Customer Service Project Manager

Donna Martin

*** **** ****** ?Niagara Falls, NY *4304 ? 716-***-**** ?

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

OBJECTIVE: Seeking a supervisory position utilizing my knowledge, skills

and expertise in the revenue cycle management.

PROFILE

. highly-skilled financial professional with over 15 years

experience in front and back office management, patient

financial services, and customer service for acute care, rural,

university facility environments.

. Unique palette of skills covering service and efficiency

enhancement, expert Fair Debt Collections Practices, medical

billing, registration and precertification.

. A talented leader and trainer; adept at developing effective

teams, clarifying roles and their part in the bigger picture,

increasing staff commitment and thinking outside the box.

WORK HISTORY

Buffalo Heart Group October 2009 to August 2010

Reimbursement Specialist

. Insurance Verification.

. Medical Billing.

. Front End Registration.

. Patient Financial Service.

. Customer Service.

. Scheduling/Cardiac Stress Testing/Nuclear Imaging.

`

Practice Management March 2007 to October 2009

Physician Billing and Collections

. Special Projects for hospital in-patient billing and claims

resolution.

. Collection Follow up.

. Medical Billing for the Nephrology Associates account..

. Charge posting remits.

. Dialysis, hospital and office billing.

. Payment posting, follow-up and aging/collections of self pay accounts.

Perotsystems, Inc. November 2006 to February

2007

Project Manager

. Supervision of 4 collection staff for commercial and managed care

collections. Duties included staff training and mentoring, schedule

management and timesheets and time off requests.

. Direct collections contact with various insurance companies for claim

collection of Commercial and Managed Care accounts; as well as

utilization of online claim status websites for collections and claim

status.

. Performed appeals with appropriate documentation to insurance

companies with timely follow up on status of appeal.

. Balanced patient accounts to reflect accurate balance for patient

based on EOB's and remits from insurance companies.

. Corrected billing via E-Premis to insurance company with timely follow

up with insurance company for receipt and status.

. Performed adjustments due to timely filing, appeal denials, and mis-

proration.

. HIPAA certified. Maintained HIPAA compliant work environment at all

times.

. Balanced resolution of ATB with daily rolls, prioritizing follow up on

high dollar accounts as well as low dollar accounts and small balance

write offs.

. Handle all telephone calls in an efficient manner by maintaining clear

and concise communication with callers, following through with

requests, answering calls within three rings and returning telephone

calls within twenty-four hours.

. Maintained accurate reports on Microsoft Excel spreadsheet for

utilization of data for end of month reports to client.

Niagara Falls Memorial Medical Center

July 2002 to July 2006

Patient Financial Services Supervisor

. Organize, supervise, and maintain Financial Services

Department/Collections

. Executed departmental hiring and performed employee reviews.

. Oversee insurance review and verification.

. Financial counseling, patient screening for financial services.

. Medicare, Medicaid, and Commercial Billing and collections.

Kaleida Health

October 2000 to July 2002

Patient Financial Services Representative

. Patient financial counseling,

. Medicare Inpatient Billing, Medicare Part A billing, and all secondary

billing.

. Posting all payments.

. Commercial, Managed Care, Medicare and Medicaid insurance follow-up

and collections to maintain proper payment of accounts.

Mount Saint Mary's Hospital

October 1994 to July 2000

Credit and Collection Representative

Insurance Verification Representative

. Review all inpatient and outpatient services to ensure financial and

biographical data obtained is accurate.

. Review utilization of data to ensure appropriate certification and

approval, and compliance with third party regulations.

. Ensure records are swiftly and accurately available for collection of

past due accounts.

EDUCATION

Kelley Business Institute, Niagara Falls, NY

Associate Degree, Accounting and Bookkeeping

Graduated with honors.

Contact this candidate