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Medical Manager

Location:
Houston, TX
Posted:
May 21, 2015

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Resume:

Karey Husch

**** *******, ***. ***

Houston, TX *7080

Mobile Phone: 713-***-****

E-mail: **********@*****.***

Khusch Consulting October 2013 –present

Provider/Practice Consultant

• Practice Operations, Policies and Procedures

• Staffing recommendations; hiring, interviews, training

• Review of Billing and EMR Systems

• Provider Contracting and Credentialing (Medicare, Medicaid and

Managed Care)

• Revenue Cycle Management

• Contract Billing Assignments

Brighter Day Health, LLC Houston, TX Oct 2012 - Sept 2013

Billing & Collections Manager

• Oversight and Supervision of Billing Department and Personnel

• Develop, establish, and implementation of Billing Department

Functions, Policies & Procedures

• Revenue Cycle Management; Claims coding, filing, follow-up and

Collections

• Billing System Database Administrator (Brightree)

• Credentialing of Group & Individual Providers with Medicare &

Medicaid

• Operations Management and Staff Supervision & oversight

PCP For Life, LLC Houston, TX Jan 2012 - Sept 2012

Credentialing & Contracting Manager

• Group and Individual Provider Credentialing with Medicare,

Medicaid, and Managed Care Payers

• Established Group Practice Contracts with Private Third Parties

• Established and maintained CAQH Database for Individual

Providers

• Assist in Billing System and EHR database administration

(eClinicals)

Billing Manager June 2010 – Dec 2011

• Oversight and management of Billing department and Front Desk

staff

• Physician and Group Practice Credentialing

• Revenue Cycle Management

• Hiring, training, coaching, counseling of staff

Reconstructive Surgery Associates Houston, TX Aug 2009 -

May 2010

Medical Billing Manager

• Revenue Cycle Management

• Policy and Procedure Development of Billing Department

• Staff supervision & oversight; hiring, terminations, counseling and

training

• Patient Financial Counseling.

• Database Administrator

Senior Connections LTD Houston, TX June 2001- July 2009

Billing Manager

• Revenue Cycle Management for 350+ Providers

• Oversight and Management of 15 Employees

• Training, Education, and Supervision of Billing Department and

Field Personnel

• Medicare/Medicaid/Managed Care Compliance training and

support

• Billing System Software Administrator (Allscripts, Tiger, Medic

PM, Medisoft)

• Responsible for Daily, Month-end, and Year End Reconciliation

Closing

• Responsible for research of other state carrier rules, policy and

procedure for potential company expansion

Christus Medical Group Houston, TX April 1993 – May 2000

Billing Supervisor/Client Services

• Training, Education and Supervision of Billing Department

Insurance Follow Up Personnel

• Field Supervised 30 Clinic site employees in billing and

collections

• Policy and Procedure Development, Implementation, and

Training

• Physician Accounts Receivables Management

• Billing Software System Implementation, Trainer and Support

(Kredo, HBOc)

• Established and maintained Electronic Billing processes

Financial Management Assoc. Houston, TX May1992 –

Jan 1993

Medical Collections Manager

• Training, Education, Supervision of Medical Collectors (6

employees)

• Bad Debt Medical Collections

• Physician and Hospital Accounts Receivable Management

CBA Systems, Inc. Houston, TX April 1990 – April 1992

Assistant Manager

• Training, Education, and oversight Billing Department Personnel

(48 employees)

• Accounts Receivable Management for two California based

Hospital

• Developed Policy & Procedure Manual for Claims filing and

Follow-Up

• Claims filing, Insurance follow up, Appeals

Houston Day Hospital Houston, TX March 1988 – Feb 1990

Patient Accounts Supervisor

• Hospital Accounts Receivables Management

• Claims filing and follow up

• Insurance verification and Pre-Certification/Authorization



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