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Customer Service Medical

Location:
Bowling Green, KY
Salary:
75000 per year
Posted:
September 08, 2014

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Resume:

Gwendolyn t holmes

**** *********** **, *-*, PMB 162, Bowling Green, KY 42104 270-***-**** (mobile) acftwa@r.postjobfree.com

EDUCATION

Kennedy-Western University, Cheyenne, WY - B.S. in Health Administration

Area of Concentration: Healthcare Management 12/2000

Community College of the Air Force (South Carolina State College) - A.S. in Health Service Administration

Area of Concentration: Healthcare Management 12/1982

USAF School of Healthcare Sciences – Sheppard AFB, TX - Certificate of Completion

Areas of Concentration: Medical Administrative Specialist 7/1976

U.S. Army Academy of Health Sciences - Fort Sam Houston, TX - Diploma – M edical Laboratory Technician

Areas of Concentration: Hematology, Clinical Chemistry, M icrobiology, Serology, Blood Banking 12/1975

Certification/affiliations

National Association for Healthcare Access Management (NAHAM) – Active Membership – M idwest Region 2005 -

P resent

Louisiana Department of Health & Hospitals – Certified Medicaid Application Representative 2004-2005

Louisiana State Board of Medical Examiners – New Orleans, LA - L icensure – Medical Laboratory Technician 1998 -

2005

National Association for Health Unit Coordinators, Phoenix, AZ - E ducation Board Member 1996 - 2005

Louisiana Community & Technical College System – Baton Rouge, L A - I nst ructor Certification 1996-1999

Healthcare Software Systems

HCA PARALLON BUSINESS SOLUT IONS (Greenview Regional Hospital)

• Meditech – Up to 6.0

• Ar tiva Billing System

• HPS (Healthcare Payment System)

• Passport Communications Eligibili ty Verification Systems (OneSource, In tellisource, eCare NEXT)

NASHV IL L E GENERAL HOSP ITAL AT M E HARRY

• NextGen EHR/EMR 6.0

• McKesson HPF

• McKesson STAR

• McKesson Scheduling

• McKesson Patient Secure

• McKesson RelayHealth Verification

• Passport Communication Eligibili ty Verification Systems (Passport OneSource)

BYWATER HOSP ITAL OF NEW ORLEANS

• Cerner M i llennium

• AS400 (Windows & DOS based) integrated with Dairyland Systems

• Passport Communication Eligibili ty Verification Systems (Passport OneSource)

• Medifax Verifications

Gwendolyn t holmes Page 2

employment EXPERIENCE

HCA Parallon Business Solutions – Greenview Regional Hospital - Bowling Green, K Y - D i rector, Patient Access

6/2011-8/2013

- Responsible for all daily operations of the Patient Access Department for a 200-bed facili ty to include Registration, QA,

I nsurance Verification, Pre-Registration, Denials, Compliance, Employee Productivi ty and Upfront collections.

- Lead monthly staff meetings; Daily stand-up meetings with CFO, Case Management, Eligibility Vendor ( MedAssist), and

F inancial Counselor; weekly routine meetings with Manager, Team Leads, and Financial Counselor; Member Financial

E thics and Compliance Committee with duties for quar terly auditing and reporting; provided monthly reporting for

quality assurance; participated in bi-weekly PAD conference calls and annual PAD conferences; served for any other

facility committees / projects as requested.

- Commit ted to new employee education and ongoing refresher programs; monitored staff Code of Conduct t raining

( Healthstream). Closely monitored high-dollar in-patient self-Pay, pending Medicaid and Medicare LTR days review.

Worked closely wi th case management reviewing observation admission days. Handled staff evaluations for quarterly and

a nnual incentives.

- Monitored cash attestations and verify cashiering functions. Employed first Patient Access Manager for facility.

Developed Patient Access Supervisor and Patient Access Leads for succession planning. Resigned to assist wi th hospice

care of parent.

Accomplishments:

I ncreased upfront collections from $30,000 per month to $75,000 - $100, 00 per month. - Increased Cash collections by 75%.

- Restructured, streamlined, redefined, and generally improved both the image and the professional attitude of both

departments with measurable success.

- Decreased outpatient registration wait time from 30-45 minutes to under 3 minutes.

- Developed and implemented bedside registration. Improved inter-departmental communications and relationships wi th

measurable results and better service to patients, physicians, and internal customers.

Genesis Career College – Nashville, TN - A djunct Inst ructor, Medical Coding & Billing 9/2010-6/2011

- Taught basic medical coding and billing skills, medical terminology.

- Int roduced ICD-10 basic skills. Program eliminated from cur riculum due to low student enrollment.

Nashville General Hospital at Meharry – Nashville, TN - M anager, Patient Access 4/2009-8/2010

- Coordinated, planned, performed and staff work schedules. Supervised, monitored and evaluated employee and budgetary

performance to ensure they maintain acceptable levels of quality (total 24 employees).

- Responsible for management of central scheduling, ER registration, centralized outpatient registration (16 internal

clinics), all inpatient admissions. Position consolidated with Business Office Director. Accepted teaching position.

Accomplishments:

- In conjunction with CIO and IT/IS department, implemented centralization equipment project for Outpatient Registration

a nd Clinics.

- Promoted and supported all Nashville General Hospital standards of quali ty customer service.

L aboratory Corporation of America (LabCorp) - Germantown, TN - Patient Service Specialist 4/2007-8/2009

Gwendolyn t holmes Page 3

Daily phlebotomy collections for University of Tennessee Medical Group Clinic and specimen preparation for courier pickup.

Performed blood collections of newborns to adults.

B ywater Hospital of New Orleans – New Orleans, LA – M anager, Patient Access 11/1999-4/2005

- Supervised and scheduled registration staff (total 15) for 24-hour PBX operations;

- Trained and monitored all facets of hospital and outpatient registration processes. Hospital closed for operations after

H u r r icane Kat rina.

Accomplishments:

- Created Medicaid MCO Coordinator position for facility for pre-screening of emergent visits according to EMTALA rules

a nd regulations.

- Established community relationship with neighboring physician clinics accepting walk-in Medicare beneficiaries, to t r iage

a nd eliminate non-emergent ER visits.

- Created and successfully certified the fi rst patient access registrars (10) for the facility via NAHAM.

L ouisiana Technical College (S. N. Collier Campus) – New Orleans, LA - Instructor, Allied Health

6/1996-8/1999

Area of Concentration: Phlebotomy/Unit Clerk/EKG

Taught basic phlebotomy/laboratory collection techniques; Evaluation of students for clinical rotation. Provided instruction for

basic and advanced EKG techniques. Moni tored clinical rotation for unit clerk (Health Uni t Coordinator) Program.

Accomplishments:

Authored first Patient Care Technician program cur riculum.

U nited State Air Force (Retired) Fort Lewis-McChord Base, Tacoma, WA (Last Duty Station) 5/1975-9/1995

Medical Laboratory Specialist

Tests and analyzes specimens of human origin and other substances by established scientific laboratory techniques to aid in

d iagnosing, t reating, and preventing diseases or to support medical research; and supervises medical laboratory activi ties.

Medical Administrative Specialist

Responsible for medical record maintenance, processing mili tary personnel and their dependents into the base medical system for

t reatment and annual physicals.

Basic M ilita ry T raining I nstructor

P rocess al mili tary personnel upon initial enlistment into the US Air Force at point of basic t raining. Responsible for instruction

over 45-day period of all basic Air Force procedures and regulations.



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