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Manager Customer Service

Location:
Saint Louis, MO
Posted:
August 15, 2016

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Resume:

Dana Partridge

** *********

St Charles, MO *****

636-***-****

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

Summary:

Energetic, dependable, with proven ability to effectively multi-task. Self-starter, independent worker, and highly adaptable to ever changing circumstances. Demonstrate high detail to accuracy and productivity.

Qualifications:

A/R Collections Insurance Billing Report Preparation Patient Billing

Problem Solving Team Motivator Cash Posting Customer Service

Credentialing Payroll Refunds Contract Negotiations

Software/Systems:

Centricity LabDAQ DAQbilling Benchmark

Gateway EDI Salesforce Medtech Medical Manager

Secure Epremis McKesson CARS Legacy HCN eMedix

eClinicalWorks AllScripts Vision

Professional Experience:

St Louis Pain Consultants January 2016 – June 2016

Billing Manager

Billing Manager Ambulatory Surgery Center

oAmbulatory Surgery Center accounts receivable

oPosting Charges

oPosting Insurance payments

oPosting Patient Payments

oPrior Authorization

oSchedule Surgeries

oMonthly financial reporting

oCredentialing

Professional accounts receivable

oReconciliation of claims 90 days past due

oWorked denied claims

oPatient Collections

oPrior Authorization

oObtain medical necessity documentation

National Medical Billing Services December 2014 – December 2015

Accounts Receivable Manager

Ambulatory Surgery Center accounts receivable

oRevenue cycle reclamation of 3+ million dollars

oNegotiation with third party payers

oWorked denied claims through clearing house

oAppealed for low pay out of network payment

Professional accounts receivable

oRevenue cycle reclamation of 1+ million dollars

oReconciliation of claims 90 days past due

oWorked denied claims through clearing house

oPatient collections

oObtain medical necessity documentation

AIM Laboratories, LLC January 2014 – December 2014

Patient Account Representative

Diagnostic lab billing and collecting of accounts

oInsurance

oPatient

oPrivate Client

Participate in Implementation of new billing software

Manage daily EDI rejections

Perform cash posting for all accounts

Educate and train new team members

Cleanup of accounts in legacy system

Coram April 2012 – March 2013

Billing Supervisor

Manage team of 12 employees

Monthly financial reporting

Administration of IT security for billers

Performed payroll on the ADP system

Annual evaluations of team members

Clear Practice, LLC January 2011 – February 2012

Customer Service – Tier Two EMR/Billing Supervisor

Monthly financial reporting

Oversee billing and collections of Clear Practice accounts

Assist patients regarding account balance

Process refunds to patients

Obtain medical necessity documentation for collection team

Dr. Orell, Orthopedist August 2009 – December 2010

Office Manager/RMC

Manage team of 6 employees

Contract negotiations with private insurance carriers

Maintained all physician credentialing

Manage private pay billing and collections

Performed charge posting for all surgical procedures

Credentialing

Sound Health Services PC July 2002 – August 2009

Assistant Office Manager/RMC

Coding and billing of surgical accounts

Performed posting of payment

Credentialing

Processed refunds to patients and insurance carriers

Manage and processed payroll

West County Surgical Spec October 1999 – July 2002

Medical Billing/Patient Specialist

Maintained updates to ICD9-CPT coding changes

Account Receivables

Surgical billing and collections

Perform billing and collections for patient accounts

Collection reports



Contact this candidate