Customer Service Project Manager
Resume:
RESUME
Bema Jeannette Johnson
Pearland, Tx. 77584
Email: ********@*****.***
SUMMARY: Intelligent, mature, focused individual with excellent medical
background. Experienced supervisory and organizational skills
wanting to utilize my abilities and skills more in a
professional work environment which offers me the opportunity
for advancement, growth and stability. Possesses leadership
skills, strong work ethic, and practical work experience gained
through various positions held.
WORK EXPERIENCE
03/11/12-present Eye Excellence-Houston, Tx.
Patient Coordinator
Billing of major medical (PPO/HMO, POS), personal injury,
Medicaid/Medicare, Preparing and mailing of
monthly statements
Insurance verifications, Referral request,
Pre-certifications/Authorizations
for all procedures and services being
rendered. Financial Counseling/
explaining insurance benefits to
patients. Collecting of copayments/
deductibles and coinsurance, dropping of all
billing charges from fee sheets.
Scheduling/confirmation of appointments,
ICD9/CPT coding for entry charges
Applying payments and adjustments to line
item charges, end of day cash
drawer balancing, daily deposits, maintaining
cash drawer. Negotiation of In/
Out of Network Provider Contracts.
Maintaining and operation of medical
records, request, releases, chart pulling
answering incoming/outbound calls
responding of website emails. NextGen
Experience.
04/01/10-12/16/11 Campion Chiropractic Clinic-College Station, Tx.
Office Manager/Billing Supervisor
Coding, Electronic Billing, Appealing of denied claims. Experience
with billing of major medical (PPO/HMO, POS), personal injury,
and Medicaid/Medicare. Month-End Statistical Reporting,
closing of the month. Balancing of the day, Monthly
Reconciliation. Auditing of Medical Charts. Management
Experience. Insurance Verification/Follow, Payment posting
manually/electronically. Financial Counseling, Accts.
Receivables/Payables. Make daily bank deposits. Pre-
Certifications, Referrals, Pre-Authorizations obtained with
needed and continuous follow-ups for existing cases.
Calculation of allowables per contract agreement for the
provider. Collect co-pays, co-insurance and deductibles.
Scheduling appts. In charge of delinquent/collections
accounts. Negotiation of contracts for In/Out of Network
Benefits depending on region.
08/1/08-03/31/10 Creative HealthCare Solutions-Franklin, Tx.
Business Office Manager/Billing
Maintain daily census records and reports, produce employee
payroll and maintain accurate payroll records. Maintain accts.
Payable and Receivable, including collection and submit to home
office. Make daily bank. Supervise business office functions
and business office employees. Compile and process monthly
private, Medicare and Medicaid billing for the facility.
Insurance Verification and negotiating of in/out of network
contracts. Credentialing, payment posting, Facility Month-End
Closing. Reconciliation of bank statements. Review of
Medicaid MESAVS to insure proper billing, authorization,
applied income and levels of service have been granted for
specified dates. Retrieval and posting of RA & R&S reports for
Medicare and Medicaid, Account review of possible
appeals/denials to insure filing deadlines have been met.
Compile information and complete Social Security Payee
Representative reports, complete and submit 3618 & 3619 for
Medicaid/Medicare approval to TMHP on a as come bases.
Retrieval of Common Working Files for Medicare Online.
Educating staff of all new insurance updates etc. Attend
Medicare/Medicaid Seminars to enhance my knowledge and
capabilities. Screening of incoming and outgoing bound calls
at the switchboard. Other duties as assigned. Calculation of
allowables per contract agreement for the provider. Collect co-
pays, co-insurance and deductibles. In charge of delinquent
accounts. Obtained pre-authorizations, pre-certifications etc.
12/4/03 - 7/31/08 Texas Dept. of Transportation (Advance Planning & Design)-
Bryan, Texas
Contract Specialist II
Review and prepare routine contracts for accuracy for TxDOT
Engineering and Surveying Contracts. Create and maintain
contract files and electronic files; enter data into TxDOT's
Finance Division's (Contract Workforce System). Create and
maintain electronic spreadsheets for invoiced projects.
Maintain, update and reconcile budget spreadsheets for active
and inactive projects. Distribute and maintain copies of all
contract paperwork. Assist in the stocking of office supplies.
Provide technical support for Design, Advance Planning
Division Supervisors and TxDOT Project Managers. Review,
process and approve contracted consultant billing statements
and back-up documentation for accuracy according to the
executed contract. Maintain a Full Time Employee count
quarterly spreadsheet and submit to the Director of
Transportation Planning & Development. Review, process and
assure compliance for all Supplemental Agreements. Update Work
Authorization invoicing spreadsheets. Input work authorization
data into an electronic database to process invoices. Update
TxDOT's Workforce System under the Finance Division Intranet
Site. Review; record all deliverables in an electronic
spreadsheet and a hard copy according to the executed contract
guidelines policy and procedures. Draft invoice letters
providing back-up documentation for submission to the assigned
TxDOT project manager for review and approval. Create final
evaluation to document the consultant's overall performance in
providing the service and distribute to the project manager for
scoring and signatures. Assure all work is satisfactorily
completed and all funds are expended prior to the termination
date of the contract. Make sure that the work product has been
received, reviewed, and accepted as meeting the requirements of
the contract and that the provider has submitted the final
invoice and the comptroller has paid it, with no overrun of the
contract balance. Make sure the provider has submitted the
Subprovider Monitoring System Final Report. Review, evaluate,
batch and process payroll according to state law.
2/14/98-11/29/03 Brazos Valley Rehabilitation Center-Bryan, Texas
Billing Supervisor/Office Manager
Managed and supervised the billing dept., customer service
representatives. Responsible for the supervision and hiring of
all billing and customer service personnel, supervised all
telephone communication & maintenance. Ensured equipment
orders met the patients' needs and were completed in a timely
manner. Routed delivery personnel, also ensured the needs of
all walk in customers. Oversaw the flow of paperwork necessary
to achieve accurate and timely billing cycles in order to bill
& achieve accurate billing. Maintained & negotiated all
insurance contracts, managed and processed all credentialing
paperwork. Managed petty cash, made weekly bank deposits and
reconciled on a monthly basis. Verified insurance benefits and
collected all co-pays. Purchased and maintained inventory of
all office supplies. Reviewed accounts payable vouchers for
accuracy. Assisted in receptionist duties on as needed basis.
Provided training to all support staff. Technical support
provided for all billing software. Assured accounts
receivables were kept within two month average revenue.
Reviewed, evaluated, calculated and submitted all payroll
information to the corporate office for processing. Issued and
posted patient/insurance payments. Scheduled all continuing
education training. Set up financial and medical records.
Ensured all delinquent accounts were dealt with promptly and
reviewed on a regular basis. Composed and mailed out monthly
billing statements. Billed, Coded and batched all private,
Medicaid and Medicare insurance charges on a daily basis.
Processed all travel and expense reports. Provided various
month end reports from data previously submitted.
References Upon Request
Contact this candidate