Customer Service Human Resources

CLIFF G. HOEFT - RESUME OF QUALIFICATIONS

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

Milwaukee, Wisconsin 53204 Telephone: 414-***-**** Email:

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

OBJECTIVE:

To obtain a position which presents a challenging career opportunity, will

allow me to demonstrate my abilities, and utilize my education and

experience; a position that provides the potential for professional growth

and advancement.

EDUCATION:

Lakeland College- Milwaukee, Wisconsin

Master of Business Administration (MBA) - Concentration in Healthcare

Management - August 2010

Lakeland College-Milwaukee, Wisconsin

Bachelor of Arts Degree in Business and Bachelor of Arts Degree in

Marketing, Graduated Cum Laude

Bryant & Stratton College-Milwaukee, Wisconsin

Associate in Arts Degree in Accounting

Medical Coding Certification (CPC) - American Academy of Professional

Coders

EMPLOYMENT:

PHARMSCRIPT

Feb 2010-Current

REGIONAL ASSOCIATE- Responsible for the set-up of newly acquired long term

care facility accounts and the maintaining of those accounts and also

maintaining the medical records of the existing accounts. .

RESOURCE PHARMACY

Feb 2006-Feb 2010

ACCOUNTS RECEIVABLE SUPERVISOR- Responsible for the daily operations of the

billing department, maintaining an acceptable DSO, worked with the

corporate office in providing needed financial reports. Also the back-up

supervisor for the production and data services areas in the absence of the

supervisor. Worked closely with human resources in maintaining employee

personnel files, gave annual employee reviews and any needed disciplinary

action.

BILLING ANALYST-Professionally responded to facility and private pay

billing inquiries, worked closely with insurance companies on behalf of the

patients. Reworked rejected insurance claims, obtained prior

authorizations, responsible for the timely filing of insurance claims.

Also provided assistance to the data services and production departments as

needed.

LAKESHORE MEDICAL May

2005-Feb 2006

MEDICAL CODER- Coded physician encounter forms with proper/correct ICD9,

CPT & HCPCS codes, and interpreted cardiology reports to ensure proper

coding. Worked laboratory files to ensure proper and accurate billing.

DYNACARE LABORATORIES May 2000-

May 2005

SUPERVISOR- Responsible for supervising up to nine billing specialists,

coordinating daily workflow and training new employees to ensure

familiarity with lab requisitions, third party payers and the computer

system. Monitored accuracy and production of billing specialists,

conducted employee evaluations and assisted in resolving employee relation

issues. Handled up front preparation of billing requisitions for on-site

lab services to ensure timely filing of insurance claims to payers.

Assisted human resources in creating the performance evaluation and job

description for billing specialists and also developed a new form from

tracking time off requests and overtime.

ACCOUNTS RECEIVABLE CUSTOMER SERVICE SPECIALIST- Accountable for reviewing

laboratory error reports and initiating corrections to ensure proper and

timely filing of claims. As needed, assisted in entering laboratory

requisitions.

EMPLOYMENT: (CONTINUED)

ROESCHEN'S OMNICARE PHARMACY (F/K/A -UPC HEALTH NETWORK)

May 1992-April 2000

SENIOR BILLING ANALYST- In addition to the duties detailed below verified

the accuracy of computer generated billing statements. Also verified the

accuracy of Wisconsin Medicaid Audits, successfully reduced DSO from 65

days to 39 days within 45 days, developed and implemented prior

authorization procedures. Assisted billing analyst with any concerns.

ACCOUNTS RECEIVABLE CLERK II- Responsible for posting payments to accounts,

balancing deposits, and updating patient accounts with current billing

information. Reworked rejected Wisconsin Medicaid claims, as well as

rejected other third party payers. Professionally handled facility and

responsible party inquiries regarding monthly billing statements and

obtained prior authorization on restricted medications. Initially hired as

an Accounts Receivable Clerk I; steadily assumed additional duties.

REFERENCES:

Furnished on Request.

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