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Customer Service Manager

Location:
Elgin, Texas, 78621, United States
Salary:
28.00 hourly
Posted:
March 08, 2018

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Resume:

Sabrena Baron, C.C.S.

*** ***** *** *, **** B Elgin, TX 78621

Primary 512-***-**** ac4qz2@r.postjobfree.com

POSITIVE TEAM-PLAYER SELF-STARTER COMPASSIONATE

OBJECTIVE

Seeking the opportunity to work for a company using my skills and knowledge to better the lives of others as well as my own.

SKILLS

ReconNet, OPS, Janus (Next Gen),

Health Logic, SEDI, OnBase,

EDI.Hanger, Health Logic, Cash Pro,

Medisoft,Rightfax, Spring Charts,

Zirmed, Avality, Pathnet, Cerner

Management/Supervising

Sunquest System

HIPPA standards and precautions

OSHA standards and precautions

Patient Billing CMS-1500, UB-04

Coding-CPT, ICD-9, ICD-10-CM,

HCPCS

Medical Law and Ethics

Office 2010-2017 Word, Excel, One Note

Cerner, Pathnet, Access, QuickBooks Pro

Office 365

Medical Terminology

Appointment scheduling/Triage

Knowledge of insurance programs HMOs,

PPOs, POS, Workers’ Comp, Tricare,

CHAMPVA, Blue Plans, Medicare,

Medicaid

Insurance verification/authorizations

Clinical Procedures/ Patient Care

Medical Records

EMPLOYMENT HISTORY

Dell Seton Medical Center (Robert Half) Austin, TX 09/2017 to Current Accounting Clerk/Customer Service

Responsible for Third Party Billing, Outreach Laboratory Client Invoicing, extracting reports from Cerner to capture all Billing activity on a monthly basis, downloading miscellaneous reports and composing Calculation Sheets for pricing on outgoing laboratory billing statements. Auditing 2016 to current Billing Records and Statements. Responsible for composing and implementing Policies and Procedures within the Microbiology Department including Outreach Billing and Customer Service as well as initiating Quality Assurance procedure for the Outreach Billing and Customer Service departments. Responsible for all Laboratory Requisitions that are brought into the department by filing/sorting then sending them off to the correct Billing departments. In charge of filling incoming supply orders, including but not limited to laboratory supplies such as needles, anaerobic swabs, etc. Responsible for suppling sites with laboratory requisitions. Responsible for identifying any systemic issues in software, creating spreadsheets for Billing department to work.

Hanger Prosthetics and Orthotics Austin, TX 03/2016 – 09/2017 Staff Accountant/ReconNet Analyst

Ascertains that all 2014 to 2016 unmatched transactions are addressed and accounted for, assists in Internal Audit for both Hanger and Linkia. Responsible for initial scrub of unapplied cash/check/EFT’s and credit card payments, diagnose trends and communicate adequate resolution for unapplied transactions. Responsible for manually reconciling deposit and billing side transactions. Specifies what actions need to be taken on the unapplied transactions, determines where transactions need to be escalated to and how to resolve them. Strong knowledge of RCM processes and cradle to grave process of medical finance. Hanger Prosthetics and Orthotics

Cash Processing Specialist/Provider Services Specialist 08/2014 – 02/2016 Reviews and resolves exceptions related to RCM payment reconciliation process. Acquires and maintains comprehensive knowledge of manual and electronic billing systems. Responsible for resolving Service Now IT tickets submitted by the Patient Care Clinics on a daily basis, assists in payment posting, auditing of posted payments in order to ensure adequate resolutions, assists in training the fields when needed as well as my fellow coworkers, experience in locating EOBs/ERA’s needed for posting purposes. Unapplied Insurance payments, experience in obtaining the proper documentation in order to post payment correctly in order to reconcile aging unapplied. Knowledge on all CPP processes within RCM and experience in working these processes. Experience in trouble shooting to determine root cause for ERA issues resulting in Unapplied Insurance payments. Knowledge of Onbase operations, Excel spreadsheets, Capario, OPNET, SEDI, EDI.Hanger. Knowledge of billing systems OPS and Janus EPM (Next Genn). Overviews all in clinic payment batches, hospital payments, patient payments. Processing reimbursements to network providers. Manage refunds exchanged between network providers and payers. Maintaining confidentiality of patient information and files. Bastrop Medical Clinic Bastrop, TX 10/2010 – 07/2014 Billing/Contract Manager

Managing Account Payable and Accounts Receivable; Bank Transactions; Payroll; Provider Credentialing Performing re-occurring Audits and Contract Management. PQRS Measures and Training, Medicare/Medicaid revalidations, postings ERA/EOBs, understating of Superbills, Claims submissions, appeals, resubmissions. Generating finance reports, Internal Medicine, Nursing Home and Home Health Billing. Collections, preauthorization’s, Medical Records processing, Supervising overall work flow of the practice, oversees employee contracts, vendor contracts. EDI Management, annual updates on fee schedules. Insurance verifications; ordering supplies; motivating of employees and general maintenance of practice. Superior Health Plan (Burnett Staffing) Austin, TX 05/2010 – 08/2010 Referral Specialist

Setting up authorizations for doctor’s visits and outpatient surgeries through CCMS, Business Objects, Amysis 4.0 and other programs. Answering incoming calls from provider’s offices to verify eligibility and process authorizations.

Neidig Elementary Elgin, TX 02/2010 – 05/2010

Theater Arts Teacher

In charge of theatrical and art classes. Teaching children: theater, art, and communication skills. Bastrop Back and Neck Clinic Bastrop, TX 03/2009 - 06/2009 Medical Billing & Coding Extern

EDUCATION

Everest Institute Austin TX 2009

Medical Insurance Billing & Coding Diploma

Elgin High School Elgin TX 2007

High School Diploma

CERTIFICATES

Certified Coding Specialist 2011 – Present

HIPPA Training 2008 – Present

OSHA Training 2008 – Present

Certified Coding Specialist 2011 – Present

Ethics: An Overview for Texas CPAs 2016 – Present

Compliance and Integrity 2016 – Present

Confidential Information and Computer Security 2016 – Present Effective Spreadsheets, Databases & Reporting Tools for Financial Professionals 2016 – Present

Excel 101: Introduction to the Spreadsheet 2016 – Present Excel Chart Speed Tips 2016 – Present

More Excel Speed Tips 2016 – Present

(Specialized Knowledge and Applications)

Excel Lookups and Moving Beyond VLOOKUP 2016 – Present Cash and Credit Management (Accounting) 2016 – Present REFERENCES

Richard Venable 817-***-****

Financial Attorney

(Self-Employed)

Laura Hayes 512-***-****

Accounting Manager

Formerly with Hanger, Inc

(Previous Manger)

Kristen Arnold 512-***-****

Provider Contracts/Relations Manager

Hanger, Inc

(Previous Manager)

Stacy Amendola 512-***-****

Priority Claims Analyst III

Hanger, Inc

(Previous Supervisor)



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