Customer Service Manager

Articia J Hughes

**** ***** ***

Grand Prairie, TX 75052

Cell: 214-***-****

Email:*******.******@*****.***

______________________________ ______________________________

A dedicated health information professional with six years of acute-care

medical billing processing with an emphasis on accounts receivables,

coding, client relations and a medical office administrative manager for

corporate and private settings.

Experience

Lead Billing Specialist

10/2007 - 07/2010 Afridi Heart Care, P.A Dallas,Tx

Interventional Cardiovascular Disease

Assign and audit diagnostic and procedure codes for all patient records.

Coded and billed for trauma charges, inpatient and outpatient hospital

procedures, wound care scheduling of surgeries and office visits. Utilizing

ICD-9,DRG and CPT for correct coding guidelines. Audit medical records off

template system. Manage chart completion, chart assembly and analysis,

patient information privacy/security. Organized all contracting, networking

and fee schedules for cosmetic pricing for office and hospitals.

Accountable for all authorizations and referrals for office prior to

procedures and follow-up visits. Audit all A/R reports for 30/60/90 days

and ensure all payments. Review all dictations and operation reports. Work

collaboratively with associates to ensure accurate billing and resolve

claim issues. Review medical documentation and consult Office Manager when

discrepancies occur.

. Provide administrative support for Office Manager daily

. Interact professionally with staff and patients daily

. Coordinator of contracts/fee schedules for services rendered with

hospitals and vendors

. Referring physician's and insurance carriers.

. Developed pricing sheet for office and hospitals

. Create patient statements and monthly reports for Office Manager

. Generate weekly and monthly reports on all accounts for internal

review and approval by Office Manager

. Facilitated AP and AR reports on a weekly basis

. Ensure payment for services and correct billing procedures are

adhered to by all office staff

. Working knowledge of Medicare, Medicaid, commercial

insurance, managed care and Worker's Compensation insurance

providers

. Coded and billed all surgery, hospital and in office charges on a

daily basics worked

with HIM manager to make sure that correct EMR codes were

implemented on patients chart for dictation and op reports

Lead Medical Billing Receivables Manager

7/2005 - 10/2007 TPC/AR Systems, Phoenix, AZ

Organized and optimized commission structure for medical receivable

department. Create and implement collection strategies for clients.

Supervised twelve person team dedicated to restructure of liabilities of

failing clients. Mitigate collection process with various clients. Attach

wage garnishments and wage attachment per state stipulations. Coded and

billed charges for several specialty physicians.

.ECoded for varies hospitals, physician and home health care on a

daily basics

. Compose routine correspondence, compile data for routine reports

and file updates for Office Manager evaluation

. Created and implemented fee schedules for procedures

. Formatting and implementation of all procedural and diagnostic

coding

. Processed patient statements and weekly /monthly reports

for revenue retention

. Ensure payment for services and correct billing procedures are

adhered to by all office staff

. Liaison for third party payers/ manage care including Medicare

and Medicaid,Uhc,Bcbs etc

. Ensure that office policies are followed regarding copying

and dissemination of medical records

. Customer service for all patients

. Process payroll and payroll reports for office staff

. Initiated staff trainings on continuous basis

. Provided translation for Spanish speaking clients

. Track repayment status of accounts as well as servicing 200+

inbound calls daily

. Inform clients of all settlements to accounts

Medical Biller/Trainer

5/2001 - 7/2005 PS Medical Group, Phoenix, AZ

Contacting delinquent accounts via phone and/or mail to assist with

collections. Liaison for office and insurance carriers with regard to

establishing consistent revenue. Training coordinator for staff training

sessions and new product introductions. Maintain data integrity for

multiple sites

. Process payments from clients and insurance carriers

. Ensure client accounts are updated

. Customer service for all patients

. Interpersonal skills with staff and patients

. Process reimbursements

. Audit accounts billing, create reports

. Maintenance of patient records with regard to confidentiality

. Attend weekly in-service sessions with staff

. Review A/R daily for auditing and filing timelines

. Process patients for admissions

. Obtain prior authorization and verify benefits

. Customer service for all patients

Education

1999 Metro Tec Vocational School, Phoenix, AZ

. Medical, Business and Accounting

Related Courses: ICD-9-CM, CPT, HCPCS

1999 Glendale High School, Phoenix, AZ General Studies, GPA 3.8

Certifications

. American Academy for Professional Coders

. CPC - July 2007 (Currently Retaking)

References Available upon request

Contact this candidate