Medical Biller / Collections
Resume:
ADRIANA M. MANNING
Schertz, TX. 78154
210-***-****-Cell
210-***-****-Home
HYPERLINK "mailto:acfydq@r.postjobfree.com"acfydq@r.postjobfree.com
Position:
OBJECTIVE: To be gainfully employed and be part of a team environment.
SUMMARY OF QUALIFICATIONS:
1) Graduated the RMA (Retail Management Academy) 07/2012
2) Over 20 years of Customer service /Administrative work experience.
3) Over 5 years of Team Leadership/Managerial experience
4) Confident, patient, and extremely comfortable in working in all
environments.
5) Outstanding communication/listening skills, achieving client confidence.
6) Posses excellent oral and written communication skills.
EMPLOYMENT HISTORY:
ARMY AIR FORCE EXCHANGE SERVICE
Stuttgart, Germany: Panzer Main Store
Date: 08/09/2011 to present
Supervisor: Larry Wright/Alan Myles/Marcus
Position: Operations
Duties: Supervise front end checkers and Power zone, help Operations
Manager that daily tasks are completed, manage all daily price changes as
well as weekly 88 price changes. Help customers resolve any disputes from
beginning to end and help Customer Service with returns, heating oil and
gas cards for customers. Help Cash Cage if I am needed in the morning or
evening, counting monies and resolving any discrepancies in the balance.
Replenish stock on the sales floor, part of the early morning stocking
crew, performs a variety of manual tasks including: checking inventory in
our assigned areas, taking account of what is missing on the shelves, clean
our areas, replace missing stickers on the shelves, know the products on
the floor and maintain a good working relationship with the ICA (Inventory
Control Associate) also help customers with questions or concerns.
Promoted from Warehouse to Operations in: 07/2012
TEAMPRAXIS
1585 Kapiolani Blvd. Suite 1800
Honolulu, HI. 96814
Dates: 11/2008 to 5/2011
Supervisor: Bernadette Zamora
Position: Account Manager II
Duties: Team leader for up to 15 personnel who were responsible for
numerous physicians' private practices to include establishing new
accounts, building office manuals (HIPPA guidelines and accounts practices
and procedures), new employee hiring and training at the clinic site,
maintaining trust with the physicians and their office staff for each
clinic, and ensured that all clinics were completely satisfied with
TeamPraxis services. In addition, responsible for each clinic I personally
handled that included billing, ensured that a monthly goal was obtained
each month, month end duties for the clinics, balanced each clinic, ran
financial reports, typed up performance profiles, detailed each month's
billing status, and detailed office data entry errors and/or incorrect
codes used, and the "EHR" (Electronic Health Record) for each office.
After receiving new clinics, set up meetings with the physicians and go
over financial status and financial earnings targets for each month, set up
special reports for each office, trained the office to the new system and
set up the final "live" date for the office, and created a "office manual"
designed for the region the office is situated. Always kept up to date in
the latest trends in EHR/CQS and office management.
INSURANCE OPTIONS, INC
102 Suttles Ave
San Marcos, TX 78666
Dates: 2/2006 to 7/2008
Supervisor: Sherryl Baebler
Position: Customer Service Manager
Duties: As customer service manager, filled the gap from claimant to
insurance company for all claims to include: Established new customer
client accounts, updated established client accounts, presented new
benefits and packages to clients and employees, handled insurance from
claims denial from insurance company to final resolution to include saving
one company employee over $1,ooo,ooo. Streamlined office functions by
improving office filing systems, researching new potential clients,
compiling weekly staff meeting notes. Also receives all telephone calls and
ascertains the identity of each caller, route all calls correctly to each
broker, schedules all meetings, receives all visitors to office, and
assured all visitors are made comfortable and for meetings everyone was
accounted for.
PMOS/MFE
102 Suttles Ave
San Marcos, TX 78666
Dates:
Supervisor: Gary Nelson
Office manager of 5 person office, responsible for two Orthopedic
physicians accounts, managed billing and accounts receivables, scheduled
follow-up office appointments and surgeries for patients, secured referrals
and payments for non-insured patients and training new employees for
clinics, ordered supplies, run monthly statements for patients and
maintains, monitors and reconciles general ledger control accounts and job
costs. Also receives telephone calls and ascertains the identity and
purpose of each contact. Received phone calls and screened for importance,
routed and/or took messages, scheduled meetings for the physicians and
maintained the meeting minutes, received visitors to the office and
maintained the administrators' calendar.
N.E. ORTHOPAEDICS AND SPORTS MEDICINE
177709 Toepperwein Rd.
Ste. 100
San Antonio, TX. 78236
DATES: 2/2003 to
Supervisor: Gary Nelson or Wendy
Position: MEDICAL COLLECTIONS
Duties: Daily report run of patient past due account receivable lists for
my three doctors, follow-up calls to the work comp attorneys, daily calls
to all 4 hospitals to the billing department for Medicaid numbers for the
patients who were pending for state assistance, sent cases out to the
outside collections office after lengthy review, run monthly patient
statements, sent EOB's (explanation of benefits) out for the secondary
insurances attached to Hicfa 1500 forms, worked high volume of appeals to
the major insurance carriers due to denials for various reasons and made
sure authorizations was in place for the surgeries and/or
consultations/follow-up visits, worked with patients who were self-pay on
a monthly payment schedule and handled a large call volume daily.
CONCENTRA PREFERRED SYSTEMS/PACIFICARE SOUTHWEST
535 E. Diehl Rd.
Naperville, IL. 60365
DATES: 5/2000 to 2/2003
SUPERVISOR: John Ward/Lori Wolfe
POSITION: FIELD SERVICE REPRESENTATIVE
Duties: Worked on location at Pacificare in sending non-contracted claims
for re-pricing to the main office in Naperville, IL. Sent all non-
contracted PPO, HARRIS, paid, and DRG (hospital UB-92) claims. Handled
daily phone calls from negotiators regarding co-pays and payment histories
on all non-contracted claims. Researched all provider's if their offices
were contracted or not with Pacificare or Concentra. Gathered all medical
dispositions and verify all dispositions are correct before sending back to
examiners for payment processing. Consolidate a weekly and monthly report
of all contracted and non-contracted providers and trouble-shoot any
incorrect paid claims. Interact with on-site supervisor and Field Service
Manager to keep them up to date with Concentra issues at the client end.
Interact with Pacificare employees daily in regards to any Concentra issues
at hand
ST. JOSEPH CLINIC
1708 S. Yakima Ave.
Tacoma, WA 98405
DATES: 1/1998 to 7/1999
SUPERVISOR: Meri Remick
POSITION: MANAGED CARE COORDINATOR
Duties: Responsible for processing referrals for 20 doctors in three
different specialties in the clinic. Ensure all referrals go through
correctly and expeditiously. Receives heavy telephone calls from patients
which ranged from statement questions to wanting to make appointments with
providers, screened all calls and routed to appropriate departments. All
claim problems that may arise were processed correctly and helped patients
with statement questions quickly. Personally interact with numerous
patients daily in person or phone and always attended meetings or seminars
to keep up to keep up to date in the latest trends or developments in
Managed HealthCare.
ANESTHESIOLOGY BOOKING
1017 N. Main Street, Suite 225
San Antonio, TX. 78812
DATES: 12/1995 to 9/1996
SUPERVISOR: Angie Talamantes
POSITION: ACCOUNT SPECIALIST/ACCOUNTS RECEIVABLE/MEDICAL BILLER
DUTIES: Daily posting of payments to each doctors' accounts, handled all
insurance correspondence and responded to anything that needed attention,
went to the hospitals and collected the physicians encounter forms and
entered all information in system for all claims to be sent to carriers for
payment processing. Phoned any PCP office to obtain referrals for proper
claims payment, also handled any Invoice account receivables daily.
Received all incoming phone calls and routed to appropriate departments,
scheduled meetings and took meeting minutes.
METROPOLITAN HOSPITAL
Mccullough Street
San Antonio, TX 78221
DATES: 3/1995 to 12/1995
SUPERVISOR: Dora Castro
POSITION: ADMITTING CLERK
DUTIES: Daily admit of patients to all patient floors, code all patient
records daily and send all files to the business office for insurance and
/or patient invoicing, also rotate weekends to work in the Emergency Room
Admitting floor, received heavy load of phone calls, screened all calls
for level of urgency and routed the calls to the appropriate departments,
assisted physicians with locating patient medical records, received many
visitors to the main admitting room and made sure all was comfortable .
SO. ORANGE COUNTY HEMATOLOGY AND ONCOLOGY ASSOC.
27892 Via De Los Mares
Laguna Hills, CA 97212
DATES: 2/1990 to 1/1995
SUPERVISOR: Linda Baker
POSITION: ACCOUNT REP./ RECEPTIONIST
DUTIES: Responsible for all front office duties: Heavy patient calls,
scheduling of next chemotherapy treatment appointments and office follow-
ups, or scheduled any tests that the patient might need at the hospital.
Filed all charts and made sure all the referrals are in the charts for the
next visit. Greeted all new patients in office and made sure the patient
charts were updated or completed before patients left office. Helped the
nurses in the office when they were behind and basically just made the
patients and families were comfortable in the office.
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