Medical Manager
Resume:
SABRINA NEITCH
BLANCO, TEXAS *8606
830-***-**** HOME 512-***-**** CELL
*******.******@*****.***
OBJECTIVE: TO FURTHER MY CAREER IN THE MEDICAL BILLING FIELD USING ALL MY
YEARS OF KNOWLEDGE WITH BILLING, INSURANCE AND OFFICE -CUSTOMER SERVICE
WORK
PLACE OF BIRTH: TRAVIS COUNTY - DATE OF BIRTH JULY 29TH, 1957
OTHER NAMES USED SABRINA STATHOS 10/75 TO 09/1980 FEMALE, WHITE
US CITIZEN: NO VETERAN PREFERENCES
NO FEDERAL CIVILIAN EMPLOYMENT HISTORY
EMPLOYMENT:
ATP/2 PROJECT HERO 10-10-08 TO 01-15-09 SALARY: 16.00 HR. 40 HR WK
PO BOX 3326 HARKER HTS., TX. 76548 240-***-**** (CELL)
PROGRAM MANAGER: PIERRE RODRIQUEZ 254-***-****
VA SECURITY CLEARANCE GOOD FOR 5 YEARS
JOB SITE: VA 1615 WOODWARD AUSTIN, TX 78772
TOM REILLY 512-***-**** SOFTWARE: PLEXIS HEALTH CARE SYSTEMS, DMS BILLING
SYSTEM, E-STREAM SYSTEM, TMS-ORR SYSTEM. INPATIENT HOSPITAL BILLS FIGURED
WITH DRGS, OUTPATIENT WAS CPT OR APC'S REIMBURSEMENT RATES. PHYSIACTRIC
INPATIENT, OUTPATIENT ACCUTE CARE HOSPITAL RATES
CLAIM CARE: 03-15-08 TO 05-01-2008 SALARY: 14.90 HR. 40HR WK
3415 GREYSTONE AUSTIN, TX. 78757 866-***-**** YES YOU MAY CONTACT
SUPERVISOR: MARILYN WHITFIELD BILLING SPECIALIST COMMERCIAL
WORK COMP., MEDICARE, MEDICAID, COMMERCIAL INSURANCES
BILLING SYSTEM: GPMS, GOBIE
FINANCIAL CORPORATION OF AMERICA 11/26/2007 TO 02/14/2008
12515 RESEARCH BLVD STE 100 AUSTIN, TX. 78704 14.50 HR 40HR WK
DAPHNIE KONDERLA MANAGER 512-***-****
HOSPITAL AND MEDICAL BILLING AND COLLECTIONS, APPEALS,
MEDICARE, MEDICAID, WORK COMP AND ALL COMMERCIAL BILLING
USED AR REPORTS TO FIND ALL DELINQUENT ACCOUNTS WITH PATIENTS AND CLIENTS/
HOSPITALS ETC. CUBS SYSTEM SOFTWARE
HCA METHODIST HOSP SYSTEM/ ST DAVIDS HOSPITAL 5-28-06 TO 05-02-2007
GOVERNMENT MEDICAID BILLING AND ER ADMITTING 15.35 HR 40 HR WK
HCA - 901 WEST BENWHITE BLVD. AUSTIN TX 78704 512-***-****
BILLING SYSTEM: MEDI TECH-PATIENT TRACKER AND IATRICS Used for scheduled
Medicare patients to determine if an ABN is needed. HIPPA AND EMTALA
TRAINED. ARTIVA BILLING SYSTEM TRAINING, USED DRG, REVINUE CODES, HCPS,
CPT, ICD9 CODES
TEXAS ASSOCIATION OF COUNTIES
1210 SAN ANTIONIO ST AUSTIN, TX. 78702 512-***-****
MEDICAL BILL AUDITOR 1993 TO 4-2006 14.90 PR.HR. 40 HR WK
MANAGER CINDY STRAIT SUPERVISOR SHARON JOHNSON
JIM JEAN HEAD OF CLAIMS DIVISION. 512-***-****
AUDIT OF HOSPITAL, DENTAL, MEDICAL & PHARMACEUTICAL BILLS
INPATIENT, OUTPATIENT, PHYSCIATRIC HOSPITAL, TRAUMA CENTER'S
USED PER DIEM RATES, MEDICARE FEE SCHEDULES, STOP LOSS METHODS,
MEDICARE REIMBURSEMT'S AND RULES APPLIED, PPO REDUCTIONS, NDC PHARMACY
CODING AND RATES BY MEDISPAN, DME RATES AND FAIR AND REASONABLE FIGURED ON
ALL EQUIPMENT, IMPLANTS, ORTHO DEVICES. COST PLUS 10%
SOFTWARE USED WAS CRLINK FOR BILL ENTRY BY HNC INSURANCE SOLUTIONS
(FORMERLY COMP REVIEW). FAIR ISSAC'S SOFTWARE.
HBA AND PHYSICIAN PROFESSIONAL BILLING SOFTWARE.
USED CPT HICPS REVINUE CODES AND NDC CODES AND WORK COMP SPECIFIC CODING.
MEDICARE RULES AND WORKERS COMPENSATION RULES. DID EDI REPORTING, FILE AND
ARCHIVING OF ALL COPY'S OF BILLS AND EOB'S KEPT. LOOKED UP AND REVIEW OF
PRE-ATHORIZATIONS AND CLAIMS INITIAL SET UP.
REVIEWED ALL MEDICAL IN FILE AND WAS TO WATCH FOR COMPLIANCE ISSUES, PROPER
FORMS, AND FIELD ANY QUESTIONS REGUARDING PATIENTS OR PROVIDER QUESTIONS.
HELP PROVIDERS TO CORRECTLY CODE VALID CPT CODES. CALL ON ALL BILLS AND DO
SEND BACK LETTERS TO ACCHIVE CORRECTED BILLS IN A TIMLEY MANNER. MAKE SURE
ALL BILLS WERE DONE IN THE 45 DAY TIME FRAME. RESOLVE DISPUTE AND AUDIT OF
BILLS FROM INS. CARRIERS, REVIEW ALL DESIGNATED DOCTOR EXAMS AND MAKE SURE
THEY WER REIMBURSED WITH CORRECT CODES AND CORRECTT ALLOWED AMOUNTS, KEPT
UP WITH TREATING DOCTORS ON EACH CLAIM AND WATCH FOR EACH TO BILL PROPERLY.
WATCH FOR REQUIRED MEDICAL EXAMS, BILLING WITH PROPER MODIFIERS, AND
FIGURE REIMBURSEMENT OF TREATING DR REPORTS, example 99455-l3-wp total MAR
= $498.00
DESIGNATED DR. PROCESSES AND REIMBURSEMET RATES, RME'S MMI/IR -ROM
WORKSHEETS, MMI=END OF TIB'S, IR DETERMINATION IF ANY FUTURE INCOME
BENEFITS.
HOUSE BILL 2510, RULES 130.1 76 LEGISLATIVE SESSION ENACTED AND LEARNED
EACH NEW RULE AS THEY ARE RELEASED, HB 2600 ETC
HOSPITAL BILLING; ISI, ISF, HSF, ASI AND ASF - IRF AND ISF AND USED PPO
HOSPITAL BILL AND OPERATIVE REPORTS REVIEWED FOR COMPENSABLE SERVICES
PERFORMED AND FIGURED IMPLANTS, ORTHOTICS AND PROSTHETICS AND
PHARMACEUTICLES. FAIR AND REASONABLE FOR MRI'S, CAT SCANS, HYPERBARIC
OXYGEN, BLOOD AND AIR AMBULANCE, AND GROUND AMBULANCE. MANUALLY FIGURE
TRAUMA, BURNS AND HIV DIAGNOSIS BILLS AT FAIR AND REASONABLE RATES. CATCH
THE TRAUMA 800.0 TO 959.50 CODES. BURNS 940 TO 949.5 AND HIV 042 - 044.9
MANUALLY
MAINTAIN DATA BASES FOR PROVIDER LISTS FOR CARF CERTIFICATIONS, WORK
CONDITIONG AND WORK HARDENING ACCREDITATION RETURN TO WORK REHABILITATION
PROGRAMS, NON ACCREDITED INTERDISCIPLINARY PROGRAMS, OUTPATIENT MEDICAL
REHABILITATION, CRONIC PAIN MANAGEMENT.
DID ANESTHESIA BILLS, SURGICAL, RADIOLOGY, PATHOLOGY, FACILITY SERVICES
HOSP ASC'S STATE REPORTING INFORMATION, DME TENS SUPPLIES, DENTAL SERVICES
CODING, PROVIDER LICENSING AND ADL'S
MISCELLANEOUS: REPORTS, CCI EDITS, LOCAL COVERAGE DETERMINATION POLICY,
HIPSA BONUS AND REPORTING
MAINTAINED AND UPDATED BILL REVIEW MODIFIERS ON EOR ALPHA AND NUMERICAL -
KEEPT ALL DATA BASES CURRENT FOR VALID CPT CODES ACCORDING TO AMA AND THE
MODIFIER REDUCTION DATABASES, MEDICARE AND WORK COMP. INTREPRET NERVE
STUDIES, EEG AND EMG'S, EVAL OFFICE LEVELS, PT OT REPORTS MANTAINED CURRENT
PLACE OF SERVICE CODING. TAX NUMBERS, PTAN, STATE LICENSE, NPI. MEDICAID,
MEDICARE LICENCE NUMBERS, UPDATED DIAGNOSIS DATA BASE, ACUTE CARE NUMBERS
DAY SURGERY NUMBERS, WORK WITH CRIM VICTOMS PROGRAMS CODING AND
REIMBURSEMENT -KEPT REVINUE CODING DATA BASES CURRENT.
CAN DO OLD LAW AND NEW LAW OF WORKERS COMPENSATION CLAMS.
ATTENDED WORKERS COMPENSATION AND MEDICARE SEMINARS YEARLY TO KEEP INFORMED
OF NEW CHANGES
HELP TO MAINTAIN OFFICE ORDERS AND PRINTING ORDERS, MAILINGS, AND SUPPLY'S
IN OUR OFFICE UNIT.
CALLED PROVIDERS TO CORRECT ANY CPT CODING AND BILLING CORRECTIONS OF ANY
BILLS.
MAINTAINED WORKERS COMPENSATION/MEDICARE LISTS OR APPROVED ASC, WORK
HARDENING & WORK CONDITIONING FACILITIES CHECKED ADL APPROVAL OF EVERY
VINDER AND DOCTOR.
ENTERING EDI INFORMATION. MAINTAIN W-9 REQUEST'S
EDUCTION: CLASSES EXCELL OUTLOOK, AND WORD CLASSES
ACTIVE MEMBER OF THE TEXAS MEDICAL AUDITORS ASSOCIATION. PO BOX 541227
HOUSTON, TX 772**-****-** CEU CREDITS
CPR AND DEFIBULATER TRAINED/CERTIFIED. 1-27-06 TO 2008
HELPED TO REGISTER 1000 MEMBERS TO THE POST LEGISLATIVE CONFERENCES AND
ATTEND TO THERE NEEDS. MAKE HOTEL ACCOMIDATIONS AND SHUTTLE SERVICES.
.
EDUCATION: GED 01/03/1975
EDUCATIION: JACKIE NELL EXECUTIVE SECRETARIAL SCHOOL 3/11/74-1/15/75 TYPING
58 WPM 369 CLOCK HOURS PO BOX 3500 AUSTIN, TX. 78702
EDUCATION: MANSFIELD BUSINESS SCHOOL 1992 TO 1994
2800 SOUTH I.H. 35 AUSTIN, TX. 78704 WORD PROCESSING MAJOR
WORD PROSESSING, TYPING, FILEING, TEN KEY BY TOUCH, ENGLISH, MATH, GENERAL
BUSINESS CLASSES, GRADUATED WITH 3.9 GRADE AVERAGE. MANSFIELD IS NOT AN
ACCREDITED SCHOOL BY GOVERNMENT
EDUCATION: AUSTIN COUMMINITY COLLAGE 11/15/1995
1020 GROVE BOULEVARD AUSTIN, TX. 78741. 512-***-**** MEDICAL TERMINOLOGY
BASICS 2009 MED TERMINOLOGY REVIEW BY ACC
HIPPA 2009 BY ACC, 24 HOURS OF MEDICAL CODING BY ACC
SKILLS: COMPUTERS: FAXES, USED THE TRAIL BLAZER SITE FOR MEDICAL
REIMBURSEMENTS FOR APPELS, NOW I AM CERTIFIED. SURGICAL, ASC CODING, AND
HOSPITAL CODING. MEDICARE SITE CCI EDITS EXPERIANCE
PHONES, ADDING MACHINES, TEN KEY BY TOUCH, TRAINED MEDICAL AUDITOR
CERTIFICATION CERTIFICATES BY TWCC. HYPER-BERIC CHAMBER CLASSES, WORD,
EXCELL, POWER POINT CLASSES 9-9-94.
PERSONAL REFERENCES: THERESA HILSCHER 7602 GAULT AUSTIN TX 78757 SISTER
SHE CAN VERIFY UNIMPLOYMENT TIMES 512-***-****
PERFESSIONAL REFERENCES:
TERRY WHATT - 512-***-**** 1210 SAN ANTONIO ST. AUSTIN TX COMPTROLLER OF
THE ASSOCIATION- COWORKER AND FRIEND
JIM JEAN TEXAS ASSOC OF COUNTIES 512-***-**** 13 YEARS AT WORK
LARRY COWELS @ TEXAS ASSOCIATION OF COUNTIES 478-8753
CINDY STRAIT @ TEXAS ASSOCIATION OF COUNTIES & JI 478-8753
DIANA MALDONADO @ JI COMPANIES 800-***-****
JENNY GARCIA @ JI COMPANIES 800-***-****
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