Quality Assurance Manager

D. Rene’ Ard

*** ***** **.

GARNER, N.C. *****

919-***-****

CAREER OBJECTIVE:

TO WORK IN A PUBLIC ORIENTED ENVIRONMENT AND OBTAIN A PROFESSIONAL POSITION

THAT WILL PROVIDE A LONG CAREER AS WELL AS POTENTIAL FOR ADVANCEMENTS.

• SELF MOTIVATED AND RESULT ORIENTED

• ATTENTIVE TO DETAIL AND EXTREMELY ORGANIZED

• HIGHLY VISIBLE TEAM LEADER

• ENJOYS TAKING THE INITIATIVE

EMPLOYMENT HISTORY:

RALEIGH OPTOMETRY

FEBRUARY 2006-DECEMBER 2008

ALL ASPECTS OF FRONT DESK, AND OPTOMETRIC TECHNICIAN

DOCTORS VISION CENTER-RALEIGH, NC

JULY 2002-JANUARY 2006

FRONT DESK MANAGER/PARAOPTOMETRIC TECHNICIAN

OBTAIN / DOCUMENT MEDICAL HISTORIES, MEDICATIONS AND

MEDICATION ALLERGIES

• PRE-SCREEN ALL PATIENTS IN ACCORDANCE WITH APPOINTMENT

TYPE

• DOCUMENT CURRENT RX BASED ON LENSOMETER READING

• CORNEAL TOPOGRAPHY FOR CONTACT LENS WEARERS

• OBTAIN RX ESTIMATE USING HUMPHRIES AUTOREFRACTOR

• DOCUMENT OCCULAR PRESSURES AND TIME OF NCT READING

• DIGITAL, MAGNIFIED AND STEREO PHOTOS

• VISUAL ACCUITIES-NEAR AND DISTANCE

• CHECKING ANGLES AND EOMS

• COLOR VISION AND RANDOT STEREO SCREENING

• PD MEASUREMENTS AND PEN LIGHT TESTING

• SETTING PHEROPTER

• PATIENT REFRACTIONS

• VISUAL FIELD ANALYSIS

• CONTACT LENS TRAINING

• VENDOR COMMUNICATION TO MAINTAIN DIAGNOSTIC SUPPLY,

PRODUCT

DEVELOPMENT INFORMATION AND CURRENT PROMOTIONS.

• INVENTORY CONTROL AND REPORTING ON MONTHLY BASIS

JANUARY 2002-JULY 2002

RECEPTION / FRONT DESK STAFF

• SCHEDULING APPOINTMENTS FOR MULTIPLE OD PRACTICE

• PATIENT REGISTRATION

• DATA ENTRY

• INSURANCE VERIFICATION

• CHECK OUT

• CHARGE ENTRY

• INSURANCE BILLING

• DAILY RECONCILLIATION OF ALL TRANSACTIONS

• BANK DEPOSITS

• VALUE REPORTS FOR CORPORATE REVIEW

APRIA HEALTHCARE-MORRISVILLE, N.C.

NOVEMBER 2000-SEPTEMBER 2001

REVENUE QUALIFICATIONS TEAM LEAD FOR CAROLINAS REGION

• LIASON FOR 15 BRANCHES IN THE REGION

• ENSURE COMPLIANCE AND BILLING PROCEDURES FOR

REIMBURSEMENT

• SUPERVISE QUALITY ASSURANCE COORDINATORS

• REVENUE REPORTING

FEBRUARY 1998-NOVEMBER 2000

INTERNAL AUDITOR

• PERFORM PATIENT CHART AUDITS ACCORDING TO REGULATORY

AND JCAHO COMPLIANCE ON A DAILY BASIS

• RESPONSIBLE FOR COORDINATING WITH REVENUE MANAGER TO

ENSURE THAT PROPER PROCEDURES FOR BILLING AND COLLECTIONS

ARE MAINTAINED, UPDATED AND ADHERED TO

• QUALITY CONTROL FOR BILLING DOCUMENTS AND CERTIFICATES

OF MEDICAL NECESSITY

JULY 1996-FEBRUARY 1998

LEAD MEDICAL NECESSITY REPRESENTATIVE

• TEAM LEADER FOR EIGHT OF FIFTEEN CAROLINA REGION

BRANCHES

• RESPONSIBILITIES: INTERVIEW / HIRE PROCESS, DAILY TIME EDITS,

PERFORMANCE APPRAISALS, DISCIPLINARY ACTIONS, TRAINING OF NEW

EMPLOYEES, ESTABLISHING AND MAINTAINING GOALS

• QUALITY ASSURANCE: REVIEW ALL CERTIFICATES OF MEDICAL

NECESSITYTO ENSURE THAT COMPLIANCE REGULATIONS AS WELL AS

INSURANCE REQUIREMENTS ARE ESTABLISHED FOR REIMBURSEMENT

PURPOSES

• ASSIST WITH EMPLOYEE DAILY FUNCTIONS AS NEEDED

APRIL 1994-JULY 1997

MEDICAL NECESSITY REPRESENTATIVE

• ESTABLISH MEDICAL NECESSITY FOR PATIENTS REQUIRING THE USE OF

DURABLE MEDICAL EQUIPMENT OR OXYGEN THERAPY WITHIN THE HOME

• PATIENT / PHYSICIAN FOLLOW UP CALLS TO ENSURE THAT REQUIRED

DOCUMENTATION IS RECEIVED FOR BILLING PURPOSES

• MAINTAINED 12% GOAL OF UNBILLED ACCOUNTS FOR DESIGNATED

BRANCH WITH AVERAGE MONTHLY REVENUE OF 400K

COLUMBIA-RALEIGH COMMUNITY HOSPITAL-RALEIGH, NC

MAY 1993-APRIL 1994

PATIENT REGISTRATION

• OBTAINED PATIENT DEMOGRAPHICS AND INSURANCE INFORMATION

TO PROCESS ADMISSION RECORDS

• WORKED CLOSELY WITH PHYSICIANS AND HOSPITAL STAFF IN ALL

ASPECTS OF SCHEDULING PATIENTS

• INSURANCE VERIFICATION

COLUMBIA-GRAND STRAND GENERAL HOSPITAL-MYRTLE BEACH, SC

DECEMBER 1989-APRIL 1992

ASSISTANT COLLECTOR

• COLLECTIONS OF PAST DUE ACCOUNTS WITH BALANCES OF $500 OR

GREATER

• FOLLOW UP WITH PATIENTS, INSURANCE COMPANIES AND

ATTORNEYS

• REPORTING OF ACCOUNTS / PAYMENTS TO COLLECTION AGENCIES

AND CREDIT BUREAUS

JANUARY 1987-DECEMBER 1989

PATIENT REGISTRATION

• PROCESSING PATIENT ADMISSIONS, PBX-SWITCHBOARD OPERATOR

AND OTHER DUTIES AS ASSIGNED SUCH AS TESTING FIRE ALARMS, CODE

BLUE

POLICIES AND OUTSIDE THREATS-NOTIFYING APPROPRIATE STAFF

MEMBERS IN A TIMELY FASHION ALSO CONTACTING OUTSIDE AUTHORITIES

WHEN THE SITUATION REQUIRED ME TO DO SO. I WORKED FIRST, SECOND

AND THIRD SHIFTS AND HAD NO PROBLEMS ADJUSTING TO THE DIFFERENT

TECHNIQUES AS THEY DID DIFFER A LITLE FROM SHIFT TO SHIFT, OFTEN

TIMES STAFF MEMBERS WOULD TRADE SHIFTS WITH SUPERVISORS

APPROVAL..

EDUCATION:

1986 SOCASTEE HIGH SCHOOL- MYRTLE BEACH, SC

HIGH SCHOOL DIPLOMA

Contact this candidate