Manager Management

Andrea L. Brown

Hayward, CA *****

PH: 510-***-****

***************@*****.***

Hard working, dedicated reimbursement specialist/counselor with over seventeen years experience in all areas of in billing management, admissions, warehouse/logistics, facilities management, office management, operations and people management. Expert in billing procedures and collections whether on line or on paper.

Objective: To obtain the position as Reimbursement Specialist.

SUMMARY OF QUALIFICATIONS

WORK EXPERIENCE –

Manage a staff of five to ten people in all aspects of reimbursement; insurance verification, case management, billing, intake, scheduling, medical records, reception, facility management, claim submission, collections, cash reconciliation and appeals.

Managed Reimbursement program for Medicare, Medi-Cal, HMO’s, Workers Compensation, Self Pay, Dental, FQHC, Inpatient services, Outpatient services, and all commercial/private insurances to ensure timely starts of care, on-going authorizations for patients and payment of claims. Negotiates rates with non-contracted payers.

Interfaces with all department managers for understanding of new regulations and procedures.

Resolves issues with accounts, sales force, internal and external customers, vendors and management team.

Continual analysis of a multi-million dollar accounts receivable to ensure timely collections while monitoring and identifying payor payment trends. DSO reduced from 137 to 70 in eighteen months.

Completes daily trend analysis of the following reports: revenue report, negative balance report, cash reconciliation report, incoming cash report, collection goals and trend reports and Medicare documentation reports.

Train all new personnel in all aspects of home health/home infusion, DME, Mental health reimbursement, facility, professional, inpatient, outpatient, FQHC, and dental mentoring all who are new to the industry.

Successfully reads and interprets documentation such as billing documents, revenue reports, profit and loss statements, payroll documents, A/R and A/P documents and contracts. Skilled at writing reports and correspondence. Involved in preparations for JCAHO surveys. Able to speak effectively before groups of customers or employees of organization.

WORK EXPERIENCE

Patient Accounting (Temp Asisgnment), Alameda Health Systems – Oct 2014 - current

Office Manager (Temp Assignment), Sutter Care at Home – Aug 2014- Sept 2014

Billing Manager, Sonitus Medical – June 2013 – Jan 2014

Billing Manager (Temp Assignment), Telecare Corp – Nov 2012 - June 2013

Billing Implementation Specialist, eClinicalWorks.com – Feb 2010 - Oct 2012

Billing Manager, Professional Healthcare at Home – Mar 2009 – Jan 2010

Billing Supervisor, EXP Pharmaceutical Services Corp – June 2006 - Feb 2009

Reimbursement Manager, Critical Care Systems –Nov 2003 – May 2006

Admissions Manager, Coram Healthcare –Mar 2001 – Oct 2003

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