Charlene Cox Lawrenceville, Ga 937-***-**** acul8o@r.postjobfree.com

Professional Medical Mngmt Medical Billing/Coding Revenue Recovery & Cycle Mngmt H.R. Project Mngmt Consulting Sales

Hardware:*

Commercial scanners

Faxes, copiers PC/ Laptop,

Operating Systems:

Experience with: Windows 95/98, XP, 2007, 2008 Pro, and Vista

Skills: Business Analysis, Management, Consultant, Instructing, creating policy/procedure guidelines etc.

Software: Microsoft Word, Excel & Outlook

Medical EMR’S: AthenaNet, Epic, Advanced MD, EMDs, RAPID, Quick Practice, Medisoft, Alteer, Rapid PM, WebPT, Kareo, Medic, Misys

Honors/Awards

2003 International Who’s Who Of Professional Management

Professional Organizations Past and Present

PAHCOM: Voted In as Dayton Ohio PAHCOM Chapter President

Previous year served as PAHCOM Vice President

Previous year served as PAHCOM committee member

PAHCOM: Served Nationally as Committee member for several years

Nominated Who’s Who of Business Women

NAPW National Assoc. of Professional Women

Specialized Training

Training on HIPAA Policy Served as HIPAA Privacy Officer for 13 years.

OSHA Training & Compliance

Leadership and Management Professional Society National Conference Reno Nv 2002

Leadership and Management Professional Society National Conference Nashville, Tn 2001

Leadership and Management Professional Society National Conference Biloxi Mi 2000

I organized & attended: Leadership Seminar Keynote Speaker Nationally Known Jane Bouchaert-Arnst, along with a Vendor Fair

Education: Associate Business Management & Applied Science (AAS)

Experience

Contract Position: Avery Partners Inc. - Project Manager 12/30/15 – 1/26/16 Completed Project. 1805 Old Alabama Rd. Roswell, GA 30076 PH: 770-***-**** Super: Lil Kloock Ph: 678-***-****

I was over a Project involving 600 providers. I had a staff of 35 with 3 leads to assist. We served as a CBO for a company that acquired 2 hospitals & all the doctors under each hospital. We were doing the patient registration and charge entry so they had time to establish new protocol with the existing staff. I taught them the software in a classroom environment, wrote protocol and workflow for the staff, created educational material and observed the staff to assist them with understanding their function.

ACOM HEALTH Solutions (National), Duluth -Project Mngr/Trainer Promoted to Acct Mngr/Sales Jan 5 2015-June 25 2015 2455 Meadowbrook Pkwy, Duluth, GA 30096 ***-**-**** Super: Dr Radivoj

Project Manager/Consultant/Trainer for a National Medical E.H.R. Software Company:

Oversaw all onboarding procedures of new & established clients during installation (up to 21 clients simultaneously) making sure all installation steps were covered in onboarding new customers on ACOMs end & the office's end.

Provided product training for clients on the use of E.H.R. software after newly on-boarded or newly upgraded.

Assisted managers in onboarding products at the most opportune time from the office perspective (coming from 25 years of office management)

oOnce promoted to Account Manager/Consultant/Sales:

Responsible for rapport building with clients. I would call them, discuss their unique, individual situations & needs, quickly assess their software needs, consult with them & suggested products to assist them in being more efficient, productive and accurate.

Laid out several new revenue generating ideas to the National General Manager.

Premier Immediate Care, Suwanee - Consultant, ast w identifying/resolving Protocol &Billing Dept. Sep 9 2014- Sept 25, 2014 2696 Lawrenceville-Suwanee Road Suwanee, GA 30024 PH: 678-***-**** Super: Lynn Seymore

The CPA, acting Manager, perused me for a year to come assist the practice in Revenue Recovery as she saw my results first hand when I worked in another company she was CPA for.

Consulted with the office & staff to identify all their issues causing them to be running in the red.

Assisted them in attesting to PQRS

Assisted them in attesting to Meaningful use as they had no clue what to do to fix their issues. This required software issues to be corrected as their RX among other issues were not recording correctly AND new Office Protocol to be in place to capture the numbers correctly to allow them to attest to get their bonus.

I quickly identified 2 MAJOR insurance companies that were not paying the practice correctly, owing them thousands upon thousands of dollars.

I reported the above insurance companies to the Dt of Insurance in Georgia and gave all the information to the acting manager.

The acting manager had brought me in as a consultant. I realized they had no one on staff that knew how to identify OR resolve any of their issues so I agreed to stay on to help establish new protocol, help them with attestation for 2 issues and identify revenue issues & provide a solution. Once I began to accomplish these tasks, the Doctor wanted me to enter charges for the 6-7 providers, the billing manager wanted me to manage the AR in their Workers Comp, and the reason the acting manager brought me in was to fix their issues & help with AR recovery. Due to lack of internal agreement, post consult, we parted ways amicably.

Sills Primary Care S Lee St Buford 30518 - Billing Mngr/AR Recovery Spec 770-***-**** Dec 9, 2012- Sept 4, 2014

I reorganized Dr. Sills Medical Billing and added several procedures that are being reimbursed so she is generating more revenue per patient.

I rescued $10,000.00 that was stolen from the practice as the perpetrator was never prosecuted.

I rescued over $50,000.00 in payments on old claims that were never put in correctly nor followed up on (Revenue Recovery) as well as entering, sending & correcting all the daily claims simultaneously.

I followed up on unpaid claims and was bringing in payments from the past and current year simultaneously for over seven months. (There were literally hundreds of claims left on the table unpaid.)

I completed Medical attestation, by re-writing software reports as the doctors attestation failed due to her current software systems incorrect reporting & their failing to correct the issue so she received her $10,000.00 bonus from the government.

I also acted as HIPAA Privacy Officer for Dr. Sills.

(When I left, Dr. Sills had told me she was going to sell the practice and follow another path in the medical field, however, I do not know if that transaction has been completed to this date)

Confirmed patients’ insurance coverage via EMR/Insurance portals or phone fax verification

Surgical Assistants of America, Inc. Duluth – Billing Manager/Revenue Recovery Jan 2011 – Aug 2012

I recovered over $90,000.00 in lost revenue in less than 6 months.

Project Manager over on-boarding 5010. Solely responsible for 5010 system upgrade and trending errors to bring system to 5010 to compliance

Patient data entry/charge entry/claim submission for 12 providers

Completed follow up with Primary surgeons/Hospitals for coding compatibility

Posted all payments from patients and insurance companies.

Revenue Cycle Management & Processed patient statements (including folding/stuffing statements)

Accounts receivable follow up including appealing denied claims -Answered incoming calls

Collected data on new cases for the surgical coordinator

Assisted with insurance contract negotiations (I was the key in landing their biggest contract)

Obtained all information for audits

(Sadly 3 months after I left, the company closed. I did, however, get a letter of recommendation from my manager and she left just before me and had agreed to be a reference for me as she was most familiar with my work).

Modern OB/Gyn -Johns Creek - Manager new startup practice Sept 2010 – Jan 2011

New start up practice-Built new software files

The few months I was there went mostly to Software configuration/file building for a new practice.

As sole administrator I was single handedly building their software

but also responsible for answering all incoming calls, (4 lines)

all charge entry & receipt entry

Creating new charts on every patient (new practice)

Calling every patients insurance to verify benefits prior to apt.

Calling to confirm all patients apts.

Scheduling surgery for patients at the hospital

scheduling first assist/robot when needed

checking all patients in and out

End of day reconciliation

Responsible for all daily, weekly and monthly reports.

Confirmed patients’ insurance coverage via EMR/Insurance portals or phone fax verification

Reimbursement for Medical Services (RMS) – Germantown Ohio Office Supervisor/Medical Biller Oct 2007 - July 2010

Track employee vacation and sick time.

Entire Medical Billing Administration for 2 practices as well as aid other employees with their practices & assist them with areas where payors were not paying in teaching them to do drill downs etc.

Established Internship Program (have hosted 25 plus interns) Oversee staff and interns.

Attended multiple conferences and seminars on Administration, management and Medical Billing

Helped employees become more effective in their positions providing leadership and new skill sets to be more efficient in their individual jobs.

Figured out how to use new software that was provided to us with no instruction to recover $35,000 in 3 months of revenue that was up to 2 years old.

Crescent Women's Medical Grp Inc – Cincinnati Ohio – Office Manager Jan 2004 - Oct 2007

I recovered $35,000.00 in lost revenue my first year as the team prior to my employment was not detail oriented and was not aggressive enough to recover the revenue. (They had not been paid by Medicare in 2 years)

I was in charge of initiating the new software system and renting training facilities to accommodate 23 employees to learn the new software; then became the office IT specialist to troubleshoot and help any employees who had difficulty signing on or moving through the software.

Arranged employee schedules and tracked vacation time, as well as maintaining Physician schedules with patients in the office setting.

Worked with vendors for health insurance, disability insurance as well as hardware and software vendors.

I became the liaison for all vendors in both of my departments.

Responsible for all monthly reports as well as annual and quarterly reports for business meetings.

Confirmed patients’ insurance coverage via EMR/Insurance portals or phone fax verification

Aimee M. Richmond, M.D. –Middletown, OH- Medical Practice Manager/Medical Biller March 1990 - Dec 2003

Organized benefits packages for employees to be competitive in the market

Project Manager-all purchases including computer hardware and software

Accounts receivable and accounts payable

Medical coding/billing daily

Posted all receipts from patients & insurance companies

Interviewed, hired and trained all staff

Wrote HIPAA Policy & became HIPAA Privacy Officer

Did OSHA training

Employee annual salary reviews

Tracked & scheduled for vacations for staff AND Doc.

ran all monthly reports/Daily reconciliation/Made all bank deposits

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