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Business Office Coordinator

Location:
San Antonio, Texas, United States
Salary:
22.50
Posted:
January 12, 2018

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Resume:

Stacey Bryant

PO Box *****, San Antonio, TX ***** 210-***-**** Email: ac30pu@r.postjobfree.com

Objective:

To obtain a supervisorial position, long term, where I can utilize my knowledge and skills in a professional atmosphere.

Experience

Laurel Ridge Treatment Center, San Antonio, TX

Business Office Coordinator October 2016 – present

Accounts Receivable and report management, simplified A/R spreadsheet for weekly meetings. Train, mentor, and set guidelines for new staff. Developed and implemented a process for maintaining patient admit packets. Account billing & collections for federal, state, and commercial payers. Coordinate with Admissions, and Utilization Management verifying insurance benefits eligibility and pre-certification for potential patients. Obtain new insurance contracts for corporate review. Created training procedures for insurance websites. Analyze patient accounts on an ongoing basis in order to maximize reimbursement. Coordinate and manage office schedules, payroll, and leave requests.

Hightech Rehab Solutions, San Antonio, TX

Lead Billing Specialist March 2014 – August 2016

Maintained facility credentialing, and re-credentialing applications for 9 locations. Managed payroll processing & reporting for entire organization utilizing ADP. Audited patient charts from Intake Department for billing. Compiled charge entries to code data to produce and submit claims to insurance companies. Responsible for charge entry of all facility billing, invoicing, and A/R follow up for 2 companies. Resolved patient billing questions, received, and processed patient payments. Routinely worked all phases of revenue cycle management – billing, claim submission, denial appeals, resolved unpaid claims, charge entry, fee schedule management, A/R aging, and collections. Entered and created invoices in Quick Books. Performed miscellaneous job-related duties as assigned.

South Texas Medical Supply, San Antonio, TX

Documentation Specialist August 2009 – October 2012

Obtained and tracked Certificate of Medical Necessities (CMN) for all patients’ Durable Medical Equipment (DME) Supplies, Obtained medical records for patient charts, Audited medical records for allowable diagnosis codes that match the DME supply, Inputted script information from the CMN into BrighTree (the computer system), Inputted diagnosis codes and doctor information into system per order, Followed up and obtained CMN’s that need to be recertified, Audited patient charts before giving to Confirmation Department, Verified if patients qualify for CPAP/BiPAP machines per guidelines, Obtained compliance reports for patient’s on CPAP/BiPAP machines, billed patient charges and shipped necessary supplies to them, Obtained authorization for patient’s DME supplies if needed, Received payments from walk-in patients and applied accordingly, Logged and tracked all faxes and distributed accordingly

Psyquel Solutions, San Antonio, TX

Provider Account Representative January 2009 – March 2009

Resolved payer issues, submitted corrected claims or appeals if required for 150 behavioral health providers. Trained new providers on system and how to navigate through it, Assisted in posting payments from all insurance companies (HMO’s, PPO’s, Medicare, Medicaid, etc), Verified patient benefits if necessary, Resolved provider issues, and responded to provider inquiries regarding their account

Bandera Family Healthcare, San Antonio, TX

Billing Specialist May 2007 – November 2008

Entered charges for three clinics (approximately 200 patients a day), Audited charges to make sure correct icd-9 and cpt code were being used, Audited patient charts to check for anything that wasn’t billed, Assisted in posting payments from all insurance companies (HMO’s, PPO’s, Medicare, Medicaid, etc), Filed claims electronically through Availity and worked rejected responses regarding a batch, Voided and re-keyed charges as needed, Resolved payer issues, Submitted corrected claims or appeals if required

Confirmed patient demographics, and insurance information, Discussed patient balances with them if they had questions

Accepted payments by phone for balances on accounts, Verified patients benefits, maintained spreadsheet showing doctors daily patient number count, labs drawn, and diagnostics done

Education

Wayland Baptist University B.A.S. in Human Services 2012-in progress

San Antonio College various coursework 1996-2005 (majority in Psychology,

Sociology & Criminal Justice)

Mac Arthur High School High School Diploma 1993

Traits and Skills

Medical terminology

Keen time management and organizational skills; ability to prioritize workload

Aware of HIPAA regulations, where confidentiality is concerned

Exceptional written and strong communication skills

Analytical thinker with ability to make sound decisions

Knowledge of third party payers, Medicare, Medicaid, Commercial plans, Workers Compensation, VA, Managed Care and their policies and procedures

Experience of most major insurance websites (ex: TMHP, Trailblazer, Availity, Tricare, Navinet)

Proficient with Explanation of Benefits (EOBs), ERAs

Proficient in Microsoft Office, EMDs, MOMs, Medical Manager, Citrix, Centicity, Dezine, BrighTree, AS400, Midas, Quick Books, and Quicken

Experience with CPT codes, ICD-10, and UB code modifiers

Interests

Current member of D.A.R (Daughter of the American Revolution)

Current foster home for animals from the Humane Society 2011-present

1st Assembly of God church volunteer 2014-present

PTA Board member at Eisenhower Middle School 2016-present

PTA Board member at Colonial Hills E.S. 2011-2013

References

Sue Ann Rasor (Former Business Office Director at Laurel Ridge Treatment Center)

210-***-**** ac30pu@r.postjobfree.com

I worked under Sue Ann as a Business Office Coordinator from October 2016 – June 2017.

~~

Elaine Stahl (Assistant Admissions Director at Laurel Ridge Treatment Center)

210-***-**** ac30pu@r.postjobfree.com

I work closely with Elaine as a liaison between the Business Office and the Admissions Office.

~~

Tom Lobit (Senior MSS at Fresenius Medical Care)

210-***-**** ac30pu@r.postjobfree.com

I worked closely with Tom obtaining, and billing hospitals for Kidney Dialysis from 2002-2007.



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