Customer Service Project Manager
Resume:
Tonya Godfrey
Humble, TX
************@*****.*** - 832-***-****
Possess excellent communication and interpersonal skills. Knowledge of Medicare, Medicaid and managed
care reimbursement methodologies as well as utilization requirements. Medical billing experience including
handling multi-phone lines system, data entry, customer service, claims processing, account reviews and
general clerical. Excellent customer service background combined with a strong work ethic.
WORK EXPERIENCE
ER Secretary
Triton Hospitalist Group - Houston, TX - October 2013 to Present
Administered administrative operations
Assign patients to doctors as they are admitted to the ER
Manage multi phone lines
Send out appropriate medical records to patients primary care doctor
Enter patients daily in PMD Soft for billing
Page assigned physician for nurses that are assigned to patient
Medical Records Coordinator
Healthy Minds/ St. Anthony's Hospital - Houston, TX - March 2012 to August 2013
Supervised three employees
Admit patients into PHP Mental Health
Managing Files
Respond to requests for Medical Records
Request information from various departments may photocopy records and documents for billing and /or legal
services
Safeguards confidentiality of the medical charts/records and complies with all local, state and federal laws
pertaining to medical records, compliance with HIPPA regulations concerning use retrieval, storage, and
sharing medical records
Ensure medical records include patient history, doctor's note, treatment plan, case manager/therapy
assessments, and nurse assessments are complete
Coordinate Medical Records staff and schedule
Initiate records for new patient
Prepare labels
Billing Coordinator
Supervised five employees
Bill Group Therapy weekly
Insurance verification, pre- certification
Finalized claims submission
Resubmit claims as necessary
Appeal claims
Coordinate between departments Medical Records and Billing Dept.
Employee Scheduling
Responsible for maintaining confidentiality and privacy with all information provided with this position
Assistant Billing Manager
DebLin Health Concepts and Assoc - Houston, TX - June 2006 to February 2012
Oversee and supervised twenty employees plus
Employee Scheduling
Schedule Group Therapy
Bill Group and Individual Therapy
Follow up on submitted claims
Insurance verification, pre-certification
Finalized claims processing
Resubmit claims as necessary
Track submitted Therapy charge
Post payments
Knowledgeable of claim md
Responsible for maintaining confidentiality and privacy with all information provided with this position
Assistant Transportation Supervisor
Supervised Five employees
Managed and trained new employees on job responsibilities and requirements
Check clients in and out for appointments and other activities
Schedule Dr's. Appointments and case manage several patients
Monitor mental health patients
Collection and submission of patient medical records
Scheduling
Assigned schedule duties
Responsible for maintaining confidentiality and privacy with all information provided with this position
Follow up with Medical Transportation Services
Schedule Transportation for patients
Project Manager
Oversee Forty Case managers plus
Assign over 500 cases per week to case managers
Maintain supporting documentation files an current patient address
Staff three days a week with Insurance Companies, i.e. Amerigroup, UBH, Molina
Assign on call duties
Monitor Calendars
Monitor and submit time sheet to Human Resource
Appeals Clerk
Make phone calls to insurance companies, i.e. Amerigroup, UBH, Aetna, Cigna and etc. to appeal claims for
payment.
Verify insurance prior to office visits and home health services working with the Billing Department
Monitor unpaid claims, initiate tracers
Responsible for maintaining confidentiality and privacy with all information provided with this position
Front Office Specialist
DePelchin Children Center - Houston, TX - May 2000 to June 2004
Supervise three employees
Responsible for the efficient operation of the front office functions, which includes admission,
telecommunication systems operation, internal communication with various departments, mail distribution and
handle special reports. Medical records functions; file and pull charts for Clinicians. Obtain authorization prior
to client visits.
Clerical support for 14 Clinicians, 7 Interns, and 2 Psychiatrist
Obtain authorization prior to client visits
Responsible for maintaining confidentiality and privacy with all information provided with this position
EDUCATION
Certificate in Medical and Coding Transcript
Houston Community College
2006
Contact this candidate