Veronica Endsley

* ***** **** ******. ******, TX 77578 PHONE: 832-***-**** E-MAIL:acqadq@r.postjobfree.com

EDUCATION

Houston Community College Houston, TX

Associate Degree - Management

CERTIFICATION:

Epic Resolute PB

EXPERIENCE IN:

Microsoft Exel

Microsoft Word

Microsoft Powerpoint

Microsoft Publisher

Microsoft Outlook

Microsoft Project

Omni Plan

Data Entry

ARMS PRO

HealthQuest

PROFESSIONAL EXPERIENCE

Benefit Recovery

March 2015 – Present

Recovery Support Specialist

Responsible for contacting insurance carriers for claim status

Responsible for ensuring claims are paid according to contract

Responsible for claim adjustments for inpatient, outpatient and ER

Responsible for submitting appeals to insurance carriers for inpatient, outpatient, and ER

Responsible for calling and mailing member letters for updated information

Responsible for follow up on appeals

United States Mail Carrier – Part Time

January 2015 – Present

Responsible for delivery of mail to clients in the Fresno Area

Project Manager/Implementation Consultant

Consulting Company (Xerox)

September 2013 – June 2014

Responsible for the full implementation of 3M Coderyte (coding application that interfaces with 3M 360-Emcompass application) for several 3M clients.

Lead discovery meetings at Client Sites and weekly status meetings.

Updated daily and weekly project plans (OmniPlan, Microsoft Project & Openair NetSuite) including updating specification documents.

Trained clients on system use.

Created tracking spreadsheets for all project resources.

Ensured project requirements and deadlines were met from client and IT team.

Parsed HL7 data for engine coding.

Assisted clients with analyzing and documenting workflow changes.

Ensured data was flowing into workqueues correctly for coding.

Responsible for all client issues tracking for implementation and testing.

Strong analytical, critical thinking and communication skills.

Independent Contractor

February 2011 – June 2013

Project Manager of Revenue Cycle of Resolute Professional Billing.

Responsible for the project management of several Patient Financial Services' portfolio of system enhancement request from 2011 through 2013.

Liaison between Stakeholders, Leadership, PFS, and IT.

Lead and participate in weekly meetings for each project.

Update daily and weekly project plans.

Create agenda and minutes for all meetings and distributed to team.

Review and validate testing scenarios and results.

Ensure project requirements and deadlines are met for PFS.

Participates in the overall project budget including estimating & forecasting of resources to ensure the project is delivered on time and within budget.

Analyzed and documented workflows.

Create testing scenarios and work with various departments within PFS to ensure all phases of work were tested.

Assisted on the ICD-10 project. Helped create test scenarios for all departments to ensure cross over from ICD9

Strong analytical, critical thinking and communication skills

Project Manager for Revenue Cycle Charge Capture involving several specialties within the PFS setting. Assisted on the ICD10 project. Assisted on several claims projects by updating daily or weekly project plans. Worked remotely.

Manager

Texas Children's Hospital

June 2009 – January 2011

Manager, Patients Accounts/Charge Capture/Data Entry

Responsibilities included managerial, supervisory, and technical leadership to a team of 22 employees.

Provided project leadership, evaluation, training, and support through 6 Epic Go-Lives included: PB, EpicCare EC Billing, EpicCare Inpat EMR, EpicCare Amb EMR, EpicCare OB/GYN EMR, EpicCare Surgical EMR which included Op-Time.

Updated daily and weekly project plans.

Lead and created agenda and minutes for all meetings.

Participated in the overall project budget including estimating & forecasting to ensure the project is delivered on time and within budget.

Strong operational experience in Physician computerized order entry and patient billing.

Act as a liaison between management, physicians, and Epic on process flow.

Assisted Epic Team during all go-live testing.

Served and assisted Lead on Resolute Design in Epic Sup for each go-live.

Assisted Epic Build team on what was needed for our process.

Assisted with writing all rules for workqueues and the router.

Served as Lead on Validation and testing of Build in Epic Prod for each go-live.

Project Manager of process assessment, security, and workflow even while short staffed.

Responsible for the management of meeting a monthly budget of $25 million which we exceeded.

Project Manager of monitoring quality assurance.

Assisted project team on testing for scheduling in Cadence, registration in ADT/Prelude, test reporting.

Lead on project to produce reports from clarity to report daily dollar amount entered by charge capture team through inpatient and ambulatory billing.

Created how to manuals on Epic workqueues, registration, and charge capture.

Trained staff on process flows for Epic charge capture, coding, and registration.

Evaluate, maintain, and implement quantity and quality productivity measurements.

Received understanding and training on 5010 implementation.

Served on team to start preparing for ICD-10.

Oversee the daily operations of the charge capture process

Monitor quality assurance and productivity standards for staff

Ensure policies and procedures are followed

Report weekly and monthly operational expectations

Develop and implement effective processes to ensure accurate billing

Develop and implement best practices for document intake, registration, and charge entry

Evaluate, maintain, and implement quantity and quality productivity measurements for staff

Recruit, interview, educate, and develop staff

Analyze processes for trends

Communicate effectively with peers and upper management

Charge Entry Supervisor

Baylor College of Medicine

April 2007 – June 2009

Responsibilities included managerial, supervisory, and leadership to a team of 25 employees working in the IDX/TES System.

Oversee the daily operations of the charge capture process.

Monitor quality assurance and productivity standards for staff.

Ensure policies and procedures are followed.

Report weekly and monthly operational expectations.

Develop and implement effective processes to ensure accurate billing.

Develop and implement best practices for document intake, registration, and charge entry.

Evaluate, maintain, and implement quantity and quality productivity measurements for staff.

Recruit, interview, educate, and develop staff.

Analyze processes for trends.

Communicate effectively with peers and upper management.

Professional Fee Coder Sr./Data Entry Clerk

Baylor College of Medicine

January 2005 – April 2007

Review and apply appropriate ICD9 and CPT codes to charge documents

Review TES and Medicode edits for coding errors.

Severed as support in testing and training in Allscripts.

Review and resolve all charges prior to submission.

Identify and report trends found within the TES work files to maintain cleanliness of claims billed

Review and resolve coding charge corrections for all billing areas.

Participates in physician education regarding coding and billing topics.

Obtain patient information to verify coding issues are resolved.

Batch charge documents.

Assist with training of peers.

Assisted direct supervisor with day to day operations of billing area.

Patient Financial Specialist

Baylor College of Medicine

January 2001 – January 2005

Managed clinic charges for multiple billing areas including NEO, Cardiology, Hematology, Critical Care Medicine, Neurology, Infectious Disease, etc.

Balanced front office payments for all physician offices to ensure timeliness and accuracy of time of service payments (TOS)

Reviewed patient insurance information, as well as the charge document information, in order to ensure accuracy of data entry

Identified and reported trends found within the TES work files to maintain cleanliness of claims billed

Obtained patient registration data from multiple interface systems for the purpose of documenting patient information on claims

Processed daily electronic physician billing charges for the purpose of charge capture

Reviewed and applied appropriate ICD9 and CPT codes to charge documents

Assist with training of peers and management

Assisted direct supervisor with day to day operations of charge capture.

Data Entry Clerk

Humana Healthcare

January 1998 – January 2001

Processed patient claims for the purpose of charge capture

Coordinated and managed more than 300+ clinic charges for multiple physician offices daily

Reviewed and applied appropriate ICD9 and CPT codes to physician charge documents

Assisted direct supervisor, as well as department peers, with day to day operational functions

City of Houston

Sr. Professional Secretary

September 1996 – February 1992

Answered all calls for the Director of Human Resources

Typed all correspondences

Keep daily calendar for Director of Human Resources

Made all travel arrangements

Filed all paperwork

Ordered all supplies needed for all departments

Set all appointments

Greeted all visitors and ensured they were taken care of

Assisted all other Directors in the office

Handled all situations in Directors absence

Keep area organized and neat

Ensured all information was kept confidential

Ensured all Director direct reports meet all deadlines

Office Manager

Top Priority Child Care

January 1991 – January 1998

Implemented and ensured that all state policies and procedures were adhered to, oversaw daily activities of 20+ employees, assisted teachers, maintained payroll responsibilities, created policies and procedures for business, met with state agency representatives for the purpose of maintaining daycare provider status.

Contact this candidate