Assistant Manager
Resume:
GINGER R. HANSEN
West Palm Beach, FL 33401
************@*****.***
EDUCATION:
Bachelor’s Degree, Interdisciplinary Studies (Industrial/Organizational Psychology)
Keiser University, West Palm Beach, FL
Medical Assistant (MA) Program and Associates, Medical Administration
Pima Medical Institute, Albuquerque, NM
Associate’s Degree, Integrated Studies/Business Admin, HR, Law and Ethics,
Central New Mexico Community College, Albuquerque, NM
Physiotherapy Certification Program, Sports Med, Rehab Exercises & Therapies, Phx., AZ
Assistant Director Certification Program, Licensed Childcare Facility, Scotts., AZ
Certified Chiropractic Assistant, Massage/Muscle Therapist Programs, Las Vegas, NV
Cosmetology Program, obtained License, Earls Academy of Beauty, Mesa, AZ
Associate’s Degree in Accounting/Business Administration/Human Resource Management
Mesa Comm. College, Mesa, AZ
EMPLOYMENT:
Patient Access Specialist/Ins Verification/Authorization, Good Sam Medical Center/Midtown Imaging
(September 2018-current)
Financial counseling, obtain pertinent insurance information, verify applicable benefits
Maintain all Medicaid, Medicare, Worker’s Comp, Auto Cases & County Health programs
Process verification, authorizations, and referrals
Perform quality audits, assist in training others to perform similar duties
Proficient with programs-PAS, SCI, OneSource, Kronos, Cerner, Ins Company websites, Clear IQ
Assist in training and acclimation of new hires
Accounts Receivable Specialist/Medicare- Infusion Services, CVS Health, Phoenix, AZ. (November 2017-July 2018)
Contracted/Temporary position
Assist in the resolution of denials, partial payments, and payment variances for Patient Financial Services (PFS)
Maintain and release all-ship-verified claims for all third party claim accounts within established time frame as assigned, Resolve errors and make claim edits assigned in work queues, Credit/Recharge
Follow work list prioritization of accounts for resolving accounts and/or submitting claims, Contact payers and patients when necessary for PFS processes, written reopening’s and appeals
Request relevant information from appropriate Revenue Cycle and clinical departments as required through the course of the PFS processes - Make necessary adjustments to patient demographic, insurance, and account balance information, conduct QA audits, prioritize age buckets and specialty projects.
Complete A/R adjustments, request other adjustments, build templates and instructional/informative PowerPoint presentations Adhere to all regulatory compliance areas, policies and procedures
Proficient in performing and assisting others with Excel spreadsheets, Cintix, ERN, MediAR, ePremis, HC360, Med-Metrix, Revenue Recover, Emdeon, CGS and Noridean Websites
Cashier Trainer/Overflow Clerk, Safeway Grocery Store, Scottsdale/Phoenix, AZ (August 2017-July 2018)
Contracted/Temporary position
Train new hires on the store layout, rules and regulations, and basics of operating registers.
Operations involving scanning items, checking IDs when selling age restricted items, processing payments, and making change. Balance drawers, greet customers, and maintain a clean and organized store environment.
Assist with the unloading of deliveries and stock shelves
Recruiting, Onboarding, Benefits Specialist, ADP & Kronos
GINGER R. HANSEN
************@*****.***
Reviews Processor II/ Claims Analyst, HR Assistant, Molina Healthcare, Albuquerque, NM. (April 2013-Feb. 2016)
Process all requests/approvals/denials regarding member PHI.
Format, review, and create Centennial Care Program P & P’s (Policy and Procedure forms).
Provide ongoing monitoring and serve as an advisory on compliance and potential fraud matters.
Participated with the Anti-Fraud, Waste and Abuse Program (FWA) & Govmnt. Contract team.
Train CRP’s, RN’s & LPN’s in CCR & PA (prior-auth) processes, prepared for & preside at NCQA audits.
Process CCR Medicaid & Medicare admissions, reviews, discharges and denials, Care Coordination
Assist in the claims flow processes, review and update claims. Prepare for appeals and CIR’s
Created step-by-step instruction materials, interview, train and support; implement Lean Processes
Recruiting, Onboarding, Benefits Specialist, used ADP, Kronos, Oracle & CEU verification
Merchandiser, HR Assistant, WIS International, Colorado Springs, CO. (February 2007-November 2008)
Performed hands-on/onsite inspections, daily, weekly and monthly audits. Perform interviews.
Designed, created, built and dismantled displays. Recruited and serviced new accounts.
Customer service and maintained relationships between store owners and our company.
Office/Operations/HR Manager, Timberline Spraying & Services, Woodland Park, CO. (January 2004-April 2006)
Responsible for corporate financial accounts, A/R & A/P. All human resources duties, used Quickbooks
Handled all the day to day clerical and office duties including high phone volume, customer relations, mail correspondences, scheduling of appointments, and supply maintenance, used Excel & Outlook
Formed the operations structuring of pesticides, inspections, and qualifications logs.
Office Manager, HR Mgr., Claims Specialist, Trainer, Physiotherapist/CA, Straight Chiropractic, Chandler, AZ, & The Gym Doctor, Gilbert, AZ. (January 2000-December 2003)
Worked hand in hand with patients to create beneficial and effective rehabilitative exercise programs.
Excelled at all general front and back office duties including educating and training of those skills to new hires.
Composed and edited written communications, dictations, and Dictaphone transcriptions.
Developed & maintained a system for storage, ordering, receiving, displaying, & distributing.
Efficiently handled high phone volume, set schedules, & made payment arrangements.
Performed re-exams, prepared & developed patients x-rays, instructed rehabilitative exercises, performed massages, EMS, inter-segmental traction, heat &/or ice therapies.
Handled ins. verifications, processing, billings, and coding. Physician/Attorney liaison, prepared legal narrative.
Administrations Manager, Trainer, C.A.G. Acceptance Corporation, Scottsdale, AZ. (January 1999-January 2000)
Proven successful at absorbing, implementing, and training others in all aspects of Lending, Litigation, Collections, Title work and Repos, joined with clerical operations.
Assistant Director, Teacher, Trainer, McCormick Preschool, Scottsdale, AZ. (December 1992-January 1999)
Office Managing and orchestrating a friendly, safe, productive and smooth running child care facility.
Conducted employee interviews, recruitment, reviews, scheduling, payroll, taught new hire classes, ethics, employee benefits course, maintained employee files,
Office Manager, Certified Chiropractic Assistant, Kasian Chiropractic, Chandler, AZ. (March 1989-December 1992)
Efficiently handled high phone volume, set schedules, & made payment arrangements. Performed re-exams, prepared & developed patients x-rays, instructed rehabilitative exercises, performed massages, EMS, inter-segmental traction, heat &/or ice therapies. Handled insurance verifications, processing, billings, and coding.
Recruited, interviewed, executed all onboarding, training & placement.
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