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Manager Medical

Location:
Dyer, IN, 46311
Posted:
March 17, 2010

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Resume:

Cora L. Harris

*** ***** **

Dyer, Indiana **311

708-***-****

Email: abm2ll@r.postjobfree.com

Objective:

Seeking an opportunity as a mid-level manager with an organization that

will offer me the opportunity to advance.

Summary of Qualifications

Highly qualified Professional with over 25 years of management experience.

Work Experience

I am a seasoned profession that has worked in a variety of areas. I am

very experience in the Human Resource arena. I have performed the

following tasks human resource tasks:

. hiring and firing of office personnel and field technicians

. periodic employee review and evaluation

. background checks

Also, a large portion of my current responsibility involves the sales and

marketing of current products and services. I am the type of person who

pays a great deal of attention to detail. I have worked as liaison to

upper management and negotiated several new contracts. I have also

renegotiated expiring contracts. In addition, I am always looking for

potential customers to determine if we could be of service.

In addition, part of my day-to-day activities includes the scheduling of

appointments for the technical staff. A lot of pre-planning goes into this

process because all parts must be ordered prior to service date. I also

must determine the best possible route for each individual technician

factoring both time and gas consumption into the equation.

Listed below is a brief overview of my past experience:

. AR/AP

. Inventory

. Resident Trust

. Insurance billing and collections

. Employee Supervisor

- Managed Receptionist

- Managed a staff of eight employees with various duties

. Medical Management duties included, but not limited to the following:

- Patient Account Manager:

. Review and assessment of patient financial information

. Review payment status with patients and families

. Negotiated with insurance companies for correct payment related to

Care

. Reviewed and re-verify insurance information as submitted from

admission director

. Checked status of Medicare days available, along with verifying

other insurance coverage

. Checked Medicaid Status and implement Medicaid process as needed

. Collected initial deposit from private residents and Social

Security/Pension from Medicaid residents

. Set up all Medicaid residents past and current with our Direct

Deposit account

. Created an agreement per account for payment

. Worked directly with the lawyer for updated info and status of

accounts

. Reviewed and referred old patient accounts to our lawyer as needed

. Compiled financial files for lawyer reviews in order to begin

collection process

. Reviewed all old patient accounts

. called or sent letter for payments due

. set up payment plans and agreements as needed

. Reviewed all collections with the Administrator on a weekly basis

Cora L. Harris

Page Two

708-***-****

. Prepared for a monthly review of all accounts with the Medicare

manager, AR manager, administrator, and facility owner.

. Worked directly with the bookkeepers as well as all staff involved

to collect information for a complete review to answer and inform

the upper management of status on all accounts

. Reviewed denied claims from all insurance companies

. Pulled charts and copied for account review, sending written

requests for payment where necessary

. Filtered all financial questions, directing the patients and

families as needed

- Assisted the business office manager with the collection of data

needed to start and complete the Medicaid application

- Monitor the Patient Custodial Accounts for accuracy and status

advising and addressing the families of issues with the account

. Business Office Manager;

- Budget Development, which included preparation and review for accuracy

- Contracting

- Cost Reporting

- Administrative / Training

- Accounting and Financial Analysis

- Accounts Receivable

- Purchasing

- Cash Receipts / Banking

- Accounts Payable

- Internal Audit

- Computer-Medical Manager, Lotus, Windows 95, 98, 2000 and XP. HDSI,

Giftrap, American Health (LTC), REV (Medicaid Online Verification

Site) and Quick Books

- Maintained financial records (including billing, payment setup, and

collection as needed)

- Insurance submission of Medicare, Medicaid, third party, workmen's

comp claims HMO, PPO, POS

- Purchased and maintained inventory of both medical and office supplies

- Orientated new employee's to all aspects of office procedures

. Medical duties including, but not limited to, the following:

- Phlebotomy experience including IV therapy and blood donor

- EKG's including holter monitor and stress testing

- Administered injection including insulin therapy and all inoculations

- Various Laboratory tests including

. Protime

. UCG and HCG

. Urinalysis (microscopic and dip)

. Complete CBC, ESR, Blood Sugar, Type and RH factor, Cholesterol

. Assisted Physician with all office procedures including

. Pap smears, cultures and slides

. Endoscopic and laser procedures

. Ultrasound

- BP monitoring, vision and ideology screening

- Assisted with and performed minor emergency procedures

- Performed massage, ultrasound, and physical therapy

- X-Ray Technician (grandfather )

- Updated and maintained patient charts

Education

. Wright College - Chicago IL. 1993-1995 Business

Management and Computers

. Columbus Hospital - Chicago IL. 1992

Emergency Medical Technician

. City of Chicago (Daley Program) 1976-1978 Licensed

Practical Nurse

Cora L. Harris

736 210th St

Dyer, IN 46311

708-***-****

Email: abm2ll@r.postjobfree.com

Objective

Seeking an opportunity as a mid-level manager with an organization that

will offer me the opportunity to advance.

Work Experience

1st Net Inc. November 2004 to Present

General Manager Salary: $ 50,000

. Liaison to upper management

. Sales and marketing of current products and services

- Negotiated several new contracts

- Renegotiated expiring contracts

- Market research to find potential customers

. Scheduling of appointments for the technical staff

. Product ordering/returns

. AP/Billing

. Payroll

NuCare Services June 2004 to November 2004

Patient Account Manager of Multiple Sites Salary: $ 50,000

. Reviewed all old accounts for collection status

. Lawyer referral on accounts that could not be colleted

. Negotiated and set up payment plans

- Collected over $500,000 outstanding accounts within a 4-month period

. Worked with new admissions to complete an accurate contract for future

payments

St. Matthew Center for Health March 2002 to June 2004

Business Office Manager Salary: $47,000

. Operations Supervisor for business office and reception area

. Maintained/updated the budget and review with each department head and

administrator as to their compliance - reported results directly to the

Director of Business

. Reviewed and opened old accounts (previous two years) to determine

possible collection

- Rebilled account, contacted insurance companies and contacted patients

for payment

. Trained all employees on Corporate Procedures and Guidelines

Healthcare Financial Services February 1999 to January 2002

Manager of Cash Application, Billing and Insurance Follow-up Salary:

$42,000

. Supervised 5 employees, assigning all aspect of duties and follow-up on

all jobs

. Maintained financial records and reports

. Assisted the director with contract negotiations

. Worked with the Boulevard Medical group

- Employed 8 Physicians and over 25 employees

Cora L. Harris

Page Two

708-***-****

Work Experience (Continued)

H.I.S June 1998 to February 1999

Manager of Collection Salary: $38,500

. Responsible for pre-collection accts in 2 systems (AS-400 & Medic Vision

Collection module)

- Verified with Insurance companies patient eligibility and payment

status

- Contacted patients to establish pay plans (including financial

assessment)

. Trained front office personnel in over 30 offices to perform pre-

collections and payment plans

Northwestern Community Medical Group June 1996 to June 1998

Nurse Supervisor - Medical Assistant Salary: $36,900

. Responsible for all patient triaging for 4-6 physicians daily

. Trained new medical assistants

. Trained all employees on Corporate Procedures and Guidelines

. Purchased all office supplies (both front and back office) and maintained

workable inventory with the least expense



Contact this candidate