Customer Service Manager
Resume:
Rhonda R. Stonum
Pflugerville, TX 78660
512-***-**** Cell
*********@*****.***
[pic]
Medical Biller/Mediator/Manager
With strong background in medical billing, medical training
experience, administrative experience and skills, accounting, coding,
insurance, auditing, follow-up, collections, problem solving skills,
accounts receivables payable, payroll, management, mediation,
management, and real estate
Austin Regional Clinic Austin, TX
Senior Patient Account Representative
. Review all operative reports and code them
. Enter all surgery charges
. Obtain all pre-authorization for surgery
. Assist patients with billing issues
. Appeal claims, rebill claim
. Problem solving
Advanced Orthopedics Houston, TX
Appointment Center/Insurance Supervisor
. Train all employees
. Experience in training medical staff, through presentations and hands
on methods
Experience in dealing with clinical protocols and compliance
management
. Create Workflows
. All Management Skills
. Verify insurance/make appointments
. Create Appointment Grid
. Supervise all employees
. Communication and presentation skills, both written and verbal
. Problem solving
Hannah's Place Austin, TX
Business Operations Manager
. Supervise Staff, Hire and Disciplinary Staff, Payroll, Scheduling of
staff
. Accounts Payable/Accounts Receivable,
. Review and Accept Patient's into the Facility, Review and Approve Bids
. Marketing, Credentialing, Medical Billing, and Coding
. Review, negotiate, and approve contracts, Credentialing, Payment
Posting, Denials, Authorizations
. Problem solving
AMPM Management Austin, TX
Denial Manager
. Work denials for various specialty account (Derm, Hospital, Skill
Nursing)
. Post Payments, Charge entry, Adjustments, Refunds
. Review claims before going to clearinghouse to ensure they are clean
. Customer Service, Credit Card Processing, Follow up, Rebill, Appeals
Carou
and approve contracts
oding
iveable ith patients
unters
sel Pediatric Austin, TX
Medical Biller
. Billed Medicaid, Medicare, All Commercial Carriers
. Post payments to accounts, make adjustments to accounts,
. Scrub Claims, Bill out claims, Code claims and Encounters, review
contracts
. Appeals, Follow-ups, Review accounts with patients
Lone Star Circle of Care Georgetown, TX
Medical Biller
. Bill all commercial payers
. Verify Eligibility
. Work A/R, and Post payments
. Do Appeals/Re-Bills
. Customer Service
. Contracting, Auditing, coding
. Work All Government Payers (Tricare, Medicare, & Medicaid)
. Refund Insurance Companies/patients
The Academy of Health Care Professionals Austin, TX
Instructor
. Teach medical billing and coding
. Teach A & P
. Teach Insurance
. Teach Accounting
. Teach Medical Terminology
. Teach Contracting
e-MD'S (AMT Solutions) Austin, TX
Billing Specialist II
. Batch and build claims for electronic filing
. Submit claims electronically and manually
. Post payments, follow-up on claims, appeals
. Post payments, audit accounts, review accounts with patients
. Create and send out monthly statements, collections
. Meet monthly with Doctors to review revenue for the month and quarter
. Analyze Contracts, review contracts
The Summit @ Lakeway SNF Lakeway, TX
Billing Coordinator/Payroll Specialist/Manager on Duty
. Verification of insurance, bill all co-insurance, Medicare, Medicaid,
and
. Private Insurances
. Prepares and records all invoices for the community
. Assists with Human Resources functions: Assists new hires with new hire
documentation, including new hire training.
. Assist the Executive Director with completion of documents,
correspondence, special projects, and revenue projections.
. Payroll information entered weekly into Kronos time system, enters all
garnishments
. Performs month end closing processes
. Performs all payroll functions and audits
. Performs Management duties as assigned, weekend manager for entire
community.
Cenpatico Behavioral Health Plan Austin, TX
Claims Specialist/Trainer
. Correct referrals, admission auth, so they will load properly into the
system
. Audit provider accounts,
. Follow up with providers on outstanding claims,
. Work with the Claims Dept to assure all auth and claims are processing
correctly
. Train all new employees, and providers to our computer system, the
correct way to enter authorizations, correct way to correct authorization
and basic use of our computer system, as well as the correct way to file a
clean claim, contract review
. Conduct on going training for various updates and other materials on the
various computer programs used
. Review provider contracts for clarity, rates, and updates
Heslip Forklift & Trucking Company Caldwell, TX
Co-Owner/ Operations Manager
. Payroll, benefits, FMLA
. DOT re-certifications
. Permits (hauling, loading, etc)
. Drug Screens, and physical
. Front office manager
. Background checks, driver's records checks
. Account Receivable & Accounts Payable
. Scheduling
. Training for all employees
Supportkids, Austin, Texas Austin, TX
Child Support Enforcement Specialist,
. Initiates appropriate involuntary/voluntary collection remedies.
. Prepares case file for referral to Legal Division.
. Manages caseload.
. Discovery of Non-Custodial Parent's assets for lien attachments. Reviews
court orders, contract information, and arrears calculations to determine
collectable arrears.
. Discovery of Non-Custodial Parent's assets for lien attachments. Reviews
court orders, contract information, and arrears calculations to determine
collectable arrears.
. Reviews credit reports, employment information, and contact information
to determine collection strategy.
. Initiates enforcements activity by telephone/mail.
. Responsible for enforcement work, contacting, persuading, negotiating and
following up with Non-Custodial Parent or other payer.
. Negotiates settlement or payment with Non-Custodial Parent's attorney.
. Responsible for negotiating, and collecting documentation of child
support owed to custodial parents.
Spring Branch ISD, Houston, Texas
Benefits Specialist/Human Resources Assistant
. Review enrollment paperwork for accuracy and follow up on those with
discrepancies.
. Educate 4500 employees on the 403B process, rules and regulations.
. Development of new processes and tools to increase and streamline
productivity.
. Input new and changed deductions in payroll system via AS400.
. Act as liaison between Third Party Administrator and employees.
. Perform duties as Benefits Specialist assisting Employees Benefits
Manager.
. Tract resignation / termination final pay to notify insurance carrier of
COBRA eligibility
. Provide customer service to employees by answering questions and problem
solving via direct contact, phone or email.
. Benefits/ Human Resources Trainer
. Review bids, vender contracts for new health plans, dental plans, as well
as the 403B plans, Review contracts bids for new benefits and negotiate
all new contracts
EDUCATION
Del Mar College Corpus Christi, TX-Biology 3.0 GPA 1982
University of Phoenix Austin, TX-Human Resource Management 3.6 GPA 2008
Dispute Resolution Houston, TX-Mediation
Champion School of Real Estate --- Real Estate
CERTIFICATIONS
Community Mediation, Enforcement Specialist, Phlebotomist, Medical
Assistant, Payroll Specialist, Human Resource Generalist Assistant,
Microsoft Products, OSHA Certified
TECHNICAL and WORK EXPERIENCE
I possess a comprehensive knowledge of Microsoft Word, Excel, PowerPoint,
Access, AS400, Windows2000/XP Internet Explorer 7.0, and mainframe computer
operations. ADP Payroll processing, Mortgage Point System, Windows XP,
QuickBooks Pro, Medtools, Meditech, Xactomed, Practice Manager Nursing,
ICD9 Coding, Care Enhancement Care Manager, Amisys, Macess, claim
processing, claim analyst, OSHA Certified DOT Specialist, Medical
terminology Medical Billing, Claims Adjuster, Phlebotomist, Medical
Assistant,Payroll Specialist. Supervisor, Case Manager, Collections,
Mediator, Human Resources, Mortgage Loan Officer, Care Medix, Arrow, SIMS,
Solution Series, Nex Gen Advanced MD, CMD (Collibrate), Epic
Contact this candidate