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Medical Billing Manager

Location:
Bonita Springs, FL
Salary:
Negotiable
Posted:
September 16, 2015

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Resume:

Tamara Hill

acrpuc@r.postjobfree.com 239-***-****

Management

Delivery • Project Research• Writing

Creative Professional with strong record of academic and experiential success. Master’s Degree in Health Administration. Bachelors of Science degree in Information Management. 15+ years’ experience in Educational Administration. Committed to diversity in workplace and client base. Adept at interacting with all levels of personnel throughout reporting structure. I am highly skilled at directing complex projects from concept, including monitoring and assessment to delivery.

Accomplished and energetic billing coordinator with a solid history of achievement. Motivated leader with strong organizational and prioritization abilities. Areas of expertise include audit of codes on claim forms, process of managing, appealing, and submitting claims for various third-party payers including Medicaid and Medicare as well as liability and workers' compensation and following the claim through its submission, processing, adjudication and payment. Experience Types of reports including; Consultations, Emergency Room Records, History and Physical Records, laboratory Records, Physicians Orders, Procedure Notes, Progress Notes, Radiology records and Pathology

Records. Coded records in a variety of medical specialties. Strategic planning and analysis skills; strong understanding of billing and collections for physicians and or medical practices; accounting knowledge and understanding of financial statements; understanding of managed care contracts; understanding of HEDIS and HCC coding; management breadth to direct and motivate; highly developed communication skills; political savvy; and the ability to develop clear action plans and drive process, given often ambiguous issues with numerous interdependencies.

Professional Experience

EM Care

Billing Coordinator (3 years)

Areas of Expertise Included but were not limited to:

Significant experience using and/or promoting business-to-business software technologies to the healthcare industry. Maintain and/or create reports as needed for hospital staff, company owners, or subordinates through highly developed spreadsheets.

Responsible for updating and billing client premium statements.

Strong working knowledge of Medicare health care operations.

Provide customer service with clients and carrier representatives

Facilitates and oversees business meetings with physician groups and their staff.

Provided guidance, coaching and support to subordinates.

Create timely performance evaluations.

Coordinated vacation schedules.

Experience working with individuals with mental health diagnosis such as schizophrenia, bipolar disorder and borderline personality within the special education realm and the juvenile justice center of Minneapolis, MN.

Minneapolis Public Schools – Minneapolis, MN 15 years

Largest school district in Minnesota incorporating Magnet and traditional schools K-12.

Office Administrator (2006 to 2008)

Manage payroll for all staff using SAP operating system. Track special needs students through Excel. Provide compliance data when directed. Ensure legal documentation recorded to facilitate receipt of special education services. Accomplishment

Created and implemented tracking database used throughout Minneapolis Public School District resulting in prevention of significant fines.

Streamlined compliance data of Individualized Education Plans (IEPS), Special Education Evaluations, and Re-Evaluations

Assured compliance with “No Child Left Behind” mandates

Provided support to Teacher Instructional Services and Special Education. Implemented tracking system using ACCESS for all Special Education Assistants and Cadre Staff.

Abbott Northwestern Hospital – Minneapolis, MN 2 years

Largest hospital in the Twin Cities.

Volunteer (2011)

Designed and performed evaluation methodology for food service workers. Consulted with Safety Department to reduce accidents and claims. Evaluated injury records, ANH rules, and Service Union (SEIU) contracts.

Stevie Wonder – Los Angeles, CA 6 years

Singer, composer, performer and multi-Grammy winner.

Personal assistant/Back Up Singer

Provided confidential assistant services. Set up venues for concerts. Traveled as part of inner-circle. Interacted with entertainers, assistants, promoters, and music executives.

Accompanied Mr. Wonder at tribute to Martin Luther King

Performed on two gold records

Education & Additional Qualifications

University of Phoenix – Minneapolis, MN

PhD. Candidate.

Masters of Health Administration (GPA 3.67/4.0)

CareerStep

Medical Coding Certification

College of St. Catherine – Minneapolis, MN

B.S. Information Management (GPA 3.60.4.0)

Minnesota Community College – Minneapolis, MN

A.A. Communications



Contact this candidate