Skills
Collaborates in development of an effective and efficient client care documentation system including statistical complication and analysis relative to cost and staff service delivery.
Evaluate the program, services and field personnel
Ensure that an appropriate health care professional performs an assessment of clients needs and a reassessment where there is a significant health status change in the clients condition at physician’s request and after hospital discharge
Ensure that the clients plan of care is executed as written
In the absence of the administrator; responsible for all agency day to day operations, clinical operations, clinical staff, clerical and billing staff
Experience
04/23/2012 to 05/01/2015
Memorial Home Healthcare, Inc., Katy TX 77450
Alternate Administrator
My current responsibilities are
Helped in implemented strategies for staff retention.
Helped with hiring and terminations of staff
Helped to conduct interviews of Office staff
Team Lead and Staffing Coordinator
Complied with CHAPS standards
Maintenance of current licensure and CPR data for staff
Complied with OSHA standards and governed bodies in accordance with all state and federal regulators
Cost Report
Quarterly reports to Medicare.
Review polices and procedures with administrative personnel.
Composed annual reports for board of directors for budget planning
10/28/2009 to 04/23/2012
Memorial Home Healthcare, Inc., Katy TX 77450
Office Manager/Billing Administrator
My responsibilities are
Documentation and accurate record keeping
Billing Administrator: Responsible for submitting claims to Medicare and Insurance companies. Managing denials and posting EOB.
Payroll Manager: Responsible for verification of Nurse Timesheets signed by the patients as well as in-house Therapist. Responsible for issuing Paychecks to the staff and managing Payroll taxes.
Credential Specialist: Negotiating Contracts with Insurance companies and Re-Credentialing and all related paperwork.
OASIS Coding: ICD-9 Coding, Quality Assurance of OASIS and exporting them to Medicare.
Insurance Verification: Patient Benefit Verification and getting authorization for services from Insurance companies. Medicare Benefit verification through My ability.
Reports: Cost Report, Credit Balance Report.
Patient Coordination: Coordinating the patient services by scheduling Nurses, Therapist and requesting orders from doctors.
Helped in implemented strategies for staff retention.
Helped with hiring and terminations of staff
Review polices and procedures with administrative personnel.
Composed annual reports for board of directors for budget planning.
Helped comprise quarterly Medicare reports.
Ensure all patients plan of care are executed as written.
Education
Health Information Specialist Feb 2009- June 2009
Office Procedures, Insurance Verification, CPT-4 Coding, ICD-9 Coding and Medical Terminology
Finished the program from Houston Community College, TX
Post Graduation Diploma in Computer Applications June 1998-July 1998
Graduated with 80% in different languages and office tools from CAT Academy, Hyderabad, India.
Bachelors of Science in Mathematics, Physics and Chemistry Sep 1991- April 1994
Graduated with distinction from Andhra University, India.
Certifications
NHA Certified Billing and Coding Specialist #135*-****-**/15
HIPPA Certified
OSHA Certified
Skills
Medisoft
Kinnser for Home Health Care
Insurance Verification
Quick Books