Manager Customer Service
Resume:
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annette
weeksProfessional Healthcare Biller/Collections/Manager
Annette Weeks-Dixon
Benbrook, TX 76126
817-***-****(Home) 817-***-****(Cell) Email: *******.*********@*****.***
Career objective
Highly motivated and goal oriented professional seeking a consultant position in a flourishing and progressive healthcare firm where I will be able to fully utilize my revenue management skills and abilities best suited to the organization.
Career Achievements Continuously expanding insurance and facility knowledge. Effectively communicating with a varied audience within pressured, fast-paced team environments to promote the positive image of the organization, its products and services. Leading and surpassing goals individually and as a team. Advocating, persuasion, and negotiation in sensitive client and colleague relationships to inspire and increase trust and confidence to resolve issues and problems, successfully managing expectations of clients, management and colleagues. Managing multiple projects and progressive responsibilities. Addresses overall business strategy, corporate culture and global alignment of health care programs.
Experience
February 2011 " present
Accounts Receivables Analyst
Frasier Healthcare Consulting, Arlington, TX Provide reimbursement support to several physician offices, health care systems, local hospitals, Community based facilities and public assistance facilities. Responsible for maintaining patient accounts and tracking case status. Review outcomes for billing denials or delays and make appropriate corrective actions. Conducting claims follow-up with Commerical Payers, Medicare, Medicaid, Tricare, Managed Care and Workers Compensation. Verifications/Authorizations Refunds/Denials and Appeals Utilized the following systems VI Web, CareMedic, Ace, SSI, Meditech, Nexgen, AMISYS, QCare, Nasco, Mysis, McKesson, Medisoft HCA, HMS, THMP and DDE
May 2005 " January 2011
Patient Account Representative
Texas Health Resources, Arlington, TX Responsible for providing high quality investigation of all primary and secondary billing on UB04 with a high percentage of resolve. Obtained Pre certifications and verifications. Establish validation, authorizations and referrals for correct billing and resolve for multiple hospital and patient claims utilizing an extensive appeal letter series, patient relations and providing account detail. Exceeded departmental productivity standards. Communicated with all Commercial insurance, Workers Compensation, Managed Care, Medicare and Medicaid insurance payers. Provider liaison regarding investigation of all medical claims Utilized hospital and insurance systems such as Advance, Siemens, Invision, SSI, NEBO, Medical Manager, Centricity, Availity, ECare and Epremis Reduce A/R days and maintained Refunds/Denials and Appeals Performed Customer Service and Patient Access duties
March 2004 " May 2005
Collector/Claims Analyst/Customer Services Representative
J & K Professional Medical Services, Fort Worth, TX Provider liaison regarding investigation of all medical claims for physicians and facilities. Validating all insurance information. Communicated with all insurance payers (Commercial, Managed Care, Workers Compensation, Medicare and Medicaid. Responsible for working accounts for facilities within other regions. Analyze, research and collection on medical claims for payment. Handle inbound and outbound calls. Refunds/Denials and Appeals Maintain less than a 5% error ratio Utilized various hospital systems such as Meditech, McKesson, Rumba, IDX and Health Net.
December 2003 " February2004
Patient Account Representative
HRA (Healthcare Recovery Accounts), Arlington, TX Responsible for communicating with Worker's Compensation insurance carriers. Establish validation, authorizations, and referrals for a correct billing and resolve for multiple hospital and patient claims. Refunds/Denials and Appeals Worked denials and over 20 days A/R for various physician offices, hospitals and healthcare facilities. Provider liaison regarding investigation of all Worker Compensation medical claims. Utilized various hospital systems such as Meditech, McKesson, SSI, and Advance
September 2001 " November 2003
Patient Account Representative/Physician Liaison
Urology Associates of North Texas, Arlington, TX Responsible for patient accounts, and communications with all Commercial, Medicare, Medicaid and Managed Care insurance payers. Establish validation, authorizations, and referrals for a correct billing and resolve for multiple patients. Billing through paper submission with correct procedure codes, with a team oriented atmosphere. Provide high quality investigation of all primary and secondary billing on UB92 physician billing and collections with a high percentage of resolve. Obtained Pre certifications and verifications Exceeded departmental productivity standards. Refunds/Denials and Appeals Procuring all documents necessary for claim resolution Meet with physicians to discuss their accounts receivables. Physician/Hospital and insurance systems utilized THMP, McKesson, HMS, Meditech, and Rumba
Additional Work Experience
February1997- September 2001-- Patient Account Representative/Office Manager
Delinquent Account Management Systems, Fort Worth, TX
March 1998- September 2000 " Administrative Assistant/Secretary Therapy Department
HealthSouth Medical Center, Dallas, TX
December 2006- April 2007- Patient Account Representative/DME Biller/Collector
JS&H Orthopedic Supply, Fort Worth, TX
Skills Microsoft Office Word, Outlook and Access. High proficiency with MS-Excel and PowerPoint. High proficiency with Quickbooks Pro software. Effective written and oral communication skills. Outstanding leadership, organization and management knowledge and skills. Extremely disciplined and professional. Strong project management capability. Ability to manage critical health organizations and systems. Capable to participate in clients and physician meetings. Ability to work independently as well as in team environment.
Education and Certification Masters " Business Administration/Healthcare Administration/Management - 2013
University of Phoenix, Arizona Bachelors " Healthcare Administration - 2011
University of Phoenix, Arizona Certified Patient Account Technician " CPAT - 2007 Certificate of Completion " Medical Billing/Coding-2006
Tarrant County College, Texas Associates " Legal Assistant/Paralegal Studies-1990
Tarrant County College, Texas
References
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