Medical Billing/Collections

DEBORAH HAMMONDS

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

Flowery Branch, GA 30542 404-***-**** Cell #

CAREER OBJECTIVE

To obtain a position that will enable me to use my strong organizational skills, educational background, and ability to work well with people.

EDUCATION

Baycreek Christian Academy Lawrenceville, GA

Gwinnett Technical Institute, 1998 Lawrenceville, GA

Medical Terminology

Gwinnett Technical Institute, 1999 Lawrenceville, GA

Anatomy & Physiology

EXPERIENCE

Nov. 2009 Inventurus Knowledge Solutions Gainesville, GA

Jan. 2010

From Jan. 2005 to Jan. 2010 – Reimbursement Manager

Medical billing/coding, ICD 9, diagnosis codes, modifiers, Verification of Benefits

Managed and supervised a staff of 15 employees

Conducted prescreen/Interviews, hired and trained new employee

Performed quarterly staff audits and monthly staff meetings

Performed yearly evaluations for 15 employees

Monitored budget/P&L performance, bad debt & DSO

Worked over $100,000 in 6 closed AR’s to resolution

Audited and worked over $800,000 worth of credits on 40 AR’s

Approved accounts for write off and/or collections

Approved patient plan agreements

Handled patient/insurance escalated complaint calls

Audited/ balanced and deposited over $1M per month

Processed month-end closings/excel spreadsheets

Processed invoices for payment

***Physiotherapy Associates sold the Billing Centers to Inventurus Knowledge Solutions in

November 2009. My title and responsibilities with Physiotherapy Associates remained the

same with this new Company ***

Sept. 2000 Physiotherapy Associates, Inc. Gainesville, GA

Nov. 2009

From Sept. 2000 to Jan. 2005 – Accounts Receivable Manager

Promoted from AR Manager to Reimbursement Manager 2005-2010

Medical billing/coding, ICD 9, diagnosis codes, modifiers, Verification of Benefits

Collections for over $500,000 in 5 AR’s

Verified where warranted the accuracy of the insurance information and make corrections

Investigated payments not made in accordance to Company contracts

Conducted follow-up activity on all account that have reached the predetermined threshold for payment

Contacted the field organization for assistance in reconciling problematic accounts

Maintained acceptable collection goals, bad debt and DSO per Company standards

Appealed denied claims and work received EOB’s

Posted over $100,000 a month in monies received from patient/insurance

Sent patient statements, final notices, did courtesy calls, arranged patient payment plans

May 1998 Sovereign Medical Services, Inc. Norcross, GA

Sept. 2000

Office Manager

Fee scheduled W/C bills for the State of GA, TN, SC, NC, MS, KT, AL, Ok, TX, and LA

Transcribed medical reports and rehabilitation updates

Managed Utilization Nurse and Rehabilitation Case Manager

Interviewed, hired and trained

Marketing/Recruiting new business

Feb. 1996 Chattahoochee Rehabilitation Consultants Duluth, GA

May 1998

Office Admin/Medical Transcriptionist

Transcribed medical reports and rehabilitation updates

Assisted Rehabilitation Case Manager’s in FL, GA and AL Worker’s Compensation injuries

Notified Employer/Insured and provided updates on claimants

Troubleshoot and assisted Employers/Insured with problems

Requested medical status from medical providers

SPECIAL SKILLS

Microsoft Word, Windows Vista & XP, Microsoft Outlook, Excel, Power Point, Internet, Snagit MediStar, Medical Manager, PCACE, Emdeon, EDI, IZone, Documentum, Navinet.

Type: 80-90 wpm

Insurance knowledge Includes but not limited to: BCBS, UHC, Coventry, Aetna, Humana, SouthCare, First Health, Cigna, and Workers’ Comp.

CERTIFICATES

CPR & AED Program Certified

Superior Customer Service class in Quality Team Work Certificate

Medical Billing/Reimbursement Certificate

Current Procedural Terminology (CPT Coding) Certificate

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