Summary

Over ** years working in various levels of Customer Service, with emphasis on improving efficiency, productivity and organizational consistency. Strong educational background as a Third Party Collections instructor.

Areas of Expertise

Governmental Insurance

Third Party Collections

CPT / ICD-10 Coding

Commercial Insurance

Medical Billing

Customer Satisfaction

Medical Software

Front Desk Functions

Employee Productivity

Professional Experience

Third Party Collections Manager April 2017-Present

Collect standardized forms from medical departments, analyze basic data/provide recommendations and information to executive leadership and medical staff.

Modify Electronic Health Records profiles to record regulatory compliance with Other Health Insurance (OHI) reporting requirements, and in accordance with HIPAA guidelines, utilizing Armed Forces Billing and Collections Utilization Solutions, (ABACUS), Composite Health Care System (CHCS), and Defense Enrollment Eligibility Reporting System (DEERS) for 25,500 beneficiaries.

Analyze and interpret medical insurance claims, work with network insurance providers to recapture funds to support the Military Health System (MHS); process reimbursement checks received for rendered services; recovered $600,000. to date.

Evaluate and track operational effectiveness against short and long range goals for budget planning and for consideration in the business plan.

Monitor and assist with data quality, data, data security, and data timeliness to benefit the Patient Centered Medical Home and Medical Treatment Facility operations.

Kaplan University Instructor December 2017- January 2023

Education

Kaplan University – Baltimore, Maryland

Associate Degree in Medical Office Management – Pending

Crescent City Technical – New Orleans, Louisiana

Associate Degree in Office Administration – 1986

Certifications

Certification in Insurance TPC UniversityNew Orleans 2001-2001

Troy State Third Party Collection Savannay, Georgia 1982-1983

Certification in Insurance New Orleans, Louisiana 2001-2001

Medical Billing and Coding Expiration July- 2017

BLS CPR Instructor Expiration May- 2018

Medical Scriber Kaplan

References : Patricia Brown GS13Arkansas Veteran Administration

Gen A K Flowers

Attorney Lynn Luker

Summary

Over 25 years working in various levels of Customer Service, with emphasis on improving efficiency, productivity and organizational consistency. Strong educational background as a Third Party Collections instructor.

Areas of Expertise

Governmental Insurance

Third Party Collections

CPT / ICD-10 Coding

Commercial Insurance

Medical Billing

Customer Satisfaction

Medical Software

Front Desk Functions

Employee Productivity

Professional Experience

Third Party Collections Manager April 2017-Present

Collect standardized forms from medical departments, analyze basic data/provide recommendations and information to executive leadership and medical staff.

Modify Electronic Health Records profiles to record regulatory compliance with Other Health Insurance (OHI) reporting requirements, and in accordance with HIPAA guidelines, utilizing Armed Forces Billing and Collections Utilization Solutions, (ABACUS), Composite Health Care System (CHCS), and Defense Enrollment Eligibility Reporting System (DEERS) for 25,500 beneficiaries.

Analyze and interpret medical insurance claims, work with network insurance providers to recapture funds to support the Military Health System (MHS); process reimbursement checks received for rendered services; recovered $600,000. to date.

Evaluate and track operational effectiveness against short and long range goals for budget planning and for consideration in the business plan.

Monitor and assist with data quality, data, data security, and data timeliness to benefit the Patient Centered Medical Home and Medical Treatment Facility operations.

Kaplan University Instructor December 2017- January 2023

Education

Kaplan University – Baltimore, Maryland

Associate Degree in Medical Office Management – Pending

Crescent City Technical – New Orleans, Louisiana

Associate Degree in Office Administration – 1986

Certifications

Certification in Insurance TPC UniversityNew Orleans 2001-2001

Troy State Third Party Collection Savannay, Georgia 1982-1983

Certification in Insurance New Orleans, Louisiana 2001-2001

Medical Billing and Coding Expiration July- 2017

BLS CPR Instructor Expiration May- 2018

Medical Scriber Kaplan

References : Patricia Brown GS13Arkansas Veteran Administration

Gen A K Flowers

Attorney Lynn Luker

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