Home Health Data Entry

SUZETTE LEBLANC

Everett, WA *****

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

Objective I am pursuing a full time position where I can further my skills and knowledge, and

develop my work experience while utilizing the skills and experience that I already

have. I would like a position where both the company and I may benefit from my

contributions.

Skills/Qualifications

Computer applications/programs used include Microsoft Word, Excel, Outlook, Medicaid

WaMed and Provider One, Medicare FISS DDE and McKesson Horizon Pathways

Very familiar with the operational aspects of McKesson Horizon Pathways software system

and can navigate freely throughout in order to perform necessary tasks

Working knowledge of medical terminology

Efficient in time management, ability to prioritize with good follow through skills, while

remaining flexible

Independent, self starter and effective team worker

Creative problem solving and decision making skills with an ability to exercise

independent judgment

Intelligent, eager and quick learner with a desire to increase and improve skills

Detail and goal oriented, organized and dedicated to quality service

Good communication skills, responsible and dependable

Employment History

Evergreen Healthcare Kirkland, WA

Clinical Support Specialist (CSS) Ryan Pierce, Supervisor

October 1999 – October 2011 (12 years) 425-***-**** (HR)

Home Health AR/Billing Duties

• Home Health Medicare and Medicaid billing and follow up

• Submit high volume of Home Health claims and adjustments electronically within timely filing

deadlines

• Daily processing of returned/rejected/denied Home Health claims, evaluating to obtain quick and

accurate resolution and payment

• Perform account follow up, identify delays, returns, rejections and denials of Home Health

claims

• Monitor accounts, research and resolve issues for resolution and timely payments

• Work aging reports, verification reports, and review remittance advice/explanation of benefits for

accuracy of payments

• Collaborate with other departments, entering, editing and recording insurance and other pertinent

information to verify accuracy of patient account information

• Perform Medicare or Medicaid eligibility checks for Home Health as needed.

Maintain account records in McKesson Horizon Pathways system so that patient, insurance, and

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visit information are accurately documented

Attend meetings within department and in coordination with other units/departments as required

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Home Health Medicare payment posting back up, adjustments and contractual allowances

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Prepare reports for monthly meetings that summarize status of accounts

•

Respond to internal and external customer inquiries, and perform special projects as needed

•

Run reports: Episode Verification & Adjustment Process (GenEnd) report, Aging report,

•

Admission Statistics report, and AJ notes report

Train and assist other billers as needed

•

Data Entry and Medical Records Duties

• Created and maintained paper and electronic medical records in McKesson Horizon Pathways

system to ensure compliance with policies and regulations

• Entered clinical data, updated patient and physician information into electronic medical records

in McKesson Horizon Pathways system

• Data entry of oasis assessments, physician orders, medication profiles, clinician itineraries, and

certifications in McKesson Horizon Pathways system

• Assembled paper charts, organized and filed documents, performed chart discharge audits

• Assisted other units/departments with retrieving and faxing medical records as required

• Monitored and faxed physician orders and certifications/plan of treatments

• Ran and distributed expiring certification reports

• Reviewed Enter Services batches, cleared edits and generated services

• Provided support to Clinical teams, Referral Intake and AR as needed

Med+Temps Bellevue, WA

Clerical Temp Ester Frey

July 1999-October 1999 (3 months) 425-***-****

Duties

Temporary job working at Evergreen Healthcare doing faxing, data entry and phones which

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lasted for 3 months until hired for full time position.

Education

Associate Degree in Arts and Science

Graduated from Everett Community College with honors taking classes that included General

Psychology, Natural Science, Sociology and Interpersonal Communications

Associate Degree in Fine Arts – Graphic Art

Graduated with honors from Everett Community College with a Computer Graphic Design Major

References

Ryan Pierce Business Operations Manager 425-***-****

Steven Wong Business Office Coordinator 425-***-****

Beth Start Clinical Support Specialist 206-***-****

Jayne Nance Speech Therapy 951-***-****

Contact this candidate