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Manager Customer Service

Location:
Riverdale, GA, 30296
Posted:
September 29, 2010

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Resume:

MARIETTA HARRISON

**** ****** *****, ********* **. 30296 770-***-****

*****************@*****.***

Summary of Qualifications

Dedicated and technically skilled professional with a versatile administrative support skill set developed through experience as an office manager, financial manager with emphasis in coding and billing.

Excel in resolving contract re-negotiation for a Physician based practice, systems and process improvements proven to increase efficiency, reimbursement and patient satisfaction and the bottom line.

Offer advanced computer skills in MS Office, Centricity and other applications/systems.

Key Skills

Office Management

Teambuilding & Supervision

Staff Development & Training

Policies & Procedures Manuals Report & Document Preparation

Reimbursement

Accounts Payable/Receivable

Clean Claim electronic submission Records Management

Meeting & Event Planning

Coding & Billing

Credentialing

Experience

Radiation Oncology, LLC, Atlanta, GA 2007 to Present

Financial Manager,

Exercise independent judgment, decision-making abilities and high level of confidentiality. Results:

Developed and updated Physicians on Charge Master and bundled codes.

Negotiated contract from Caputative to fee-for –service.

Medical Review Appeal bundled Consults and Office Visit, increasing revenue 65% plus interest incurred from a major Insurance carrier.

Prioritizing and Managing accounts not to exceed past 60 days on the A/R.

Accurate coding, charge post to ensure proper reimbursement.

Act as liaison between Physicians and Hospital Management.

Collaborated with various Insurance companies regarding credentialing.

Integrated Care Management/DOAS Atlanta, GA 2006 to 2007

Lead Triage Analyst

Served as executive assistant to the case management team, handled busy phones, functioned as primary liaison to injured state workers and their employer, and ensured a consistently positive customer experience. Results:

Helped create protocol for chemical asbestos inhalation manual with the help of CDC and Concentra Medical Center-Director.

Followed injured work to the hospital, collaborated with ER Nurse and treating Physician.

Document to support the necessary plan of treatment.

Secure, organize, integrate and modify case management plans.

Quickly became a trusted assistant to the company president, executive staff and office manager and earned a reputation for maintaining a positive attitude and producing high-quality work.

Blue Cross Blue Shield, Atlanta, GA 2004 to 2007

Client Services Associate II

Collect in-depth information regarding present illness. Results:

Obtained past and current history to determine plan of treatment.

Provide customer service to client by verifying eligibility.

In-network/out of network specialty referrals.

Justification of CT, MRI and CAT Scans.

Processed over 85 client’s cases per day.

John C. Munna M.D., LLC & The Counsel of Italy, Atlanta, GA 2003-2004

Practice Manager

Served as professional Secretary, practice manager, medical and personal assistant. Results:

Advertisement for the SurgiCenter.

Maintain all surgical equipment, sterilization of tools and instruments.

Updated policies and procedures for surgical equipment.

Scheduled and coordinated surgeries with contracted hospital staff.

Pre-op and post op care.

Travel and Hotel arrangement for Clients, Clergymen and Priest.

Bookkeeping and Account Payable.

Education

IBM/Radiation Oncology Dr Brogardus 2009-2010

Radiation Oncology coding clinic

American Urological Association

Advanced ICD-9/CPT Coding

Coding I & II

Pre-Med with concentration in Psychology

2009

2002

2009, 2008

1991-1992

1978-1980



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