insurance, auditing, follow-up, collections, problem solving skills,

accounts receivables payable, payroll, management, mediation,

management, and real estate

Austin Regional Clinic Austin, TX

Senior Patient Account Representative

. Review all operative reports and code them

. Enter all surgery charges

. Obtain all pre-authorization for surgery

. Assist patients with billing issues

. Appeal claims, rebill claim

. Problem solving

Advanced Orthopedics Houston, TX

Appointment Center/Insurance Supervisor

. Train all employees

. Experience in training medical staff, through presentations and hands

on methods

Experience in dealing with clinical protocols and compliance

management

. Create Workflows

. All Management Skills

. Verify insurance/make appointments

. Create Appointment Grid

. Supervise all employees

. Communication and presentation skills, both written and verbal

. Problem solving

Hannah's Place Austin, TX

Business Operations Manager

. Supervise Staff, Hire and Disciplinary Staff, Payroll, Scheduling of

staff

. Accounts Payable/Accounts Receivable,

. Review and Accept Patient's into the Facility, Review and Approve Bids

. Marketing, Credentialing, Medical Billing, and Coding

. Review, negotiate, and approve contracts, Credentialing, Payment

Posting, Denials, Authorizations

. Problem solving

AMPM Management Austin, TX

Denial Manager

. Work denials for various specialty account (Derm, Hospital, Skill

Nursing)

. Post Payments, Charge entry, Adjustments, Refunds

. Review claims before going to clearinghouse to ensure they are clean

. Customer Service, Credit Card Processing, Follow up, Rebill, Appeals

Carou

and approve contracts

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sel Pediatric Austin, TX

Medical Biller

. Billed Medicaid, Medicare, All Commercial Carriers

. Post payments to accounts, make adjustments to accounts,

. Scrub Claims, Bill out claims, Code claims and Encounters, review

contracts

. Appeals, Follow-ups, Review accounts with patients

Lone Star Circle of Care Georgetown, TX

Medical Biller

. Bill all commercial payers

. Verify Eligibility

. Work A/R, and Post payments

. Do Appeals/Re-Bills

. Customer Service

. Contracting, Auditing, coding

. Work All Government Payers (Tricare, Medicare, & Medicaid)

. Refund Insurance Companies/patients

The Academy of Health Care Professionals Austin, TX

Instructor

. Teach medical billing and coding

. Teach A & P

. Teach Insurance

. Teach Accounting

. Teach Medical Terminology

. Teach Contracting

e-MD'S (AMT Solutions) Austin, TX

Billing Specialist II

. Batch and build claims for electronic filing

. Submit claims electronically and manually

. Post payments, follow-up on claims, appeals

. Post payments, audit accounts, review accounts with patients

. Create and send out monthly statements, collections

. Meet monthly with Doctors to review revenue for the month and quarter

. Analyze Contracts, review contracts

The Summit @ Lakeway SNF Lakeway, TX

Billing Coordinator/Payroll Specialist/Manager on Duty

. Verification of insurance, bill all co-insurance, Medicare, Medicaid,

and

. Private Insurances

. Prepares and records all invoices for the community

. Assists with Human Resources functions: Assists new hires with new hire

documentation, including new hire training.

. Assist the Executive Director with completion of documents,

correspondence, special projects, and revenue projections.

. Payroll information entered weekly into Kronos time system, enters all

garnishments

. Performs month end closing processes

. Performs all payroll functions and audits

. Performs Management duties as assigned, weekend manager for entire

community.

Cenpatico Behavioral Health Plan Austin, TX

Claims Specialist/Trainer

. Correct referrals, admission auth, so they will load properly into the

system

. Audit provider accounts,

. Follow up with providers on outstanding claims,

. Work with the Claims Dept to assure all auth and claims are processing

correctly

. Train all new employees, and providers to our computer system, the

correct way to enter authorizations, correct way to correct authorization

and basic use of our computer system, as well as the correct way to file a

clean claim, contract review

. Conduct on going training for various updates and other materials on the

various computer programs used

. Review provider contracts for clarity, rates, and updates

Heslip Forklift & Trucking Company Caldwell, TX

Co-Owner/ Operations Manager

. Payroll, benefits, FMLA

. DOT re-certifications

. Permits (hauling, loading, etc)

. Drug Screens, and physical

. Front office manager

. Background checks, driver's records checks

. Account Receivable & Accounts Payable

. Scheduling

. Training for all employees

Supportkids, Austin, Texas Austin, TX

Child Support Enforcement Specialist,

. Initiates appropriate involuntary/voluntary collection remedies.

. Prepares case file for referral to Legal Division.

. Manages caseload.

. Discovery of Non-Custodial Parent's assets for lien attachments. Reviews

court orders, contract information, and arrears calculations to determine

collectable arrears.

. Discovery of Non-Custodial Parent's assets for lien attachments. Reviews

court orders, contract information, and arrears calculations to determine

collectable arrears.

. Reviews credit reports, employment information, and contact information

to determine collection strategy.

. Initiates enforcements activity by telephone/mail.

. Responsible for enforcement work, contacting, persuading, negotiating and

following up with Non-Custodial Parent or other payer.

. Negotiates settlement or payment with Non-Custodial Parent's attorney.

. Responsible for negotiating, and collecting documentation of child

support owed to custodial parents.

Spring Branch ISD, Houston, Texas

Benefits Specialist/Human Resources Assistant

. Review enrollment paperwork for accuracy and follow up on those with

discrepancies.

. Educate 4500 employees on the 403B process, rules and regulations.

. Development of new processes and tools to increase and streamline

productivity.

. Input new and changed deductions in payroll system via AS400.

. Act as liaison between Third Party Administrator and employees.

. Perform duties as Benefits Specialist assisting Employees Benefits

Manager.

. Tract resignation / termination final pay to notify insurance carrier of

COBRA eligibility

. Provide customer service to employees by answering questions and problem

solving via direct contact, phone or email.

. Benefits/ Human Resources Trainer

. Review bids, vender contracts for new health plans, dental plans, as well

as the 403B plans, Review contracts bids for new benefits and negotiate

all new contracts

EDUCATION

Del Mar College Corpus Christi, TX-Biology 3.0 GPA 1982

University of Phoenix Austin, TX-Human Resource Management 3.6 GPA 2008

Dispute Resolution Houston, TX-Mediation

Champion School of Real Estate --- Real Estate

CERTIFICATIONS

Community Mediation, Enforcement Specialist, Phlebotomist, Medical

Assistant, Payroll Specialist, Human Resource Generalist Assistant,

Microsoft Products, OSHA Certified

TECHNICAL and WORK EXPERIENCE

I possess a comprehensive knowledge of Microsoft Word, Excel, PowerPoint,

Access, AS400, Windows2000/XP Internet Explorer 7.0, and mainframe computer

operations. ADP Payroll processing, Mortgage Point System, Windows XP,

QuickBooks Pro, Medtools, Meditech, Xactomed, Practice Manager Nursing,

ICD9 Coding, Care Enhancement Care Manager, Amisys, Macess, claim

processing, claim analyst, OSHA Certified DOT Specialist, Medical

terminology Medical Billing, Claims Adjuster, Phlebotomist, Medical

Assistant,Payroll Specialist. Supervisor, Case Manager, Collections,

Mediator, Human Resources, Mortgage Loan Officer, Care Medix, Arrow, SIMS,

Solution Series, Nex Gen Advanced MD, CMD (Collibrate), Epic

Contact this candidate