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Manager Medical

Location:
Houston, TX
Posted:
February 06, 2014

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Resume:

Dell P. Snellings

PROFESSIONAL

EXPERIENCE

Oct 2013 Cognosante

Present ACA Houston Site Supervisor

. In charge of deploying over 40 Professional Certified

Assisters into teams.

. The task; to reach out to the citizens and small businesses

in the Houston Metroplex to enroll in ACA healthcare plans.

. To train and prepare these teams consistent to functional

requirements of Marketplace In Person Assister's in

accordance with CMS guidelines.

. To set up all events and report feedback to Cognosante along

with weekly progress.

Jan 2013 Houston Pain Center

Sep 2013 Regional Manager

. Oversee day to day operations of 3 clinics

. Manage staff 15+

. Responsible for set up new clinics for HPC

Oct 2011 - Medical Clinic of Houston

Dec 2012 Managed Care Coordinator - Contract Position

. Maintain credentialing and contracts for 47 physician's

. Renew DPS, DEA & State license

. Responsible for maintaining hospital privileges for all

physicians

Apr 2011 - MD Anderson - HOUSTON, TX

May 2011 Billing Compliance Auditor - Contract Position

. Reviewed progress and physician notes to ensure hospital is

in compliance with billing procedures

. Implement new MD Audit software

Apr 2010 - HOUSTON AREA PULMONARY & SLEEP CTR - HOUSTON, TX

Nov 2010 Office Manager - Contract Position

. Set-up policies and procedures

. Credentialing & scheduling

. Practice set-up

. Eclinical software implementation

Sep 2007 - VALLEY HEALTHCARE SYSTEMS - COLUMBUS, GA

Jul 2009 Office Manager

. Organized and coordinated all billing and collecting new

practice.

. Supervised all administrative areas of the medical practice.

. Participated in developing strategic plans, operational goals

and objectives.

. Coordinated billing staff maintaining all personnel records.

. Increased clinic productivity by 75%.

Jun 2006 - MANAGEMENT TECHNOLOGY RESOURCE (MTR) - SAN DIEGO, CA

Jul 2007 Billing Specialist

. Responsible for billing and collections for multi-specialty

physicians.

. A/R follow-up on W/C and P.I. and all other carriers.

. Handled management responsibilities while manager was on

medical leave.

Nov 2004 - INTERFAITH COMMUNITY COUNCIL, INC. - ESCONDIDO, CA

May 2006 Director of Operations, Dept of Behavioral Health

Responsibilities

. Organized and coordinated all service functions of Interfaith

Behavioral Health Department.

. Oversaw application process for all Government

certifications, developing written operations and procedures

manuals in accordance w/federal, state and county

regulations. (HIPPA, Med-Cal, Health and Safety)

. Department budget development and implementation including

revenue management directing of staffing mix, scheduling,

payroll administration as input to Interfaith Human Resources

Dept.

Sep 2002 - DR. RHONDA T. WILLIAMS, OBGYN - MARIETTA, GA

Oct 2004 Office Manager & Privacy Officer

. Supervised all administrative areas of the medical practice.

. Coordinated and reviewed the development and implementation

of policies and procedures for all administrative functions,

ensuring they comply with all applicable regulations.

. Monitored and controlled productivity of all supervised

employees.

. Supervised and coordinated training of personnel in all

departments including, but not limited to initial and annual

training as outlined in the Compliance Program.

. Performed any other duties as assigned by Management.

. Coordinated w/Board of Directors to establish Privacy

Compliance.

. Maintained current information regarding privacy issues

pertaining to the practice.

Oct 1998 - NATIONAL MARKETING & ADMINISTRATION - HOUSTON, TX

Aug 2002 Senior Medical Claims Examiner/Auditing

. Trained members and new employees on WLT/Cognac systems and

medical claims processing.

. Implemented training manuals for self-insured and individual

medical policies.

. Responsible Auditing procedures in medical claims

departments.

Sep 1994 - COMMUNITY HEALTH CENTER OF SOUTH COLUMBUS -

Sep 1998 Front Office Manger

. Supervised a 7-member staff in billing/collections.

. Trained Customer Service Staff.

. Oversaw credentialing into all HMO, PPO, and Commercial

Carriers.

Oct 1990 - DR.J.BRODWYN - COLUMBUS, GA

Sep 1994 Billing Specialist/Collections Manager

. Supervised a 4-member staff in billing/collections.

. Implemented a tracking process of medical claims over 30 days

old.

. Submitted monthly financial reports to physicians.

Aug 1981 - BLUE CROSS/BLUE SHIELD OF COLUMBUS - COLUMBUS, GA

Sep 1990 Team Leader/Claims Processing

. Reported claims directly to claims manager.

. Trained new employees for ICD-9 and CPT coding.

. Audited medical bills for correct coding information.

. Designed a productivity report for measuring employees on a

weekly basis.

COMPUTER

SKILLS MS Word, Excel, Outlook, and Access

EDUCATION WLT SOFTWARE TRAINING/COGNAC SYSTEMS

Feb 2000 - Florida (Certified)

BLUE CROSS/BLUE SHIELD - GEORGIA

Aug 1981 Medical Coding (Certified)

Aug 1981 - ICD-9 and CPT Coding Medical Terminology

(Certified)

COLUMBUS STATE UNIVERSITY - COLUMBUS, GA

Jun 1977 - Medical Technology

CARVER HIGH SCHOOL - COLUMBUS, GA

Jun 1975 - College Prep Graduate

REFERENCES Available upon request



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