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Customer Service Manager

Location:
Abilene, TX
Posted:
August 05, 2014

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Resume:

D’Nette Carroll Broyles

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

Abilene, Texas 79606

325-***-****

ace87l@r.postjobfree.com

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

ace87l@r.postjobfree.com

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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