Customer Service Manager
Resume:
D’Nette Carroll Broyles
Abilene, Texas 79606
*********@***.***
EXPERIENCE
****-**** ******* ******** ******* Center
Admissions Manager Abilene, TX
• Management of all Registration areas
• Management of Central Scheduling
• Oversight of all Ancillary Departments Registration areas
• Supervision of all Admissions Department Staff
• Ensure Monthly Point of Service Collections Goals are reached
• Ensure Staff are adequately trained and performance standards are met
• Maintain relationships with Physician’s Offices and their Staff
• Adhere to all Hospital Policies and Procedures
• Compliance with all Corporate Policies, Procedures and Regulations
• Work closely with OR Director, Cath Lab Director, Radiology Director & ED Director
• Maintain Interdepartmental relationships
• Ensure all areas are compliant with HIPAA regulations
• Oversight of Eligibility Screening Services Department
• Serve as ARMC spokesperson
2010-2012 Alliance for Women and Children
Women’s Health Awareness Program Manager Abilene, Texas
Management of BCCS Program (Breast and Cervical Cancer Services)
Supervised WHA Staff and Volunteers
Ensured Program is following all policies and procedures as mandated by Texas Department of State
Health Services
Outreach
Organized and attended Health Fairs
Public speaking at Meetings & Events
Fundraising & Grant Writing
Managed Annual Program Budget
Maintained relationships with Hospitals, Physicians and their Staff
Thorough knowledge of BCCS Program and Billing Practices
Managed Data-entry into Med-It Billing System governed by TXDSHS
Compiled various reports on a daily, weekly, monthly basis
Attended Monthly Board Meetings
Represented Organization at Community Events
Maintained relationships with various community organizations
Various duties related to Organization
2008-2010 B. Randolph Harrison, MD
Office Manager Abilene, TX
• Oversight and Management of daily functions of Gynecology Practice
• Complied with all HIPAA regulations
• Coding and billing of both Office and Surgical Inpatient & Outpatient Claims
• Reviewed and set goals for monthly A/R
• Collected patient payments
• Managed Surgical Calendar
• Scheduled patients for outpatient tests at various locations
• Ensured Authorizations and Referrals are obtained as needed
• Communication with Referral Agencies, Physician Offices and Hospital Staff
• Served as training/support staff to various Office Managers and Clerical PRN’s within Abilene
Physician’s Group
2006-2008 Work & Rehab, LLC
Business Office Coordinator Abilene, TX
• Managed daily functions of Business Office
• Entered patient’s charges
• Insurance Billing to primary, secondary and tertiary carriers
• Collected patients payments
• Verify patient’s insurance & benefits
• Worked closely with Texas Division of Worker’s Compensation and adhered to all laws and
regulations
• Processed Insurance Payments
• Collection of Data
• Processed Monthly Patient Billing Statements
• A/R Reports
• Maintained PTOS Billing System for Clinic
• Supervision of Clerical/Support Staff
1997-2006 BCBS/TX
Claims Technician/Processor Abilene, TX
• Managed Manual Calculation Claims Inventory on a daily basis
• Maintained daily logs and submitted monthly reports to State of Texas Contract Managers &
Employees Retirement System of Texas
• Processed claims requiring overrides to ensure correct payments and/or denials were made
• Ensured guideline changes submitted to committee as needed
• Attended weekly Tech Meetings to discuss revisions and pertinent issues
• Responsible for on-going training of six claims examiners as assigned
• Received 100% Quality Award for 12 months July 2004-August 2005
• Specialized processing claims in Coordination of Benefits Dept.
• Maintained member’s files as necessary
• Submission of refund requests as necessary
• Assisted Customer Service area as needed
• Proficient processing of all types of claims in a timely manner
• Member of SOT Guideline Committee 2003-2005
EDUCATION
May 1985 – Cooper High School Abilene, Texas
High School Diploma
SERVICE
ACS/Taylor County Board Member 2011-2013
ARMC’s Healthy Woman Advisory Council 2010-2013
Treasurer, CHS Cougarette Booster Club 2006-2012
REFERENCES
Janet Stuart
ARMC Business Office Director
214-***-**** - Cell
Joy Ellinger
Senior Cardiovascular Institutional Representative - Janssen/Johnson & Johnson
Former Taylor County Republican Party Chairman
Current State Republican Executive Committee, Republican Party of Texas
325-***-**** - Cell
Bubba Klostermann, OT, CEAS
Adult Therapy Services Director
West Texas Rehabilitation Center
325-***-**** – Office
************@****.***
Dorothy Thompson
Founding WHA Program Manager, Retired
President, Hendrick Medical Center Auxillary
325-***-**** - Home
325-***-**** - Cell
Richard Rendon
Systems Analyst Director
Breast and Cervical Cancer Services
Texas Department of State Health Services
512-***-**** - Office
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