C Medical

S H AM I KA C OX

**** *** **** ** . *** GHTD ALE N C 27545

( 91 9) 98 6 -1 2 69

EMAIL: s hamikalcox@g mail. com

OB J E C T I V E

To se cu re a fu ll -ti me p o siti on i n m an age me nt an d to o ri en t my ski l ls to th e

sp ec if ic ne e ds o f m y e mp l oy er wh il e ga in i ng a ve r sati le ba ckgr o un d o f

tr ai ni n g an d e xpe r ie nc e th ro ugh p r of essi o nal, e du cati o na l, an d p e rso na l

l ea rn in g.

E XP E R I E N C E

0 1/0 2/2 0 09 -Pres ent Am e di s ys H o s pi ce

B u s in es s Offi ce M a na g e r- Res ponsible for planning, directing, and

contro lling all office s upport functions. Direct cont act for all in house

employees, acting as the liaison between em ployees and corporate

office for all activities including employee relat ions, interv iewing and

recruiting, and adm inist ration of benefits . Ensure accurate and t im ely

payroll and billing process es. Rev iews payroll s heets and

reimbursem ent requests to ensure the integ rity of inform ation before

subm it ting to the corporate payroll departm ent by v erifying all agent

logs with payroll sheets . Assures timely submiss ion/t ransm is sion of

payroll information. Assist s and answers ques tions from employees

pertaining t o payroll m atters . Verifies salary for employees as

necess ary. Initiates payroll except ion request s/adjustm ents as needed

on a timely basis.

Ø Superv is es and prov ides direct ion s to non-clinical

adm inist rative s taff in an effort to ensure quality and

cont inuit y of serv ices.

Ø Superv is es, evaluates, and analyzes overall operations.

Ø Ens ures continuous coverag e in all adminis trativ e areas

t hrough appropriat e staffing as signment s and work load

dist rib ution. Coordinates st aff replacement as necess ary.

Ø Ens ures appropriate orientat ion for all new st aff, also

properly s creens, int erviews, and mak es appropriate hiring

decisions for non-clinical adminis trativ e staff.

Ø Performs non-clinical staff performance

appraisals/com petency rev iews as necess ary and in

com pliance with ag ency policies and procedures .

Ø Screening, ev aluating and recommending applicants for

interv iews.

Ø Participating in interv iews as required and assist ing st aff

m embers in identifying and creating job relat ed interv iew

quest ion s.

Ø C heck ing applicant references, making job offers and

initiating needed paperwork.

Ø As sess es, analyzes, and m onit ors adm inist rative branch

s ystem s and procedures. Mak es recommendations for

improv ed sys tems and procedures and increased efficiency

of operat ion s.

Ø W ork s with B illing D epartment in conjunction wit h semi-

m onthly billing, as well as with bills held in prior billing

periods.

Ø Prov ides reports as requested related t o billing such as

cens us reports, absent dat a reports, rev enue s tatist ics, visit

count s et c. Submits billing list and stat is tics t o corporate

billing departm ent.

Ø D irect adminis trativ e serv ices and operations for t he

branch including: billing, purchasing, comm unications

s ystem s, space utilizat ion, s ecretarial s upport, and mail

s ervices.

Ø C oordinate s ystem s and procedures with m edical records,

dat a entry, claims review, and pers onnel functions t o

ens ure efficiency and accuracy in operations .

Ø As sist Director of O perations with all billing inv oices for

denial and approval such as medical invoices, Hos piscript

inv oices, and DME inv oices.

Ø As sist in all areas of mark eting including obtaining

cont racts for nursing facilit ies and durable medical

equipment.

Ø Monitor s ystem s, ident ify problem areas, and dev elop and

implement act ions plans.

Ø Promot e compliance wit h all fiscal intermediary and/or

ot her third part y payors throug h education and coaching.

Ø C ontrol, monitor, and order office and m edical supplies.

Ø Prepare and conduct invent ory contro l report s on a

mont hly basis.

Ø Dem onstrat e a des ire t o set and meet objectiv es, and to

find efficient ways to perform daily task s.

Ø Monitor s ystem s, ident ify problem areas, and dev elop and

implement act ions plans.

1 0/20 07-06 /200 8 D u k e Un i ve r s i ty M e d i c a l Ce n t e r Du rh am, NC

P r i va te Di a g n os ti c Ce n t e r Cl i n i c s 2B/ 2C

P a t i e n t S e r vi c e s As so c i a te -P R M O

Va ri e ty of d uti e s asso c ia ted w ith d ai ly c l in ic p re p ar ati on p r oc ess, p ati e nt

i de nti f ic atio n, pa tie n t ch e ck in /o ut, ch ar ge p osti n g, ca sh man age me n t an d

p ati en t ap p oi ntm en t sc he du li ng. P osi tio n a lso i nvo l ves cu stom er se rvi c e,

me ssage di stri b uti on, an ci ll ar y sc he du li ng, an d p r ep ar ati o n an d re f er ra ls

ma na gem en t.

Ø Pr e pa re d f or c l in ic vi si ts b y r e vie wi ng ne xt d ay p ati en ts an d

c om pl eti n g n ext d ay pr e pa ra tio n ac ti viti e s.

Ø En te re d p re -vi si t o r de rs an d p r ep ar e d ne w pa tie n t c h ar ts. Pi ck up X-

r ay s, of f ic e ch ar ts, m ed i cal re c or ds, r e po r ts, pe tty c ash an d

c ol le cti o ns ba g. Fi le d h isto r y she e ts, an ci ll ar y r e po r ts a nd al l oth e r

r eq ui re d pa tie n t re c or d do cu me nta ti on . Re tur ne d me d ic al r e co rd s.

Att ac he d HIP PA/ Med ic ar e d o cum en ts to th e e n co un ter fo r ms.

Ø Ch ec ked -i n p ati en ts up o n ar ri val i n the pr ac ti ce .

Ø Id en tif ie d an d c o rr ec te d pa tie n t in fo r mati o n i n IDX. Ve r if ie d p ati en t

d em ogr ap h ic d ata. Ed ite d IDX as n ee de d. A cc ur ate l y id en ti fi ed th e

ap p ro p ri ate ac co un t fo r p ati en t visi t. P re sen te d an d e du cate d

p ati en ts on re qu ir ed fo r ms an d ob tai n ed sign atu re a s re qu ir ed by

p ol ic y an d p r oc ed ur e. Co mp l ete d al l ID X c he ck- in fi le s an d

ma na ged al l ap p ro p ri ate a le r ts. Co ll ec ted a nd po st c o- pa ym en ts an d

b al an ce s o n a cc o un ts d ue .

Ø Imp r in te d al l pa tie n t spe c if ic c ha rt d o cum en ts an d

r eq ui siti on /tr an smi tta l d oc ume n ts.

Ø Co pi ed, fi le d an d d istr i bu ted in sur an c e ca rd s as in di ca ted by

p ro c ed ur e. Co or di n ate d al l l ab s/p ro c ed ur es as r eq ue sted .

Ø Mai n tai ne d p ri vate p hy sic ia n o ff ic e c ha rts.

Ø Pr e pa re d e nc ou nte r f o rm s, in ve stiga ted, an d ac c ou nt f or mi ssin g

e nc ou nte r f o rm s. Aud i ted e n co un ter fo r ms fo r c o mp le ten e ss an d

ac c ur ac y be f or e b atc hi n g.

Ø Sc h ed ule d te sts an d p ro c ed ur es. Co mp le ted an d d istr ib ute d a nc i ll ar y

se rvi c e re qu isi tio n s.

Ø Exp l ain e d bi ll in g to p ati en ts ac co r di ng to P RMO c re di t an d

c ol le cti o n po l ic ie s. De ter mi n ed th e amo un t o f ca sh to be co ll e cte d

b ase d on in sur an c e pl an .

Ø Ch ec ked -o ut p ati en ts; Ma de re tur n a pp o in tme nts b y sc h ed ul in g

p ati en ts in to th e c o rr ec t ap po in tme n t typ e, en te ri ng th e p ri mar y ca re

p hy sic ia n o r r ef er r in g p h ysi ci an an d sc he du li ng tests a nd pr o ce du re s.

Ø An swe r ed te l ep ho n es, tak e an d d e li ver me ssage s to ph y sic ian s,

n ur ses an d o the r s.

Ø Re po rte d o bta in e d me d ic al i nf or ma tio n fr o m pa tie n ts a nd re f er ri n g

p hy sic ia ns ac c ur ate ly, c om pl ete l y an d ti me ly .

07/ 2007- 10/2 007 Du r h a m R e g i o n a l H o s p i ta l / D UH S Dur h am, NC

P RM O - Pa ti e n t Ac c o u n t S e rvi c e s R e p r e s e n ta ti ve / I n p a ti e n t O u tp a t i tn e t

P re c e r ti fi c a ti o n

Ø Re co rd ed a nd ge n er ate d re ve nu e by ga the r in g a nd p r oc essi n g

i nf or ma tio n th at i mp ac ts th e p ati en t re ve nu e p ro c ess.

Ø Co nta cte d i nsu ra nc e ca rr i er s vi a te l ep ho n e o r o nl in e ac ce ss to ve r if y

b en ef i ts a nd to p re -c e rt i np ati e nt stay s at th e Ho sp ita l.

Ø Ac c ur ate ly co mp l ete d pa tie n t ac co un ts ba sed on de pa rtm e nta l

p ro to co l, p o li ci es an d p r oc ed ur es, a nd co mp l ian c e wi th r egu la tor y

age n ci es, to i nc lu de b ut n o t li mi ted to p re -a dm issi on, a dm issi o n, p re -

r egi stra ti on, an d r egi stra ti on fu nc ti on s.

Ø En sur e d al l i n sur an ce r e qui r eme n ts ar e n o t me t pr io r to p ati e nts'

ar r iva l.

Ø Fi sca l r e spo nsi b il ity me asur e d o n hi gh me asur e d o n h i gh p ro d ucti o n

l eve ls, q ual i ty o f wo r k o utp ut, in c o mp li an ce w ith esta bl i she d Duke

Uni ve rsi ty He al th Sy stem s p o li cy sta nd ar d s.

Ø In iti ate d a nd d eve lo p r e la tio nsh i ps wi th cu stom er s i n o r de r to gath e r

an d p r oc ess i nf or ma tio n o r r e sol ve i ssue s i n o rd er to r e ce ive ac cu ra te

r ei mb ur sem en t a nd o p tim ize in te rn al an d e xter n al c usto me r

sati sf ac tio n .

Ø O pe r ate d gen er al o f fi ce e qu ip me nt. G en e ra ted l e tter, wo rks o n

sp re ad sh ee ts; en te rs an d so r ts d ata .

Ø Wor ke d i n de pe nd en tl y a nd h ad th e ab il ity to ma ke de ci sio n s re l ati ve

to in di vid ua l wo r k a ssign me n ts. Wo r ked assi gnm en ts de fi n ed b y

i mme d iate sup er vi sor or man age r .

10/ 2005- 09/ 2006 Am e r i c a n E x p re s s C a r d s In c . Gr e en sb or o, NC

T e l e p h on e S e r vi c i n g Ce n t e r H i g h Va l u e d C a r d M e m b e r

R e p re se n t a t i ve

Ø Ha nd l ed i nc om in g cu stom er in qu ir ie s.

Ø Cal l s i nc lu de i nq uir e s o n c om pa ny se r vic es, b il li ng d isc re p an ci es,

p ro d uct i n qui re s, a nn ua l pe r ce nta ge r ate s, p ay me n t i ssue s, an d

ge ne ra l i nq uir e s.

03/ 2004- 09/ 2005 I n fo N XX, IN C . McL ea nsvi l le, NC

H R Ad m i n i st ra ti ve As si s ta n t/ R e c e p t i on i s t

Pr o mo ted to HR Ad mi n istr ati ve Assi stan t; Rec ep ti on ist. Th e ma in pu rp o se

o f th e HR Ad mi n istr ati ve Assi stan t/ Re ce pti o ni st p o siti on was to p re se nt a

p osi ti ve, p ro f essi on al fi r st i mp re ssio n o f In f oNXX to vi sito r s a nd ap pl ic an ts.

Ø Re spo nsi bl e f or en sur in g tha t the ap pl ic an t p ro c ess was a p l easa nt,

e asy, an d i nf or ma tive e xpe r ie nc e.

Ø Re vie we d ap pr o xim ate ly 75-10 0 j o b ap p li ca tio n s p er we ek f or

c om pl ete n ess an d mi n im um qu al if ic ati o ns.

Ø Sc r ee ne d ap p li ca nts usi n g sta nd ar d ized q ue stio n na ir e.

Ø Sc h ed ule d ap p li ca nts f o r pr e -e mp lo ym en t testi n g a nd in te rvi ew s.

Ø Ad mi n iste re d p re -e mp l oy me nt te stin g an d i nte r vie ws.

Ø Mai n tai ne d a c l ean an d i nvi ti ng lo b by .

Ø An swe r ed m ul ti- li n e tel e ph on e l in es d ir ec ti ng ca ll s to ap p ro p ri ate

p ar ty.

Ø En te re d al l ap p li ca nts i n to O ra cl e Ap p li ca nt Tra cki n g sy ste m.

Ø Mai n tai ne d p er so nal f il es.

03/ 2004- 02/ 2005 In fo N XX, In c . McL ea nsvi l le, NC

411 D i r e c to r y As si s ta n c e Op e r a t o r

Ø Mai n tai ne d we e kly co mp an y j ob pe r fo rm an ce sta nd ar d s fo r qu al ity

(100 %).

Ø Cal l p ro c essi ng ti me (a t a mi n im um o f 34 se co nd s), an d p r od uc tivi ty

qu ota s (96.5 %).

Ø Ha nd l ed 900 to 1000 c al ls p er da y at an ave r age o f 26 se c on ds p er

c all pr o ce ssin g ti me .

Ø Util i ze d my Custo me r Se r vic e Ski l ls to assi st c usto me rs wi th n am e,

ad d re ss, an d te le p ho ne nu mb er s.

Ø Ea rn e d Pr em ie r CSR statu s af ter 4 we eks o f be in g em pl o ye d,

c on siste n tly e ar n ed we ekl y Pr e mi er b on use s.

08/ 2003- 11/ 2003 ( S e a s on a l ) F i n i sh L i n e S h o e St or e Bur l in gton, NC

S h oe S a l e s p e r so n

Ø Gr e ete d c usto me rs as th e y c ame in the stor e . Cash ie re d w he n

assi gn ed, an d so ld sh o es an d o the r sp o rts me r ch an d ise .

06/ 2003- 06/ 2003 ( T e m p o ra ry ) D u rh a m Ar ts C ou n c i l Dur h am, NC

Ad m i n i st ra ti ve R e c e p ti on i s t

Ø O pe r ate d swi tch b oar d a nd sch e dul ed eve n ts i n to a d ata b ase

p ro gr am. P er fo r me d ge ne ra l o ff ic e d uti es tha t i nc lu de f il in g,

ty pi n g, a nd fa xin g.

01/ 2001- 06/ 2003 Ca ro l Wo o d s R e ti re m e n t Co m m u n i ty

Ch ap el H il l, N C

H os te s s / Ca p t a i n

Ø Me et an d gr e et r esi de n ts a nd fa mi ly m em be r s to re si de nts, to ve ri f y

ac c ess to th e f ac i li ty. E nte r ed r e sid en t's i n fo rm ati on to tr ac k me al

c om pe n sati on s.

S KI L L S A N D S P E C I F I C A T I O N S

Ø Exc el le nt p re se ntat io n, co mm un ic ati o n an d i nte r pe rso n al ski ll s.

Ø Go od pr o fe ssio na l ap p ea ra nc e .

Ø Ab le to wo r k a lo n e on br o ad va ri e ty o f p ro j ec ts.

Ø Ab le to e xer c ise e ff ec ti ve j ud gm en t, se nsi tivi ty, c re ati vi ty to c h an gin g n e ed s a nd sol uti o ns.

Ø Ab le to esta bl i sh an d ma in tai n h e al thy w or ki ng re l ati on shi p s wi th p e op le i n c ou rse o f

wo rk.

E DU C A T I ON

08/ 1999- 06/ 2003 Ea st Cha pe l Hi l l Hi gh Ch ap el Hi ll, NC

Ø Gr ad ua te d in the Cla ss o f 20 03 wi th a Hi gh S ch o ol Di p lo ma.

1 0/2 00 9 -1 0 /20 10 Dev ry Univ ersity R aleigh, NC

Ø Major- B usiness Adm inist ration

C O M P U T E R S KI L L S

Ø PeopleSoft, C it rix, AMS 3, AMS 2, Kronos, IDX W eb,

ID X C haracter Cell, Microsoft Office- Word, Ex cel, Power

Poin t, Outlook ; Oracle HR modules, Lotus N otes, Nov ell

Group wise, Power MHS, Max MC, IPD Suit e, Mobius,

R as-V3, Group W is e 5 5 E, Passport - One Source, OAS

Gold production, R eal Med, Blue- E, and other web-based

applicat ion s.

T R AI N I N G

Ø Le gal A spe c ts o f In te rvi e win g

Ø Beh avi o ra l In ter vi ew in g

Ø Cl ai ms Tr ai n in g

Ø Ben e fi ts a nd El igib i li ty

** R E FE R E N CE S AVA IL IBL E UP O N RE Q UE ST S **

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