210-***-****(cell) **** Castle Rose
San Antonio, Texas 78218
Rhodena Matthews
Monitor Unbilled Documents Issues report, and collection of missing
Experience documents.
Assist in the resolution of orders beyond authorization date (Responsibility
Matrix).
Monitor Ship Pending report, and maintain Bizflow to ensure complete
documentation is obtained.
Prioritize orders; Review and update Order Notes accurately, thoroughly
and timely.
Assist with retrieval of documents, resulting in certification and
recertification of KCI products and therapies.
Ensures timely processing of required paperwork (e.g., Fast Form) to
prevent delays in delivery, billing and recovery of products.
Assist in identifying patients transitioning between care settings (e.g.,
Acute to Home).
Comply with Standard Operating Procedures, particularly HIPAA.
Coordinate product delivery; Ensure seamless transition of product
placement.
Participate in overtime as needed to support department goals and
objectives.
Assist with departmental projects and special tasks when assigned (e.g.,
Pilot Teams).
Participate in any and all reasonable work activities as assigned and
deemed appropriate by management.ber 2006-Present Kinetic Concepts
COPA
November 2006- Current Kinetic Concepts Inc- Claims Specialists II
Responsible for processing orders for the New York Area for VAC Therapy
for patient’s transitioning from an Acute hospital or Skilled Nursing Facility
to home.
Calls made to Insurance Carriers to obtain the patient’s benefits and verify
if they have coverage for Durable Medical Equipment
Processing these orders that come from Case Managers, Discharge
Planners, Wound Clinics, Home Health Agencies, and MD offices
Ensure that all pertinent paperwork is fully completed with the patient’s plan
of care after VAC placement at home as a follow-up with the Home Care
Agency or Wound Care Clinic.
Ensure that the patient receiving the VAC Therapy understands the
benefits and is capable of understanding the Co-Insurance percentage.
Coordinate delivery through UPS with the patient, ensuring that an adult
over eighteen will be available for signature.
Releasing the order in a timely manner with a need by date from the time
the order is received until the end.
Managing the unbilled report with any and all missing documentation on
the initial order in order to maintain billing in a timely manner.
Processing approximately 10-12 orders per day and a total of 25-30 order
per day for the NY State area.
Follow-up with training as needed
June 2005-– November 2006 Kinetic Concepts Inc – Team Leader
Responsible for providing information and assistance to CCR’s
Provide Coaching
Facilitate Team Lead Meetings.
Facilitate Team Meetings
Answer lead line providing assistance and information.
Distribute and maintain confidential information to CCR’s.
Assist with new hire classes.
Handle escalated issues
Answer Inbound calls when needed
Attend Training Classes
Provides first level counseling related to the NCC
Motivates Team members
Provides support
1990-2005 Kinetic Concepts, Inc. – CCR I, II San Antonio, TX
Customer Service Representative III
Responsible for answering incoming calls at the National Call Center.
Trouble Shooting problem calls and customer complaints.
Assist Field Representatives with order placement and product research.
1986-1990 San Antonio Water Systems San Antonio, TX
Data Entry Clerk
Entered Field Work Orders Daily
Assisted with Time Cards.
Entered Daily Attendance Issues
Dispatched out Incoming Field Work
Maintained Employee Files
Maintained mileage reports on all Employee vehicles every month.
.
Education 1982-1984 Huston-Tillotson College Austin, Texas
46 College Hours – General Studies.
2003-2004 St Philips College San Antonio,
Texas
30 College Hours – General Studies
2008-2009 St Philips College San Antonio,
Texas
12 hours-Kinesiology
2009-2010 Texas A&M San Antonio San Antonio,
Texas
12 hours-Criminal Justice Texas A&M San Antonio San Antonio,
Texas
9 hours- Criminal Justice University of the Incarnate Word San
Antonio, Texas
110 hours- Criminal Justice
Goal is to complete school with a B.S. degree in Criminal Justice and a
minor in Kinesiology by 2015
Would like to become a coach for ladies sports with a concentration on
basketball or track and field
Hobbies: participate in Co-ed softball with my company
Basketball coach: 1998-2000 CYO girls basketball
REFERENCES AVAILABLE UPON REQUEST