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Manager Insurance

Location:
Odessa, TX, 79762
Salary:
negotiable
Posted:
May 08, 2013

Contact this candidate

Resume:

**** ********,

Apt. **

Odessa, Texas

*****

Cell -

432-***-****

Sue D. Critz - Mayberry

Objective Looking for a stable environment in which to use my

abilities to the fullest and to learn new ones.

April 2007 - March 2013 Incompass Health/ 24ON

Physicians Odessa, TX

Program Coordinator/ Hospitalist Group

* My duties include: I am a one girl office:

Maintenance of a daily census log. Balancing that

log on a daily basis. Pulling demographics from the

portal at Medical Center Hospital. Entering

demographics on all new patients. Entering all

charges from the physicians. Sending faxes on a

daily basis to the Primary Care Physicians on

patients that have been admitted, discharged or

consulted on. Sending medical records to insurance

companies as needed. Helping my 8 physicians with

whatever they need (problems with cell phones,

beepers, etc.). Setting up and doing orientation on

new physicians that come to work here. Working a

collection report. Ordering supplies. Answering

phones. Working with Medical Center Hospital,

patients and all primary care physicians associated

with the hospitalist group that require assistance

from the hospitalist Paperwork for healthcare

agencies. Reporting and working with our corporate

office in Alpharetta, GA. These are some of my

highlights in this position.

Experience Dec 2006 - Feb 2007 Dr. Vincent Rascon Midland,

TX

Insurance Specialist

My duties included all electronic billing for

Medicare, NHIC and insurance using Medisoft

software. Handling all explanations of benefits

for secondary billing and client responsibility.

Maintaining files, filing, collections, answering

phones, setting up appointments, and making

computer corrections. Posting all receivables and

balancing at the conclusion of the day. Any

corrections for CPT codes such as modifiers. These

are some of my highlights in this position.

Nov 2005 - Dec 2006 Allison Cancer Center Midland,

TX

Insurance Specialist

My duties included all aspects of accounts

receivables using Mysis software. Handling all

explanations of benefits for secondary billing and

client responsibility. Maintaining files, filing,

collections, and answering phones. Any corrections

for CPT codes such as modifiers. These are some of

my highlights in this position.

April 2005 - Oct 2005 Dr. Jose Mayans Odessa, TX

My duties included all electronic billing for

Medicare, NHIC and insurance. Handling all

explanations of benefits for secondary billing and

client responsibility. Maintaining files, filing,

collections, answering phones, setting up

appointments, and making computer corrections.

Posting all receivables and balancing at the

conclusion of the day. Any corrections for CPT

codes such as modifiers, etc. Going to seminars

for Medicare and Medicaid.

Dec 1996 - Dec 2004 Turner Eye Clinic Odessa, TX

Insurance Specialist

My duties included all electronic billing for

Medicare, NHIC and insurance using Medical Manager

software. Handling all explanations of benefits

for secondary billing and client responsibility.

Maintaining files, filing, collections, answering

phones, setting up appointments, and making

computer corrections. Posting all receivables and

balancing at the conclusion of the day. Any

corrections for CPT codes such as modifiers, etc.

Being in charge of a part time helper.

Aug 1990 - Aug 1996 Bronkodose Pharmacy Odessa, TX

Manager

My duties included being responsible for all

billing of Medicare, insurance, and Workman's

Compensation, handling explanation of medical

benefits (EOMB's), certificate of medical necessity

(CMN's), renewals of CMN's, collection of CMN's,

setting up files IBM (Paradox), file maintenance,

working with Medicare, Medicare reviews, ICD 9

codes, sorting mail, answering phones, screening

calls and mail for the owner, received on accounts

reports (ROA) balancing ROA books, collections of

insurance, bank deposits, pharmacy tech., typing,

ordering supplies, public relations, taking reports

for new patients and training personnel.

Education May 1980 Ft. Dodge Senior High Ft. Dodge, IA

High school diploma.

Interests Outside activities include: hiking, camping,

swimming, rafting, horseback riding, and taking

care of my puppies Harley and Halfpint.

References Upon request.



Contact this candidate