Manager Management
Resume:
GEORGENA HURLEY
San Jacinto, CA 92583
Email – ********@************.***
OBJECTIVE To obtain a challenging position in which my strengths will be utilized to the
fullest.
STRENGTHS
Excellent organizational and problem-solving skills.
Expertise with workman compensation payers
Possess effective time management skill
Strong collection skills.
Acute detail and multi-task oriented.
Self-starter with a positive attitude, excellent communication skills, and
extensive business knowledge.
EXPERIENCE
May 2005 to Current
Lien Recovery Resources
Self-Employed
Owner
•Responsible for follow up and collections of all assigned insurance, third party vendor, and patient
unpaid balances.
•Ensures all billing inquiry calls and correspondence are worked in a timely and professional
manner.
•Evaluates and resolves payment and contractual discrepancies.
•Reports compliance concerns related to billing and collection process
•Negotiate settlements and payment arrangements according to established guidelines.
•Reports problematic payer trends, or payment denials identified to supervisor immediately.
•File and serve all liens and supporting documentation on the assigned Appeals Board
•Schedule court appearances with the assigned hearing representatives’
•Marketing for new clients
May 2004 – April 2005
Revcare
6101 Ball Rd Ste# 210 Cypress, CA 714-***-****
Workman Compensation Supervisor
•Supervised 8 employees
•Oversaw all aspects of billing and collections.
•Oversaw hearing representative (court hearings)
•Developed educational training based on staffing needs.
•Perform analysis of accounts receivables including creating financial and management reports.
•Perform audits to ensure proper insurance payments based on contractual agreements.
•Monitored the collection process to ensure timely payments and resolution of problem accounts.
•Analyzed and streamline/upgrade technology processes and recommended changes as needed.
•Resolved staff issues and patient disputes as needed in a timely manner.
•Address and resolve client issues
•Participated in client relations
GEORGENA HURLEY Page 2
WORK EXPERIENCE (continued)
Aug 2003 – May 2004
Medical Practice Management
43500 Ridge Park Dr. Ste#102 Temecula CA 92590 951-***-****
Workman Compensation Manager
•Supervised 10 employees.
•Assisted the manager with daily operations.
•Charge entry
•Payment posting
•Workers compensation billing
•Lien filing
•Collections in house
•Lien Negations
•Board appearances
•Staff training
•Client development
Jan 2003 –Aug 2003
Medical Lien Collections and Management
Workman Compensation Collector / Hearing Rep
•Supervised 5 employees.
•Assisted the manager with daily operations.
•Collections in house
•Lien Negations
•Board appearances
July 1997 –Sept 2003
Quadramed Corporation
1050 Los Vallecitos, Suite 104 San Marcos, CA 92069
(San Marcos division no longer in business)
Supervisor – Client Services
(2002 - 2003)
•Assisted the director with daily operations.
•Trained new employees in all aspects of the department.
•Special projects
•Audited HMO PPO teams collection efforts.
•Reported to executive mgmt issues of concern regarding collections, treads etc .
•Handled all attendance, training, and disciplinary actions as needed.
•Completed employee quarterly evaluations and annual performance reviews
•Interacted with individuals from a wide variety of backgrounds and levels of responsibility.
•Ensured staff was updated on all compliance, regulations, and HIPPA guidelines.
GEORGENA HURLEY Page 3
WORK EXPERIENCE (continued)
Quadramed Corporation (Continued)
Supervisor - HMO/PPO Team (1998 - 2002)
•Supervised 23 employees.
•Responsible for billing and follow up on HMO/PPO claims for 13 hospitals.
•Organized staff on daily work assignments in the most efficient and effective manner
•Performed on each employee monthly audits, monthly evaluations, 100% new employees audits,
reviewed medical records requests, weekly production sheets, and reviewed all accounts
deassigned back to client.
•Trained new employees in all aspects of the department.
•Handled all attendance, training, and disciplinary actions as needed.
•Completed employee quarterly evaluations and annual performance reviews
•Ensured all claims were triaged, worked, and resolved in a timely and accurate manner according
to client contractual agreements.
•Ensured staff was updated on all compliance, regulations, and HIPPA guidelines.
HMO/PPO Claims Specialist (1997 - 1998)
•Responsible for billing and follow up on HMO/PPO claims according to assigned facility
•Submitted initial billing to appropriate payer and completed follow-up on all billed claims.
•Billed all secondary insurance for deductible and copays.
•Submitted all reviews and appeal on denied claims as needed.
•Requested retro-authorization from the physician office for claims as needed.
•Researched all denied claims.
•Pro-actively advised management of payer trends
•Organized daily work assignments in the most efficient and effective manner.
COMPUTER SKILLS
- WordPerfect 5.1 & 6.0
- Microsoft Excel
- Microsoft Word
- Typing Speed: 40 wpm
- Ten Key
- Internet & Email
- HBO
- Meditech
- AS400
- SMS
- IDX computer skills
REFERENCES Available upon request.
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