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Manager Customer Service

Location:
Spring, TX
Posted:
June 19, 2015

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Resume:

Wendy H. Feins

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

Houston,Texas 77007

832-***-****

acqbll@r.postjobfree.com

PROFESSIONAL EXPERIENCE

Intrafusion, Inc.

DIRECTOR OF PHYSICIAN PRACTICE AND REVENUE CYCLE

**/**** - *****nt

•Responsible for 14 clinics located nationwide

•Responsible for all facets of physician billing for private practices

•Manage clinical and non-clinical staff

•Prepare end of month reports for physicians and administrators

•Assure proper coding for charges

•Assure proper registration of patients, including verifying insurance

•Review schedules

• Training of physicians and/or office staff of any new codes/ coding procedures that effect the

practice

•Responsible for preparation for ICD-10

•Assists with implementation of EMR systems

•Responsible for credentialing for physicians

•Reduced the accounts receivable days out to below twenty-five days.

•Reduced number of denials by 50% by proper coding

•Increased timely reimbursement by transitioning all physician practices to electronic funds

transfer

•Reviewed fee schedule to assure that the charge per procedure was reasonable and above

medicare allowables.

•Responsible for credentialing/set up for all new physicians.

•Responsible for updating existing physicians' information and credentials

Gulf Coast Physician Administrators, Inc 8/2007 to 08/2009

BILLING & OFFICE MANAGER

•Managed all billing for 250+ physicians who were located 16 different hospitals

•Responsible for all facets of physician billing for emergency medicine and hospitalists

•Responsible for month end close

•Review reports for trends and process improvement

•Hire and train new staff

•Responsible for annual evaluations of staff

•Oversee special projects of business office staff

•Responsible for improving and increasing reimbursement

Various

INDEPENDENT CONSULTANT

•Consultant for several private practitioners

•Train staff in IDX-PCS processes

•Implement strategies to maximize reimbursement

•Reduce denials

•Follow-up on appeals

•Maximize upfront collections

•Implemented policies and procedures for operation process improvement

•Oversee revenue cycle management

Houston Northwest Medical Center Houston, Texas

REGISTRATION MANAGER 7/03 to 11/05

•Manager of all departments of registration including scheduling, insurance verification, quality assurance,

cashiers, and emergency room and main areas of admissions.

•Responsible for streamlining admissions process to reduce wait times for patients.

•Liaison between administration and registration areas and central billing office.

•Maximized upfront collections.

•Implemented process improvement for registration of patients in new emergency room.

•Instituted process to reduce wait time on hold in centralized scheduling.

•Implemented new reporting so all scheduled appointments are verified within 24 hours

•Assisted in the developing and maintaining of annual departmental budget.

University of Texas H.S.C. Houston, Texas

BILLING & PATIENT SERVICES MANAGER 4/00 to 5/02

•Responsible for the billing of over 600 physicians of all specialties.

•Manager of seven departments of physician billing office composed of five supervisors and 100 employees:

Invoice follow-up

Self-pay collections

Customer service

Payment posting

Insurance verification

Legal/collection agencies

Credit Balances

•Responsibilities included creating and overseeing the self-pay collections department

•Developed IDX-PCS work files to improve workflow and ensure efficient time management

•Liaison between business office, physicians, and clinical administrators

•Implemented policies and procedures to reduce abandonment rate and answer time of patient calls and

consumer service

•Employed working knowledge of the current spectrum of medical insurance

•Assisted in the developing and maintaining annual budget for the department

MANAGER OF ACCOUNT MAINTENANCE

•Managerial responsibility for five divisions including four supervisors and fifty-three billing

specialists

•Responsible for account management for 600 physicians. This includes accurate accounting of all deposits,

current posting of all payments to patient accounts, resolution of credit balances,

and timely processing of all adjustments and charge corrections

•Develop processes and policies to expedite work flow on IDX system

•Communicate with billing managers, clinic managers and directors of medical operations for problem

resolution

•Training of staff on IDX processes

•Coordination of special projects

•Communicate with insurance companies to resolve outstanding balances on patient accounts

ACCOUNT AUDIT COORDINATOR

•Managerial responsibility for two supervisors and thirty-one billing specialists

•Responsible for resolution of credit balances and all adjustments and charge corrections

•Training of office personnel on IDX billing systems

•Develop policies and procedures for resolution of over eight million dollars in credit balances

•Institute procedures to reduce turn-around time for all adjustments and charge corrections

•Liaison between clinics, directors and central business office for resolution of problem accounts

EDUCATION

2/2004-2/2006 University of Phoenix

Masters in Health Administration

Temple University

B.A./ Education/English

1968-1970

A.A./Spanish



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