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CSR

Location:
United States
Posted:
December 11, 2015

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Resume:

Teri Hardy Waters

**** ******* ****** ** *******, Ga 30340 Telephone: 704-***-**** ****.******@***.***

Professional Summary

Medical Professional with over 20 years of experience. In medical office operations within a fast paced environments. Ability to lead and motivate staff members. Familiar with all aspects of daily business operations, including human resource issues.

HIPAA and OSHA compliance and numerous administrative functions.

Teams Building Employee Motivation Policies and Procedures Problem Solving

Staff Training and Development.

Medical Knowledge and Terminology. Medical billing, Insurance verification and precertification.

Appointment scheduling and Surgery Scheduling.

Coding, CPT, ICD 9 and DME.

Medical Billing, Setup self-Pay payments and Attorney Lien Accounts

Worker Compensations Insurance

EDUCATION

South University – Presently enrolled - Healthcare Management Administration Savannah, Georgia

Jacksonville State University – Attended 3 years - Marketing Jacksonville, Alabama

A. H. Parker High School – Diploma Birmingham, Alabama

Skilled

Proficiency in Microsoft: Word, Publisher, Outlook and Excel, Typing 45 WPM.

Allscripts

Medical Management

Medysis

Pathways

Misys

NextGen

Pims,

Emdeon

SharePoint

EMR systems

Work History

4/2014 – Ending 8/2015

Billing Specialist - Charlotte, North Carolina

AmerisourceBergen Corporation

Prepared daily case load of 700-1500 claims per day for submission as a department.

Successfully processed 100-150 daily

Submitted claims in a timely efficient and accurate manner.

Verified insurance nationwide, corrected denial claims with corrected information for re-submission.

Corrected claims that were rejected due to missing information on the original Physician order.

Followed up on unpaid claims and denials, including claim appeals.

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8/2012-Ending 3/2014

Safehaven Family Services LLC. - Charlotte, North Carolina

Human Resource Manager / Office Manager

Oversaw daily operations, managing up to 25 employees.

Human Resource related issues (Hiring Staff) included administration and personal issues

Remain all company files and Documents updates

Prepared Weekly payroll for accountant service

Implemented employee’s company policies /procedure book

Trained employees safety classes and time managing skills related to patients assessment

Case Management for peer support programs

HIV case management

Coordinated Operation Christmas for those families in need

Written plan of correction for Home Health Care services

2/2009-2012

TWaters Event Planning Services (For Ever I DO) - Atlanta, Georgia

CEO/ Event Coordinator / Specializing in Wedding Consultanting

Seamlessly planned and executed events both professional and social

Managed budget up $20,000 for 400 or more guest

oversaw team of vendors, including performances, photographers, caterers and transportation

Selected and served as primary point of contact for all vendors

Successfully developed strong relationships with quality vendors

Proven ability to manage schedules, meet tight deadlines and offer consistently high events

2/2005 Ending 1/2009

Office Manager / Pre-certification Coordinator – Marietta, Georgia

Georgia Pain Physicians

Managed up to 15 employees among 5 offices: Coordinated operation of office daily functions.

Ensured satisfaction both patient and practice.

Provided daily reports to upper management and communicated importance of meeting daily goals to team members.

Analyzed, evaluated and resolved the root cause of the work problems. Work with other and

Administrative staff to ensure efforts was coordinated and quality of patient care was provided.

Verified medical insurance benefits including Workers compensation insurance for coverage and treatment.

Responsible for Third party billing, including special contracted billing.

Pre-certified invasive medical procedures and diagnostic treatments and testing.

10/2001-6/2003

Scheduling Coordinator - Charlotte, North Carolina

Charlotte Radiology

Verified medical benefits for radiology studies

Pre-certed and Scheduled studies at any CMC facility per patient request

Office Coordinator / Assistant Ophthalmic Technician – 5/1993 –Ending 08/2001

Birmingham Eye Center – BIRMINGHAM, Alabama

Selected administrative duties, oversaw and scheduled Ophthalmic procedures

Posted long and short term work plans for all team members

Analyzed evaluated and resolve office issues related to quality service to patient care

Pre-certed all medical procedures Outpatient and Inpatient

Posted Daily charges and Surgery charges for submission to insurance companies

Pre- op testing, Health History, A-scan, Photography and Visual field screen both manual and electronically.

Post-Operative prep for invasive surgeries and procedures.

Assisted physician with all in-office procedures

Participated in Health Fairs and served as Special Guest panel for Specialist Medical Practices

(University of Alabama Hospital) BCBS, UHC, Health Partner and Viva Healthcare

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