NANCY KOCH

* ***** *****, ****, ** ***** • Cell: 678-***-**** • acumve@r.postjobfree.com

Professional Summary

Project manager with over 25 years experience in healthcare and revenue cycle management. Skilled in

providing excellent customer service to internal and external clients. Certified coding and billing specialist since 2001. Core qualifications include Medicare (Part A and B) billing, as well as Medicaid, and other federal program. Well versed with commercial carriers, managed healthcare, and workers comp. Experienced in accounts payable and

receivables, payroll, budget management, staffing and leadership.

Skills

20+ years of medical coding and billing Policy and program development expertise

Certified coding and billing specialist since 2001 Proficient in ICD and CPT coding

Budget Management Sales and Marketing

Process Improvement Payroll

State and Federal regulation knowledge Accounts payable/receivable

Detailed oriented 20+ years in leadership roles

Team player Great communication skills

Work History

Credentialing and Billing Consultant 12/2014 to present

Self Employed-Rome, GA

Performed all aspects of credentialing physical and occupational therapists with individual clinics.

Enrolled newly licensed therapists with CAQH and NPPES participation.

Renewed clinical staff with both existing and new insurance contracts.

Maintained current license and COL information for all clinical staff in multiple clinics.

Negotiated reimbursement contracts for carriers.

Applied for new insurance contracts as they became available in certain market locations.

Informed all clinics and directors of new hire credentialing approvals.

Implementation Project Manager, 04/2011 to 12/2014

Source Medical – Birmingham, AL

On boarded and transitioned 75+ clients to TherapySource software and billing services while overseeing 5 Dept

Provided one on one software training and daily quality assurance to new clients during implementation to

billing service in order to avoid revenue snags.

Reviewed key department productivity and client interaction each month to determine client transition from

implementation to general workflow and off shore billing partners.

Served on key groups to test software upgrades prior to updates being published to clients.

Monitored, reviewed, and communicated changes in billing for Medicare, Medicaid, and commercials payers to

all clients, billing staff, and multiple off shore partners.

Managed and coordinated internal and external resources required for implementation. This includes

implementation managers, trainers, outside vendors and other resources necessary to provide for smooth client

transition.

Ensured effective communication of all parties to complete tasks on time.

Managed expectations of clients, sales team, and internal customers via personal communication and weekly

project status reporting.

Created reports to show key performance indicators and developed action plans to address deficiencies and

enhance strengths.

Billing Manager, 12/2001 to 04/2011

Advance Rehabilitation/Source Medical – Rome, GA/Birmingham

Managed staff of 30+ in payment posting, insurance verification, billing, credentialing, and refunds.

Billed daily and monthly charges to carriers via paper and electronic format.

Approved monthly billing and month end reconciliation reports.

Maintained client databases by adding and updating fee schedules, insurances, CPT and ICD codes.

Assisted in development of Marketing plan to increase revenues.

Developed several Policies and Procedures for business office and clients through Process Improvement

mapping to reduce clerical errors and increase consistency.

Trained clinic office managers and staff all areas of business office with focuses on Medicare and Medicaid

billing.

Attended tradeshows to help market our billing office product to physical and occupational therapists.

Procurement Specialist, 06/1998 to 12/2001

Maxim Group – Kennesaw, GA

Maintained software license information for Shaw retail stores.

Updated hardware information in corporate support center and retail locations.

Provided help desk support to internal clients as well as field customers.

Clinical Patient Representative, 06/1993 to 06/1998

Harbin Clinic – Rome, GA

Patient check in and check out.

Insurance verification and registration.

Triage patient calls and escalate to surgeon.

Schedule and precert patients for surgical procedures.

Managed various general office duties such as answering multiple telephone lines, completing insurance forms

and mailing monthly invoice statements to patients.

Radiology Secretary, 05/1989 to 06/1993

Floyd Medical Center – Rome, GA

Patient check in and check out.

Prepare xrays for radiologist's reading and interpretation.

Scheduled patients for procedures.

Education

Medical Coding and Billing Certification: 2001

Chattahoochee Technical College - Dallas, GA

Georgia Highlands College, 1989-1990

Pepperell High School - Lindale, GA

Top 10% of class

References

References are available on request.

Contact this candidate