Project Manager Medical
Resume:
Edith D. Wright
**** ** ******** *** **** St. Lucie, FL 34953
Objective
To obtain a challenging and rewarding position in a professional healthcare environment with an
emphasis in the durable medical equipment industry, while promoting the company in its
mission of high quality service to its patients and the community.
Professional Experience
8/07 – Current Liberty Healthcare Group
Compliance Analyst
• Complete and process all contracts, licensure and permits for the operation of multiple
pharmacy and durable medical equipment facilities.
• Conduct internal audits of DME and pharmacy patient accounts for Medicare, Medicaid
and insurance billing requirements.
• Research CMS, Medicare and Medicaid agencies for regulation regarding billing, coding
and fee schedules for use in auditing.
• Compare insurance regulation against company billing practices of durable medical
equipment and pharmacy claims and submit reports of findings to management.
7/06 – 09/07 Dr. Zen Products
Independent Account Representative
• Acted in sales role covering Florida territory via phone and in person with focus in
podiatry for orthotic/prosthetic supplies.
• Thorough knowledge of products, sales cycle and building solid relationships.
• Created Medicare billing instructional manual and supplemental training guides to
educate clients on claim submission for products.
• Conducted presentations and sales at national trade show events, from setup, full time
sales and then teardown.
12/04 – 5/06 Aerocare
AR Manager
• Created a billing center from ground up including staffing, implementing systems,
creating processes and training of all employees.
• Responsible for the direction of 10 employees for accounts receivable department in
DME medical billing for Florida, Georgia and Arkansas locations.
• Duties include all aspects of management over accounts receivable, staffing, billing
compliance to federal programs, private insurance and patient collections.
03/03 – 11/04 Rotech Healthcare
Process Center Manager
• Responsible for the hiring and direction of approximately 40 employees with the goal of
receiving medical equipment and supply orders from a managed care client and
processing.
• Implemented departmental processes of durable medical equipment order processing,
work flow design and process controls.
• Designed a training program and tools for reporting to upper management and the
contracted managed care agency
01/98 – 03/03 Rotech Healthcare
Billing Software Analyst, Project Manager and Support
• Served as an active member of the IT planning and program development committee in
which program changes were designed for company-wide use
• Completed claim audits of electronic claim transmissions including hardcopy billing files
to ensure compliant billing practices of DME and supply claims.
• Served as a member of the corporate planning and process committee which was
responsible for creating all policies and procedures.
• Travel to branch offices throughout nation as a consultant, systems instructor
• Wrote and developed all DME billing software manuals and training tools.
• Role mandated expert knowledge of Medicare Part B and Medicaid DME billing
requirements and a thorough understanding of insurance billing practices for system
design and consulting.
01/96 – 01/98 Rotech Healthcare
Patient Account Supervisor
• Responsible for AR collections of durable medical equipment claims for multiple
locations including Medicare Part B, Medicaid, private insurance, managed care and
patient collections
• Trained employees on durable medical equipment coverage criteria for Medicare and
other payers.
• Additional duties included written and verbal correspondence with insurance companies
and patients, reporting departmental productivity to management in addition to training
new employees
Education
BA in Organizational Communication, Minor in Business Administration – 2004
Rollins College, Winter Park, Florida
• Graduated Magna Cum Laude
Associate in Arts - 1999
Valencia Community College, Orlando FL
Technical Skills
Microsoft Office (Word, Excel, Access) NSF 3.1
Versyss Software ANCI X12 835 & 837
Medinet IMBS (Innovative Medical Billing System)
Remit Data Visio 2000
Softaid Type 80 WPM
Curtis Software ICD-9 Coding
CU/TIMS HCPCS procedural coding
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