Insurance Manager
Resume:
Ouida L. Freeman
Houston, Texas 77021
*************@*****.***
Objective: I am interested in a position that will challenge as well
as enhance my skills and offers an opportunity for growth.
Employment:
04/07/2011-Current Pathways Social Work Services, LLC.- Biller
Responsible for electronic claims submission of
Medicare/Medicaid, HMO/PPO and commercial insurances,
patient intake, insurance verifications, payment posting,
reviewing remittance advices for accurate reimbursement,
secondary billing, appeals, credentialing .and outreach.
04/2010-04/2011 Westnet Health Care Plus Inc.-Office Manager
Responsible for daily office operations, incoming phone
calls, maintain employee records, maintain logs as required
by DADS/CMS, background checks, ensure contracts and
licenses were current, payroll, Medicare eligibility,
patient intake, enter OASIS and assist with transmission,
supervise PAS program, provider enrollment, prepare
information on topics for monthly in-services,
correspondence, outreach, 1500 claims billing for managed
care claims, and QA charts.
07/1997-07/1999 Finance Support-Kelsey Seybold Clinic-Clerk II
Responsible for incoming phone calls, obtaining eligibility
for HMO capped accounts, reviewing accounts for accuracy,
monthly statements, reclassification of accounts and refund
request.
12/1996-02/1997 TMC Orthopedic-Collector
Responsible for insurance and self pay collections, monthly
statements, payment arrangements, correspondence, data
entry, Medicare/Medicaid and workers compensation
adjustment, arrange deliver pick up of equipment, HMO/PPO
allowances, negotiation of payments, appeals, pre-
certifications and insurance verifications.
Ouida Freeman page 2
09/1992-05/1996 Aesthetic Plastic Surgeons-Collector
Responsible for insurance and self pay collections,
obtaining prior authorizations, monthly statements,
correspondence, reports, payment posting, calculate
adjustments for managed care accounts, rebills and appeals.
09/1990-03/1992 The Institute of Rehabilitation and Research-Collector
Responsible for early out collections, correspondence,
monthly statements, payment arrangements, negotiate prompt
pay discounts, bad debt and collection agency write-offs
and refunds.
03/1988-09/1990 University of Texas-Coder Department of Anesthesiology
Responsible for ICD-9CM/CPT-4 coding, maintaining records
for accuracy, pull consent forms for obstetrical
procedures, and data entry.
08/1981-01/1988 Memorial Hospital System-Supervisor-Medicare/Medicaid
Responsible for training employees billing procedures, performance
appraisals, time sheets, refunds, monthly report and
collection agency/bad debt write offs.
Skills: Notary
10-Key
DDE
IDX
Medic
Cortex
Medisoft
Meds America
ICD-9-CM
CRADLE MRX
PC ACE Pro 32
CPT/HCPCS coding
Word/Excel/Publisher/PowerPoint
Education: Jesse H. Jones Senior High
References: Provided upon request
Contact this candidate