Project Manager System
Resume:
Lakeside, Ca Cell:
Kathrin_1968@yaho
o.com
Kathrin Chavez
Experience 2008-2011 Emergency Groups Office
Arcadia, Ca
Systems Analyst/Trainer
? Maintaining Billing System Insurance Master
files, Doctor file, Group Provider file.
? EDI/ERA Enrollment for New Groups and Individual
Physicians for Medicare, Medi-cal, NPI, Blue
Shield, Blue Cross, Champus and Railroad Medicare
? A/R analysis/trending to ensure maximum
reimbursement all payors
? Company Wide Training for Employees AS400 MED/FM
System and maintain Company Training Manual
? Help Desk for all questions related to Process on
AS400, Insurance related issues, ECS/ERA issues and
day to day issues and questions related to the
system
2007-2008 CPU Medical Management
San Diego, Ca
Support/Trainer
( Support clients with Issues/Questions regarding
all issues related to the MED/FM System. This
includes ECS, HCFA1500, Reports, Claims Tracking,
System Errors.
( Train new clients on MED/FM file setup,
Application of the MED/FM system, ECS Testing,
Remittance Process, Documentation.
2002-2007 NextGen PRS, LLC Encino, Ca
Manager of Business Applications
Manager EDI Department. Responsible for
importing/exporting of all files, testing and set
up.
Project Manager for all new Client Start
Company Wide Training for Employees and Clients GUI
and Green Screen
Create and Maintain all Client Profiles
Special Project Manager for Insurance Company
Appeals and State wide appeals
Provider Enrollment EDI, New Groups and Individual
Physicians for Medicare, Medi-cal, NPI, Blue
Shield, Blue Cross, Champus and Railroad Medicare
Temp 2002 UCLA Dept Emergency Medicine
Special Compliance Project
Analysis of $400K Credit Balance(s) on the SMS
system for the department. This Included, but not
limited, to system errors, user errors and feedback
on payer issues. Recommended changes in the
protocol for handling the operational processes,
system edits and monitoring the actual refund
calculation and distribution
1995-2002 Synergistic Systems, Inc. Chatsworth, Ca
Manager of Business Applications
Maintenance of all Billing Software Systems
Functions
Continual development and improvement of processes
for companywide Compliance Policies
Specializing in Electronic Claims requirements for
17 states
Identified companywide insurance (payer) trends and
presented as operational issues for resolution
Client Service manager for 8 Emergency Departments
with management of 25 employees representing $20
million dollars in Accounts Receivables.
1990-1995 Michael Novak, M.D.
(Dermatology) Glendale, CA
Billing Office Manager
Managed entire Front and Back End billing process
for practice
1987-1990 Synergistic Systems, Inc.
Account Representative
Day to Day management of Emergency Department
Physician billing groups
Highlights
? Development (as part of a team) a new software
billing system for the Clinix platform
? Assisted in developing transition plan in
order to specialize each of the various intra
company departments. Produced company-wide
documentation to train and organize each department
? Initiated statewide appeals from identification
of processing errors with Texas Medicaid, resulting
in a $4.5 million dollar appeal
? Designed special department matrix to increase
employee accuracy and efficiency.
? Redesigned all electronic edits for each
payer, resulting in more accurate filling and
increasing rates of reimbursement.
? Specialize in billing requirements and
management of Emergency Room billing, Radiology
Billing, Cardiology Billing, Dermatology Billing
and Ophthalmology Billing.
Education
High school diploma
Interests Sports, skateboarding, rollerblading and photos.
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