Manager Quality Assurance
Resume:
Christie Elam
Email: *********@********.***
Address: *** ********* **
City: Brentwood
State: CA
Zip: 94513
Country: USA
Phone: 650-***-****
Skill Level: Management
Salary Range: $63,000
Primary Skills/Experience:
See Resume
Educational Background:
See Resume
Job History / Details:
775 NEBERGALL CT* BRENTWOOD, CA 94513
PHONE 925-***-**** * CELL PHONE 925-***-**** * E-MAIL ******@****.***
CHRISTIE A. ELAM, CPC
EMPLOYMENT
2006-Present Palo Alto Medical Foundation Burlingame, CA
Mills Peninsula Division (Mills Peninsula Medical Group)
Consultant (2006) - 2006-2008 HealthCare Systems Manager -
2009-2011 Manager Billing, Collections and Recoveries
2011-Present Supervisor II, Recoveries, Payment
Auditing and Reconciliation & NextGen EPM Management
Managed EZ-CAP system, fee schedules, provider data, etc. for both professional and hospital (TPA) businesses.
Create and produce required reports for various users.
Interpret contracts for database functionality including DOFR language; rates and carve out language
Negotiate letters of agreement with providers.
Run specialty capitation and audit.
Run specialty budget reports and audit before submitting to upper management.
Manage NextGen system for billing, collections and recovery department including File Maintenance set ups & EPM functionalities
Manage staff for billing, collections and recovery.
Develop and implement policies and procedures.
Develop and implement reports for statistics and auditing.
Reconcile transactions & run reports in EPIC.
2004-2006 PetSmart Antioch, CA
Dog Trainer/Lead Cashier/Bather
Train all ages of canines basic obedience through advanced.
Address and assess behavioral issues.
Bathe, brush, minor grooming of canines.
Lead Cashier duties, end of day closing, etc.
2001-2004 Athena Medical Center for Women Manteca, CA
Office Manager OB/Gyn
Managed daily operations of office staff and physicians.
Developed and implemented policies and procedures.
A/R, Payroll, billing (office & surgery) to various insurances.
Front and Back Office Procedures.
2001-2001 Mills Peninsula Medical Group Burlingame, CA
Capitated Contracts Manager
Manage capitated specialist contracts.
Perform site visits to review contract terms with office/billing staff.
Analyze contract terms and summarize contracts for end users.
Run monthly capitation and reports.
2000-2001 Pacific Union Dental Concord, CA
Membership Accounting Supervisor
Manage Eligibility Department.
Create and produce required reports for various users.
Train and direct daily activities of assigned personnel.
1997-2000 Lodi Memorial Hospital Lodi, CA
Consultant (2000)
Manage claim operations during run-out.
TPA Coordinator (1997-2000)
Manage Claims/Eligibility Departments as well as maintain EZ-CAP system.
Create and produce required reports for various users.
Train and direct daily activities of assigned personnel.
Consultant (1997)
Analyzed Managed Care operations and EZ-CAP system.
Proposed modifications and assisted in implementation.
1996-1997 Children's Hospital, Oakland Oakland, CA
System Manager
Managed Claims, Eligibility and Capitation Departments.
Managed Novell Network and EZ-CAP system.
Created and produced required reports for various users.
Trained and directed daily activities of assigned personnel.
1993-1996 John Muir Foundation Walnut Creek, CA
System Manager (1994 - 1996)
Managed Eligibility and Capitation Departments.
Managed Novell Network and EZ-CAP system.
Created and produced required reports for various users.
Trained and directed daily activities of assigned personnel.
Physician/Member Services Representative (1993-1994)
Identified and resolved physician and member issues.
Liaison between medical group, health plans, providers and members
1991-1993 Alta Bates Medical Center Berkeley, CA
Program Coordinator/Coding Consultant (Alta Interventional Radiology)
Developed Interventional Radiology program.
Developed and implemented policies and procedures.
Managed medical records and Quality Assurance data.
Reviewed and adjusted billing.
1987-1991 Drs. Riesenfeld & Klebanoff Berkeley, CA
Office Manager Internal Medicine
1986-1987 Dr. Poon Antioch, CA
Office Manager OB/GYN
1982-1986 Alta Imaging Berkeley, CA
Assistant Office Manager Radiology
EDUCATION
1979-80 Cal State University Hayward, CA
General Education
1987-91 Los Medanos Community College Pittsburg, CA
2003-2008
Business/Liberal Arts
1991 Diablo Valley Junior College Concord, CA
General Education
2004 BLS/ACD Certified
Completed Basic EKG course
2004 -2006 PCDI
Veterinary Assistant Certification
2005 Animal Behavioral College
National Dog Training Certification
2008 Certified Professional Coder-AAPC
REFERENCES
Personal
Debbie Burnette Home 925-***-**** Cell 925-***-****
Lora Rains Cell 925-***-****
Anita Forry Home 916-***-**** Cell 916-***-****
Professional
Tiffany Crossley Work 650-***-**** Home 650-***-****
Annette Tracy Cell 510-***-****
Dee Adams Work 209-***-**** Cell 209-***-****
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