Jennifer Jones

**** ****** *** **.

Duncanville, TX 75137

214-***-****

acq9ep@r.postjobfree.com

Summary

Medical trained professional with a background in Healthcare, Home Health Billing and Coding, and QA (Compliance). Savvy, results-oriented Manager with over 5 years proven success in managing healthcare facilities; adept problem-solver that creates both practical and agreeable solutions; critical thinker who can apply extensive industry knowledge to enhancing opportunities for patients and employer.

Professional Experience

PMS Medical Consultants January 2013-Present

Office Manager/Intake Coordinator/Contractor

Responsible for receiving phone calls pertaining to the office. Supervises receptionist to ensure effective telephone and mail communications both internally and externally to maintain professional image. Supervises and coordinates overall administrative activities for the Office Administration Department. Supervise Scheduler-create/maintain employee schedules, oversee/manage call-in and retention reports, oversee/manage schedules per company policy/procedure, enter client and staff information into database, maintain staff and client statics and reports, Payroll Manager, Assistant Administrator duties, Supervise Intake Coordinator- all referrals to include notification of insurance providers for prior authorization and services covered. Assures that all SN and HHA frequencies are according to the Plan of Treatment and/or appropriate to the patent needs, and coordinates scheduling. Managed all HR responsibilities; Substantiates applicants' skills by administering and scoring tests. Scheduled/conduct interviews by coordinating appointments and welcomed new employees to the organization by conducting orientation/training on Axxess. Implement changes to office personnel and field staff for better flow of visits and communication from within the office to the field and from the field to the office. Performs Quality Assurance of accuracy and timeliness of nurses notes, physician orders, wound care orders, wound care supplies, change of care orders, execute audit assignments-including documentation to follow specific diagnosis, work with management for areas of improvement, report findings to the DON (Director of Nursing), perform billing/claim adjustments audits to ICD codes, coordinate clinical staff for adequate patient flow, weekly meetings with HHA for performance and patient flow. Communicate with Administrator/DON of any information received from physician, patent or employees about the patents care or needs. Oversee daily referral log, continue contact with referral sources. Monitored and handled patient/ physician complaints, and documents and forwards to appropriate administrative staff. Managed Care Billing weekly (Humana and Texan Plus).

Southwest Home Health Services January 2014-October 2014

Human Resource Manager

Primary contact for receiving phone calls to the office. Supervise receptionist to ensure effective telephone and mail communications both internally and externally to maintain professional image. Supervises and coordinates overall administrative activities for the Office Administration Department. Managed all HR responsibilities. Substantiates applicants' skills by administering and scoring tests. Scheduled interviews by coordinating appointments. Welcomed new employees to the organization by conducting orientation. Managed payroll information by collecting time and attendance records. Submitted employee data reports by assembling, preparing, and analyzing data. Maintained employee information by entering and updating employment and status-change data. Provided secretarial support by entering, formatting, and printing information; organizing work; relaying messages; Supervises the maintenance and alteration of office areas and equipment housekeeping of office. Negotiates the purchase of office supplies, office equipment, etc., for the entire staff in accordance with company purchasing policies and budgetary restrictions. Supervises the maintenance of office equipment, including copier, fax machine, etc. Maintained employee confidence and protected operations by keeping human resource information confidential. Maintained quality service by following organization standards. Maintain technical knowledge by attending educational workshops and reviewing publications. Contributed to team effort by accomplishing related results as needed. Communicates with Administrator/DON of any information received from physician, patent or employees about the patents care or needs. QA SN notes, Supervise Scheduler(s)-create/maintain employee schedules, oversee/manage call-in and retention reports, oversee/manage schedules per company policy/procedure, enter client and staff information into database, maintain staff and client statics and reports, Payroll Manager, Assistant Administrator duties, Supervise Intake Coordinator- all referrals to include notification of insurance providers for prior authorization and services covered. Assures that all SN and HHA frequencies are according to the Plan of Treatment and/or appropriate to the patent needs, and coordinates scheduling. Responsible for daily referral log coordination to all marketers, documentation of nursing process, appropriateness of intervention/action and timeliness of documentation. Using discretion and independent judgment in handling patent or physician complaints received, documents and forwards to appropriate administrative staff. Maintains any reports essential for appropriate billing and reorder process.

Naaman Community Health Services, Inc. August 2010-March 2014

Human Resource Manager/Office Manager

Supervises and coordinates overall administrative activities for the Office Administration Department. Managed all HR responsibilities. QA home health aide notes, make corrections to notes/orders, weekly Oasis Transmissions, quarter utility review, in-service aides, input new in-takes, order office supplies, order medical supplies, keep track of inventory of supplies, batch reports weekly in Kinnser software, Care portal inactive files/transfer, responsible for all necessitate of the office to run sufficient, responsible for maintenance contact for building repairs, supervise schedulers, manage office of workflow, assist DON with corrections to 485s, interview clerical positions/HHA, perform background checks, perform checking of LVN/RN license, send 485s to doctor alliance to selective physician(s) for signature/communication, troubleshoot (inner office), budget control, CPR certified, Registered MA, medical supplies/wound supplies, confidentiality, insurance verification, posting (billing), check eligibility, CMS reports, monitor remote access, payroll, and conduct sales reps for wound care products. QA -Responsible for auditing the accuracy and timeliness of nurses notes, physician orders, wound care orders, wound care supplies, change of care orders, execute audit assignments-including documentation to follow specific diagnosis, work with management for areas of improvement, report findings to the DON (Director of Nursing), perform quarterly audits, perform billing/claim adjustments audits to ICD codes, weekly nurse meetings, strong organizational skills and detail attention, weekly communication with progress, coordinate clinical staff for adequate patient flow, weekly meetings with HHA for performance and patient flow, coordinate patient surveys and report to DON.

Horizon Home Health Agency August 2008-August 2010

QA/QI Coordinator

QA all charts for correct documentation, make corrections to orders, quarter utility review, schedule appointments for new in-takes, in-service nurses and aides, evaluate aide patient care, transfer orders, review hospitalizations, in-put 485, send 485 to my485.com to selective physicians for signature, answer phones, light filing, order patient supplies, PT/OT referrals, asst DON, some admin duties, light typing, occasional phlebotomy, evaluate nurses in patient home, organizing medical records / charts for survey.

Education

● UT in Arlington- MIS 08/1994-01/1996

●Ultrasound Diagnostic-Medical Assistant 11/1998-12/1999

● Concorde LVN Program 03/2001-01/2002

●Business & Management High School – H.S. Diploma Graduate 1994

Certification

Administrative Experienced OSHA Knowledgeable CPR Certified; X-Ray Proficient (not certified) Kinnser Software Remote Access; Axxess Software; BMD Certified, Care portal Software.

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