Customer Service Human Resources
Resume:
CLIFF G. HOEFT - RESUME OF QUALIFICATIONS
Milwaukee, Wisconsin 53204 Telephone: 414-***-**** Email:
abmllj@r.postjobfree.com
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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