Home Health Manager
Resume:
NAFISA ZOHAIR
Houston, Texas77070
Ph: 832-***-****
E-mail: ********@*****.***
PROFILE
Medical Billing Specialist Home Health Professional HR & Payroll Manager
** *****’ experience in Health Care Industry including 10 years Home Health Managerial,
Operational and Billing Experience. A self motivated leader that provides effective
communication and detailed strategic planning to meet deadlines for projects and training. Work
well with clinical management in collaboration to assist with overall patient care, Quality
Improvement and assurance. Ability to establish a positive working relationship with all whom I
encounter has allowed me to personally grow in this industry. Work experience with The Joint
Commission and CHAP accredited Home Health Agencies.
PROFESSIONAL EXPERIENCE
Business Office Manager / Biller Nov2010-Feb2013
Fortune Healthcare, Inc
Houston TX
Supervise all day to day operation in Home Health Industry, Work as HR Manager, Biller, Q/A &
Chart audit / Insurance verification and Authorizations/ Disaster coordinator / Payroll Manager /
Supervise In-services and Case Conferences. Supervise Clinical & Office Staff with Continue
Education with Constant Changes and updates with State and Medicare regulations. Oasis
Export, HHCAHPS files Monthly transmission and Casper Reporting. Quarterly updates /
Annual PPR Submission (TJC Requirement) including all administrative tasks.
Business Office Manager Oct2007 – Sep 2010
Home Therapeutic Solutions
Houston TX
Manage and Supervision of daily office affairs, intake, scheduling, payroll, physician order &
Therapy tracking, office Supplies, HR, responsible for all other Administrative activities.
Performed duties as Privacy officer, Disaster coordinator and Biller for Medicare, Managed care
and private Insurances. Q/A Including updates with Medicare and State continuous changes in
regulations.
Business Office Specialist May2007 to October2007
Amedisys Home Health
Houston North West
Scheduling, Clinical Labs tracking, Responsible for performance of various clerical and billing
duties including: Inputs patients visit data into billing system to ensure accurate and timely
billing and payroll process. Input patient’s data into Oasis system and transmit accurate and
timely information and sent to state. In put patients data into system for Insurance verification,
tracking therapy, Labs, RCs and Admissions within 24-48 hours according to Medicare
guidelines. Maintain tracking system for physicians’ order, post hospitalization and discharges,
verbal orders/telephone orders, rehabilitation evaluation to maintain compliance. Generate 485
into system. Process new referrals and follow Medicare guidelines and auth from private
insurance. Maintain patient’s clinical records filling and accuracy per HIPAA and Medicare
guidelines.
Patient Care Coordinator Oct 2005 –April2007
Dynacare Home Health
Houston-TX
Process new referrals and staffing, answering phone calls and resolve patient’s problems.
Arrange DME as ordered. Generate 485 (POC) and enter data in Haven, export and lock Data
and submission to state. Monitoring Drs orders and 485 logs for sign and unsigned, monitoring
invoices on hold for Medicare billing, Monitoring therapy episodes frequency and on time
evaluation, Review all nursing notes and Oasis for correct care path vitals and home bound
status. Oasis for MO825, fall risk, duration and frequency of skills request for the patient,
Coordinate and audit Medical Records with great accuracy. Verification and Submission of
therapy invoices on timely basis to accounts payable. Monitor CHF patients via Telemonitoring
system.
Medical Records Specialist Oct2003 to Oct2005
Dynacare Home Health
Houston TX
Open and closed charts, Filing ad answer phone. Tracking of physician orders maintain log for
signed returned orders. Review and Process Daily visit logs to payroll. Develop weekly tally
sheets of visits for payroll. Make sure that documents flow in coordinated and efficient manner.
EDUCATION / CREDENTIALS
Understanding the Medicare Home Health Coverage Guideline July, 2013
By National Government Services
Home Health Nursing Documentation June, 2013
By National Government Services
2013 Home Health Workshop Series March 2013
By Palmetto GBA in Baton Rouge LA
MSP Part A Billing (Certification) March 2013
By National Government Services
Home Health Notices (Certification) March 2013
By National Government Services
PC-ACE Pro 32 Webinar Series April 2012
By Medicare University
BLUE PRINT for Oasis Accuracy December 2011
Texas Association for Home Care & Hospice
2012 Medicare Update December 2011
Certification from Palmetto GBA
Nose to Nose with Home Health Compliance March 2011
By Foundation Management
2011 Final Rule
Survival Changes by Arnie Cisneros PT January 2011
Medical Insurance & Billing Certification December 2009
Nationwide PPS Refinement Billing Seminar November 2009
Basic Home Health Billing and DDE July 2005
Certification
Bachelors of Science in Microbiology, Chemistry and Botany (1986)
University of Karachi- Karachi, Pakistan.
ACHIEVEMENTS AND AWARDS:
Employee of the Year (2005) Dyna care Home Health (Total Employees 200)
Reference available on request
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