Manager Medical

**** *. ********** ***.

Pearland, Texas *****

**************@*****.***

281-***-****

Denice Gaffney, CPC-P, NCICS

Experience 2006-Present Center for Kidney Diseases and

Hypertension

Houston, Texas

Billing Manager

. Responsible for all hospital, office, and dialysis

coding and billing

. Maintain all accounts receivable

. Electronic filing of claims and follow-up

. Maintain all contractual agreements

. Maintain all physician credentialing and privileges

. Verification of patient's insurance

. Monthly status reports

. Monthly audits

. Handle all patients, front desk, insurance, and

patient inquiries

2006-Present Center for Cardiac Arrhythmias

Houston, Texas

Billing(part-time)

. Hospital and office coding and billing

. E/P study coding and billing

. EKG coding and billing

2006. Academy of Health Care Professions

Houston, Texas

Program Director/Instructor

. Work under supervision to standardize, coordinate and

analyze the Medical Coding and Billing Program

. Supervise instructional staff and assist in day-to-

day management operations

. Prepare weekly lesson plans, lecture, and testing

materials

. Provide feedback regarding curriculum and textbook

materials

. Attend and participate in staff meetings

. Advise students on academic progress, grades, and

attendance

1996-2003 University of Texas Health Science Center-

Houston

Houston, Texas

Section Coordinator

. Responsible for leading coding denial team

. Identify coding trends involving ICD-9 and CPT codes

. Develop and maintain work environment through section

. Train staff and educate(using IDX and software

programs)

. Coordinate and communicate roles, responsibilities

and performance standards, implementing policies and

procedures

. Maintain staff time and attendance records

. Hiring and discipline process

. Maintain medical records

. Prepare and attend staff and leadership meetings

1996. University of Texas Health Science Center-

Houston

Houston, Texas

Support Specialist

. Maximize reimbursement by contacting third party

payers

. Document payer issues and/or trends:unpaid claims

. Communicating between doctor(clinics)on billing

issues

. Processing and the completion of Medicare and

Medicaid remittance tapes, handling recoups and

withhelds

. Auditing of patients' accounts

. Refunds and analyzing credit reports

. Payment investigation and transferring money to

patients' accounts

1989. Teledyne Exploration

Houston, Texas

Accounting Manager

. Responsible for accounting department

Education Alvin Community College Alvin, Texas

. General Business Degree-Accounting

University of Houston-Clear Lake Clear Lake, Texas

Qualifications Certified in Medical Coding and Billing

Certified as a insurance specialist

Part-time Instructor San Jacinto College *2000

Reference: Available upon request

Contact this candidate