Customer Service High School

Glenea K. Licona

***** ********** ****** ** ( Tomball, TX 77377 832-***-**** (

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

Objective: An experienced and skilled client services and practice manager

seeking to secure a role where my skills, knowledge and

experience can be utilized.

SUMMARY OF QUALIFICATION

Over 10 years' experience in managing the operations of physician

practice to include billing, collections account receivables and accounts

payables.

Proficient in EClinical Works, Athena, Epic, Nextgen, Centricity,

RealMed, and Allscripts

Experience with MS Office, MS Word, MS Excel, and Ten Key by touch.

Experience: GLOBAL HEATHCARE ALLIANCE Houston, TX

Client Services Account Manager, 2013-Present

Oversee daily 20+ multi -specialty providers. Critical role in Accounts

Receivable Management, Client Satisfaction and critical stages of client

implementation. Exemplary knowledge of professional medical billing

procedures and practices. Responsible for ensuring all client expectations

for revenue cycle processes and monthly cash collection goals are met.

Experienced with analyzing reports and proactively identify trends for all

clients.

. Meet with Departmental Managers to provide specific findings from audits

to address with their staff. Report continuing issues to Director of

Client Services.

. Analyze claim adjudication, clearinghouse edits, denials, payment

posting, bad debt accounts

. Review timing of charges to maintain constant cash flow.

. Prepare and analyze daily, monthly, quarterly and annual reports.

. Assisted clients with credentialing and re-credentialing provider

enrollments.

. Extensive knowledge of Commercial insurance companies, third party,

Medicare and other Governmental insurance companies

. Knowledge of ICD-9 and CPT

. EDI, EFT, ERA enrollments

. Meet providers and/or Practice Administrators each month to discuss month

end reports, concerns, and questions.

Memorial Hermann Hospital Mischer Neuroscience Associates Houston, TX

Lead Office Assistant, 2013 to 2013

. Provide empathetic, courteous, and timely customer service to ALL

patients

. Manage the daily operations of the office

. Supervises the business operations related to patient services

. Manages billing of patients and participates in the development of

clinic objectives and long-range strategic plans.

. Managed the patient flow and day-to-day operations of the clinic

operate efficiently and effectively. Ensures patient satisfaction and

handles operational problems as they arise.

. Training new employees coaches and evaluates the performance of the

clinic employees. Develop policies and procedures and updates clinic

operations.

. Coordinate with all parties involved in providing care to patient to

ensure correct orders, refills, results, etc. are received

. Room patients, take vitals, coordinate history & physical, & results

for the doctor to view Patient registration, scheduling, referral

management, insurance verification, coordinate & discuss financial

summary & payment plans with patients, collection, deposit, and

reconciliation of patient payments

Methodist hospital Physician Org. Urology Associates Houston, TX

Clinic Coordinator, 2011 to 2013

. Provide customer service, create and implement practice marketing

Recognized for high-quality work, organizational strengths and

exceptional customer service delivery.

. Support and uphold established policies, objectives, procedures,

quality improvement, environmental and infection control, and codes

and requirements

. Ensure that all business functions are operative and that all

processes are efficiently and effectively in place

. Manage the daily operations of the office and supervise the business

operations related to patient services

. Managed the patient flow and day-to-day operations of the clinic

operate efficiently and effectively. Ensure patient satisfaction and

handles operational problems as they arise.

. Training new employees coaches and evaluates the performance of the

clinic employees. Develop policies and procedures and updates clinic

operations

. Front office duties: check in and out patients, answer multi line

phone system, schedule appointments, surgeries, and imaging tests,

maintain medical records

. Insurance verification and precert for all surgical procedures, data

charge CPT & ICD-9 entry, collect, post, reconcile, and deposit daily

payments

. Admin Assistant to physicians maintained their credentials, letters,

orders, filing, faxing, and calendar's

Methodist Hospital Admissions & Registration Houston, TX

Admitting Representative, 2010 to 2011

. Demonstrated excellent customer service

. Responsible for obtaining and inputting accurate demographic and

insurance information on the hospital information system on patients,

presenting at the various entry points of the health center

. Cashiering functions, ensuring that all hospital accounts are secure,

through the collection of required admission co-pay, deductible and

perform medical necessity check, to ensure compliance with Medicare

guidelines

. Positively adhere with all statutory and regulatory requirements

(HIPAA, EMTALA, etc) along with hospital policies and procedures

PODIATRY ASSOCIATES OF HOUSTON Private Physician Office Houston, TX

Front Office Coordinator, 2007 to 2010

. Provide customer service, create and implement practice marketing

. Ensure that all business functions are operative and that all

processes are efficiently and effectively in place

. Manage the daily operations of the office, A/P and A/R, expense

reimbursement reports, perform inventory and order office supplies

. Front office duties: check in and out patients, answer multi line

phone system, schedule appointments, surgeries, and imaging tests,

maintain medical records

. Insurance verification and precert for all surgical procedures, data

charge CPT & ICD-9 entry, collect, post, reconcile, and deposit daily

payments

. Managed billing activity, and unpaid balances

. Admin Assistant to physicians maintained their credentials, letters,

orders, filing, faxing, and calendar's

Education

. Splendora hiGH SCHOOL - Splendora, TX - High School Diploma, 1999

(GPA: 3.5)

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