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Customer Service Manager

Location:
San Francisco, CA
Posted:
October 16, 2015

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Resume:

Stephanie Maloney

*** ** ***, *********, ** *****

870-***-****

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

PROFESSIONAL PROFILE

Resolute Professional Billing Certification 2014

Benefits Engine Certification

Go-Live Support

Build Experience in Collections, Reimbursement Contracts, all PB workqueues and Rule Build

Application Data Courier Lead

Application Reporting & Dashboard Lead

Application End User Training Lead

Application Testing Lead

Application MyChart Lead

PROFESSIONAL EXPERIENCE

Baptist Memorial Health Care Corporation, Memphis, TN

Resolute Professional Billing Analyst

October 2012 – Current

Achievements:

Built MyChart Billing functionality now used by over 30,000 patients

Support over 300 physician practices and more than 1000 physicians in three states

Designed, developed and communicated efficient and effective workflows to move practices from Legacy Systems to Epic.

Successfully tested over 45,000 charges with our Ambulatory, Beaker and Radiant teams.

Developed a standardized Month End Close process with the CFO of all PB Service Areas

Successfully implemented client billing in our clinics and occupational medical departments.

Responsibilities:

Go-Live Support for Epic 2012- Supported 4 rounds or professional billing service area go-live.

Preparing for 2014 upgrade

Building 2014 upgrade items

Go-Live Support for 2014 upgrade on Aug 8, 2015

End User Support & Training both 2012 and 2014

Daily System Maintenance

Daily Data Courier

Daily Report Building

Report and Dashboard Analysis to identify areas of opportunity.

Work with other teams on MyChart

Resolve charge issues with our providers

Build and Maintain the General Ledger for 4 professional billing foundations

Prepare cube reports for upper management

Enhance workqueues by building new rules

Responsible for the collections process for all PB Service Areas

Responsible for all Extracts

Designed SmartText Statements

Build and maintain the PB owned items in the SER record

EAP workgroup member

Stars workgroup member

Baptist Medical Group, Memphis TN

AllScripts Trainer and Systems Analyst

January 2012 – October 2012

Achievements:

Developed Standardized Training Material

Developed a front office workflow that increased our copay collections by 28%

Standardized the month end process and documented workflows.

Responsibilities:

System Maintenance

Trained End Users

Studied Workflows

Standardized workflows to improve practice performance

Baptist Medical Group, Memphis, TN

Manager- Insurance Follow Up and Customer Service

August 2011 – January 2012

Achievements:

Decreased denials by 30%

Developed a Matrix for working insurance follow up

Developed a system to measure productivity for customer service and insurance follow up users using AMA guidelines.

Responsibilities:

Evaluated Team Productivity

Ensured patients financial needs were taken care of in a professional and responsible manner.

Trained and hired new staff

Baptist Medical Group, Memphis TN

Commercial Insurance Follow Up

July 2010 – August 2011

Achievements:

Worked highest number of claims per day.

Exceeded all monthly and weekly goals

Responsibilities:

Reviewed Claims and determining why they were not paid.

Called insurance companies to discuss denials

Appealed Claim denials

Cross trained in charge entry and payment posting

Provided support to Customer Service Staff on difficult accounts

OTHER EXPERIENCE

January 2007-June 2010- Self Employed Business Owner- Manufactured High End Millwork and Cabinetry

January 2003- January 2007- Delta Sewing Furniture- Importing Company- Manager

July 2001- January 2003- Sunbelt Finance- Accounts Receivable Manager of a 4.5 million dollar portfolio

June 1995- June 2001- Delta Wood Products- various roles- Final role was as Operations Manager when facility closed.

EDUCATION

University of Arkansas, Fayetteville, AR

BSBA Accounting

1995

University of Arkansas, Fayetteville, AR

Enrolled in Operations Management Master’s Program

Currently Enrolled

SKILLS & INTERESTS

Proficient in use of all Office Products: Word, Excel, Outlook, PowerPoint and Visio

Practice Management Programs used: AllScripts, GPMS, Epic

Experience working with imports from Lawson and exports to Lawson

Worked with Passport on designing and testing statements in 2012 and 2014

Enjoy traveling, reading and learning new things.



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