Catherine Lopez

Email: abos4g@r.postjobfree.com

Address:

City: Pasco

State: WA

Zip: 99301

Country: USA

Phone: 509-***-****

Skill Level: Any

Salary Range:

Primary Skills/Experience:

Highly analytical healthcare management professional combining more than 6 years of work in a healthcare setting with proficiency in financial management, leadership and positive clinical outcomes.

Educational Background:

High School Dipolma from Pasco High School, Pasco WA 1/2001 to 6/1997 (General)

Job History / Details:

Professional Summary

Highly analytical healthcare management professional combining more than 6 years of work in a healthcare setting with proficiency in financial management, leadership and positive clinical outcomes.

Education and Training

1997 Pasco High School Pasco, Washington

High School Diploma General

Skill Highlights

Accountability

Time management

Motivation techniques

Staff coaching

Personnel management

Conflict resolution

Interview techniques

Billing and collection procedures

Patient-oriented

Personal and professional integrity

Budgeting

Staffing management

Relationship and team building

Staff training and development

Supervisory experience

Independent judgment and decision making

Professional Experience

May 2008 to Current

Planned Parenthood Greater Washington North Idaho Kennewick, WA

Health Center Manager

Ensure sound financial performance increasing revenue and decreasing costs at the clinic level and increasing productivity.

Maintain clinic data efficiently and with minimal errors to ensure that at is accurate and that billing can occur in a timely manner.

Handles all administrative activities related to agency policies and local laws, including writing occurrence reports.

Analyze and implement action plans based on medical quality and billing audit results. address deficit areas as identified. Monitor progress and re-audit to ensure compliance.

Monitored staffing patterns and care hours for efficiency and made changes when necessary.

Led the planning and achievement of goals and objectives consistent with the agency mission and philosophy.

Created annual goals, objectives and budget and made recommendations to reduce costs.

April 2006 to April 2008

Planned Parenthood Central Washington Kennewick, WA

Billing Manager

Work with VP of Operations to ensure that encouner forms, daa entry and charting are don in compliance with Title X and other pay sources, and sufficient data is collected to maximize revenue collection.

Maintain data reporting packet which includes detailed data analysis to assist clinic decision making and accrual accounting entries. Packet includeds information for: RVU analyses, accrual analyses, CPT analysis, and billing statement efficiency analysis.

Conduct billing audits to ensure that charting and billing are in compliance with Title X and 3rd party payer requirements.

Ensure smooth communication regarding billing changes and data collection needs through regular interaction with the VP of operations.

Printed and reviewed monthly patient aging report and solicited overdue payments.

Precisely completed appropriate claims paperwork, documentation and system entry.

Assigned additional diagnosis codes based on specific clinical findings (laboratory, radiology and, pathology reports as well as clinical studies) in support of existing diagnoses.

Actively maintained current working knowledge of CPT and ICD-9 coding principles, government regulation, protocols and third party requirements regarding billing.

Appropriately and correctly identified errors and re-filed denied/rejected claims as they were received from the Patient Account Representative.

Demonstrated knowledge of HIPAA Privacy and Security Regulations by appropriately handling patient information.

Submitted electronic/paper claims documentation for timely filing.

Evaluated the accuracy of provider charges, including dates of service, procedures, level of care, locations, diagnoses, patient identification and provider signature.

July 2003 to August 2006

Planned Parenthood Central Washington Kennewick, Wa

Billing Specialist

Verified patients' eligibility and claims status with insurance agencies.

Acted as a liaison between the business department, billers and third party payers in resolving billing and reimbursement accuracy.

Ensured timely and accurate charge submission through electronic charge capture, including the billing and account receivables (BAR) system and clearing house.

Examined patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under their policies when applicable.

Examined patients' insurance coverage, deductibles, possible insurance carrier payments and remaining balances not covered under their policies when applicable.

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