NANCY KOCH
* ***** *****, ****, ** ***** • Cell: 678-***-**** • acumve@r.postjobfree.com
Professional Summary
Project manager with over 25 years experience in healthcare and revenue cycle management. Skilled in
providing excellent customer service to internal and external clients. Certified coding and billing specialist since 2001. Core qualifications include Medicare (Part A and B) billing, as well as Medicaid, and other federal program. Well versed with commercial carriers, managed healthcare, and workers comp. Experienced in accounts payable and
receivables, payroll, budget management, staffing and leadership.
Skills
20+ years of medical coding and billing Policy and program development expertise
Certified coding and billing specialist since 2001 Proficient in ICD and CPT coding
Budget Management Sales and Marketing
Process Improvement Payroll
State and Federal regulation knowledge Accounts payable/receivable
Detailed oriented 20+ years in leadership roles
Team player Great communication skills
Work History
Credentialing and Billing Consultant 12/2014 to present
Self Employed-Rome, GA
Performed all aspects of credentialing physical and occupational therapists with individual clinics.
Enrolled newly licensed therapists with CAQH and NPPES participation.
Renewed clinical staff with both existing and new insurance contracts.
Maintained current license and COL information for all clinical staff in multiple clinics.
Negotiated reimbursement contracts for carriers.
Applied for new insurance contracts as they became available in certain market locations.
Informed all clinics and directors of new hire credentialing approvals.
Implementation Project Manager, 04/2011 to 12/2014
Source Medical – Birmingham, AL
On boarded and transitioned 75+ clients to TherapySource software and billing services while overseeing 5 Dept
Provided one on one software training and daily quality assurance to new clients during implementation to
billing service in order to avoid revenue snags.
Reviewed key department productivity and client interaction each month to determine client transition from
implementation to general workflow and off shore billing partners.
Served on key groups to test software upgrades prior to updates being published to clients.
Monitored, reviewed, and communicated changes in billing for Medicare, Medicaid, and commercials payers to
all clients, billing staff, and multiple off shore partners.
Managed and coordinated internal and external resources required for implementation. This includes
implementation managers, trainers, outside vendors and other resources necessary to provide for smooth client
transition.
Ensured effective communication of all parties to complete tasks on time.
Managed expectations of clients, sales team, and internal customers via personal communication and weekly
project status reporting.
Created reports to show key performance indicators and developed action plans to address deficiencies and
enhance strengths.
Billing Manager, 12/2001 to 04/2011
Advance Rehabilitation/Source Medical – Rome, GA/Birmingham
Managed staff of 30+ in payment posting, insurance verification, billing, credentialing, and refunds.
Billed daily and monthly charges to carriers via paper and electronic format.
Approved monthly billing and month end reconciliation reports.
Maintained client databases by adding and updating fee schedules, insurances, CPT and ICD codes.
Assisted in development of Marketing plan to increase revenues.
Developed several Policies and Procedures for business office and clients through Process Improvement
mapping to reduce clerical errors and increase consistency.
Trained clinic office managers and staff all areas of business office with focuses on Medicare and Medicaid
billing.
Attended tradeshows to help market our billing office product to physical and occupational therapists.
Procurement Specialist, 06/1998 to 12/2001
Maxim Group – Kennesaw, GA
Maintained software license information for Shaw retail stores.
Updated hardware information in corporate support center and retail locations.
Provided help desk support to internal clients as well as field customers.
Clinical Patient Representative, 06/1993 to 06/1998
Harbin Clinic – Rome, GA
Patient check in and check out.
Insurance verification and registration.
Triage patient calls and escalate to surgeon.
Schedule and precert patients for surgical procedures.
Managed various general office duties such as answering multiple telephone lines, completing insurance forms
and mailing monthly invoice statements to patients.
Radiology Secretary, 05/1989 to 06/1993
Floyd Medical Center – Rome, GA
Patient check in and check out.
Prepare xrays for radiologist's reading and interpretation.
Scheduled patients for procedures.
Education
Medical Coding and Billing Certification: 2001
Chattahoochee Technical College - Dallas, GA
Georgia Highlands College, 1989-1990
Pepperell High School - Lindale, GA
Top 10% of class
References
References are available on request.