Customer Service Office
Resume:
SHIRLEY M.CHAVEZ
Lawton, Ok. 73501
Day Phone : 210-***-****
Mobile: 210-***-****
Email: ****************@*****.***
AVAILABILITY: Flexible
JOB TYPE: Permanent
Work Schedule: Full-Time
OBJECTIVE: Harbour Hospice of Bexar County LLC. Located in San Antonio Texas is the one and only CHAP certified hospice agency in the city. The company is dedicated to providing excellent care of the patients and their family members as a team. I am very proud to state that I was a part of that team for six years. I held many different positions and responsibilities within the organization. I began working August 9th,2009 as the office secretary within two months; I gained additional responsibilities as the HR representative, while continuing my secretarial duties. In December 2009, I left my secretarial position
for a promotion within the company to Billing Manager, still continuing as the HR representative. In September of 2010, I was asked to conduct and assume the role of employee benefit coordinator. As of July 2011, I was asked to add to my job responsibilities as a payroll officer.
I am currently seeking to secure a full time employment with an organization that can offer competitive wage, security, self-improvement and the opportunity for advancement.
WORK
EXPERIENCE: Harbour Hospice of Bexar County LLC.
12915 Jones Maltsberger
Suite 501
San Antonio, Texas 78247
Phone #: 210-***-****
POSITION
HELD: 12/09/2009-8/31/2015
Billing Manager
Duties:
Entry of patient information into healthfirst system.
Verification of patient insurance authorization through esolutions
MedicareSAM reports.
Verify, maintain, and resolve all Medicare claim processing and submission
issues in the amount of over 500,000 per month.
Verification of patient Medicaid authorization and in what setting
Medicaid claim submission and collection of approximately 150,000 per month
Submission of claims for private insurance such as Aetna, BCBS, UHC etc. in the amount
Of approximately 50,000 per month
Ensure accurate patient information is maintained in the healthcarefirst system.
Creation of weekly and monthly financial reports of all payments received or delinquent
to include physician visits.
Maintain physician visit frequency.
Scan and enter all physician visit notes into the healthcarefirst system
Take incoming phone calls from other agencies and answer questions pertaining to
patient status, diagnosis, length of stay in accordance with HIPPA regulations.
Determination of correct patient status in coordination of care with other care
providers such as local hospitals, clinics, physician’s office and other hospice agencies.
Correspondence with other medical facilities and nursing facilities
Issue payments to nursing facilities for room and board of patients.
Creating EOB’s and invoices for payments issued and received
Resolution and problem solving of situations between the company and other agencies
and for patient family members.
Assist in annual financial reports and reconcile accounts
Maintain daily census of patents, location, attending staff, contact information
physician, admission, discharge, and diagnosis
Conduct in-service for training on the billing process and appropriate forms completion
Adhere to all HIPPA policies and procedures keeping patient information private and secure
POSITION
HELD: 8/9/2009-8/31/2015
HR Representative
Duties:
Daily maintenance of all HR employee files in a secure location
Initial creation of the HR file at the time of hire
Collection of new hire credentialing
Created the testing application still used today for annual testing of approximately
45 employees
Responsible for all administering and recording of all test results.
Monthly monitoring of all employee state required credentialing in employee files
to include all medical staff
Administer employee background checks upon hire and annually thereafter
Verification of credentials upon hire and annually thereafter
Verification of employee’s previous employment history
Contact employee references
Maintain background checks in a secured location separate from HR files
Verification of I9, also kept in a secured location separate form HR files
Administer employee misconduct record and NRA, report findings to administrator
Assist in the hiring and termination process
Developed and conducted the orientation process still used today
Adhere to all state procedures, requirements, and laws pertaining to confidentiality
of employee information and records.
POSITON
HELD: 9/2010-8/31/2015
Employee Benefit Coordinator
Duties
Direct contact with company insurance liaison on all matters concerning new hires
and termination of employee benefits.
Informing employees of benefits available upon hire
Notification of employee dates of qualification for benefits
Maintain updated benefits information and explanation of benefits.
Determination of qualifying employees
Assist staff in completion of the application process
Submission of benefit application after completion and accuracy check
Monitoring of rate changes, policy changes to benefit plan
Submission of request and employee information changes
Conduct in-services on benefits available
Ability to answer question by both employees and insurance liaison
POSITION
HELD: 7/2011-8/31/2015
Payroll Officer
Duties:
Direct communication with company accountant
Responsible for the collection of time sheet, daily logs, admission records, and travel logs to correctly calculate the pay for all active employees
Submission of payroll reports
Administrative approval of payroll prior to print
Report all new hire information and rate of pay to accountant
Report terminations and calculate final payroll amount
Notification and approval of all deduction, making corrections as needed from active employee payroll.
Administer payroll to employee as instructed by supervisor
Suggest ways to cut time and money expenses from the payroll process, still currently used
Performed payroll activities twice-monthly ensuring employees were paid correctly, accurately, and on time.
Record attendance of employees to include calculation of accumulative sick leave and vacation allowances.
POSITION
HELD: 8/9/2009-12/2009
Office Secretary
Duties:
Each day started with promptly opening the office for operations at 8:00am
Answering multiple phone lines and directing the call to the appropriate staff member
Taking and delivering phone messages to the appropriate department of staff member
Notification of deaths, admissions to the appropriate staff members
Ordering and coordinating the delivery and pick-up of medical equipment
Collection of credentials of medical staff and office personnel
Faxing medical health and physical as requested by physician from medical records
Correspondence as directed by superiors to staff and other care providers
Record attendance of employees
Customer service for patients, patient family members, contractors, physicians, medical facilities, and other hospice agencies
Adhere to HIPPAS policies and procedures
Giving full attention to what is being said, understanding points being made. Being empathetic to others feelings, situations, and condition.
Strictly following orders, instructions, and guidelines set by my supervisors
Providing information to superiors, co-workers, and subordinates by telephone, in written form, by email and /or in person
Handle incoming and outgoing mail
Accepting all certified incoming mail
Deposits into company account
Assembly of patient admission packets
Greeting visitors at the front desk
Escorting visitors to the appropriate location within the office per company policy
Notification to the administrator of all officials upon their arrival
Operation of general office equipment and operations of daily office activities
PROFESSIONAL
REFERENCES:
Cynthia Laird
********@*****.***
Robin Sattiewhite
210-***-**** after 5pm
Employer: Harbour Hospice of Bexar County LLC
Receptionist
James Hughes
210-***-**** after 5pm
Employer: Harbour Hospice of Bexar County LLC
Director of Clinicals
PERSONAL
REFERENCES:
SFC. MARY NESMITH
EMPLOYER: US ARMY FORT SILL
434TH BDE
SGT. FLOR CALLEJAS
EMPLOYER: US ARMY FORT SILL
434TH BDE
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