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Customer Service Manager

Location:
United States
Salary:
55000
Posted:
October 31, 2011

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Resume:

**** ******* **** ****

Katy, Texas *****

Tel: 281-***-****

cqqohd@r.postjobfree.com

Anahit Burke

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Personal Profile

Operations Management / Client Relations

An experienced professional with over 10 years in office operations and financial billing system support and maintenance. Experience in training and customer service coordination, process and business development. Detail oriented in operations management, customer service, negotiation and creating optimal employee and client relations. Ability to communicate in English, Russian, and Armenian with intermediate understanding of Spanish and French.

Core competencies include:

• EMR (eClinicalWorks)

• ATHENA

• MediSoft

• Marketing and Development • Medical Manager

• Lytec

• Windows XP, Vista,7

• Microsoft Office Suite • Leadership

• Project management

• Training and Development

• Implementation and Development

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Professional Experience

CHRISTUS Medical Group – Houston, TX Sept. ‘09 – Present

Retail Clinic Manager/ Electronic Medical Record (EMR) Training Specialist

Manages the project to ensure that implementation and prescribed activities are carried out in accordance with specified objectives.. Performed business analysis of physician groups relevant to revenue cycles, billing procedures and performance metrics to develop strategies to increase gross revenues. Selected to train all personnel inconsistent application of effective use of software. Recognized for transitioning company into the more profitable by recommending and implementing necessary improvements and changes personnel for multiple clinics, including training relief employees. Skilled and accomplished in financial reimbursement, billing and collections, CPT, ICD9 and HCPCS coding, and sale. Establish/implement goals, objectives, policies, procedures and systems for the assigned administrative areas. Utilized extensive knowledge of health insurance and Medicare reimbursement schedules to secure contracts for practice management software. Served as a liaison between software producing company and the practice on the proper use of the EMR and billing software.

Key Results

• Lead the implementation of EMR and project management

• Excellent communication, organization and computer skills

• Physician Practice Business Process Comprehension

• Spearheaded the opening of new clinic.

• Managed technical support and installation of hardware, software and EMR applications.

• Monitors and controls clinic expenditures within budget.

Train providers on EMR software operations and create instructional manuals. Develop policies and procedures to support clinic performance. Update fee schedule, maintain oversight physician report and monitor CPT and ICD-9 coding and revenue reconciliation procedure to ensure 100% accuracy. Resolve denied or delayed claims with managed care agencies. Develop and analyze aging report. Correspond with compliance specialist to effectively audit medical records. Adhere to all regulatory rules of Medicare, OSHA, and HIPAA. Serves as liaison between clinic and external agencies

Cinco Ranch Medical Group – Katy, TX Nov. ‘08 – Sept. ‘09

A/R Manager/ Office Coordinator

Oversees customer billing and cash receipts processing. Proper recording and application of cash, management of outstanding invoices, and direct interfacing with customers on collection matters and dispute resolution. Support management by providing timely and accurate payment and account standing reports. Manage validation functions of application operation and function, ensuring accurate data entry to the system. Educate the medical staff on coding techniques. Monitor patient admissions, discharges, and movements. Select accurate billing codes for programming needs. Develop reports for accounts payable coordinator to track unpaid invoices. Posted payments and created weekly/monthly reports.

Primecare Medical Group – Houston, TX Jan. ‘08 – Nov. ‘08

Billing Specialist

Determine the appropriate codes for billing purposes. Processed insurance claims and communicated with clients, departments, and insurance providers to obtain status and verify payments. Provided unpaid invoice reports to accounts payable coordinator. Develop reports to include in-depth information such as invoices older than 30 days, reason for non-payment, records of credit requests for returned goods.

Green Trails Family Practice – Katy, TX Aug. ‘06 – Dec. ‘07

Office Coordinator/ Coding Specialist

Supervised and directed front office operations. Verify insurance benefits and eligibility. Communicate with clients and insurance companies. Provide diagnosis codes for payment tracking. Posted payments, developed aging reports and demonstrated exceptional customer service.

I have been leaving overseas with 2000-2006

Ministry of Health of Armenia – Yerevan Armenia 1994-2000

Director of Operations

Provided leadership and strategic direction for medical informatics programs for patient services and related projects. Consulted with and serves as an interface with the medical staff and appropriate committees for the purpose of insuring coordination in systems planning, development and implementation .Conducted assessments of the medical informatics environments, synthesized pertinent information, and identifies implications for planning and development of both clinical services and educational programs, providing periodic structured environmental assessment and recommendations relative to future direction for medical informatics for the Clinical System. Responsible for identifying the needs of the Clinical System for education, training, programs and services in the area of computer skills and competencies in the use of electronic tools for patient care, quality management, utilization management, clinical resource management, and performance improvement initiatives. Responsible for overall planning, development, and implementation of health care informatics programs, products and services, particularly to address the clinical needs of patients and to support the practice of clinical staff.

Pedicatric Clinic – Yerevan Armenia 1991-1994

Clinic Manager

Managed and supervised the operational and administrative functions, activities, and projects of clinic. Responsibilities include the managing, planning and coordinating the operations of the clinic to include: Supervising all clinic staff, billing and collecting procedures, monitoring delivery of patient services, planning for space allocation, acting as liaison with patients, businesses, hospitals, academic administration and faculty.

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Education

MBA, University of Phoenix – Houston, TX (In Progress) 2011

Medical Billing Specialist, Med Vance Institute – Houston, TX 2006

Information Technology, PC Support Specialist – Houston, TX 2004

BS in Computer Science, Yerevan Polytechnic Institute – Yerevan, Armenia 1993

Certification

Professional Coder (CPC), American Academy of Professional Coders

PC Support Specialist



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