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Manager Office

Location:
Dallas, TX
Posted:
July 05, 2016

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Resume:

Frances (Jeannie) Darnell 325-***-****

*** **** *****, ******, ** 79549 acvkqn@r.postjobfree.com

Professional Profile

A self-starter with exceptional multi-tasking experience looking to secure a position within a company to utilize my skills and knowledge to its fullest capabilities. A professional with sixteen years of experience within the HealthCare Insurance field. I have worked for Insurance Companies for ten years and eight years with an Acute Care Hospital that recently has been designated as a Critical Access Hospital with a Rural Health Clinic.

Medhost/HMS

Ingenix

Microsoft Excel

SSI Billing Client

Sequel

Emd’s Program

Professional Experience

Cogdell Memorial Hospital, Snyder, Texas

April 2014 – Present

Patient Access Manager

Responsibilities:

Generate Reports for the CFO

Oversee Patient Access of Seventeen employees

Assist employees in upfront collections and capture accurate demographic information.

Assist on Budget Planning

Assist in Overseeing Business Office employees of 6 employees.

Train new employees in Registration and Cashiering.

Work with Clinic Manager to maintain workflow and patient care between registration, schedulers and clinic staff.

Cogdell Memorial Hospital, Snyder, Texas

April 2011 – January 2014

Business Office Supervisor

Responsibilities:

Generate Reports for the CFO

Monitor Accounts Receivables and Collections

Maintain General Ledger in regards to posting and providing an accurate audit trail for all incoming collections.

Maintain Billing Records

Assist employees in collections and follow-up.

Oversaw Business Office employees of 6 employees.

Assistant in Budget Planning

Cogdell Memorial Hospital, Snyder, Texas

April 2008 – September 2011

Biller

Responsibilities:

Billed Commercial, Workers Compensation, Blue Cross Blue Shield, and motor vehicle insurances.

Billed secondary claims

Answer patient’s questions in regards to their account.

Contact Insurance Companies about credentialing and contracts.

Follow-up on accounts on Accounts Receivables Report

Contacted departments in reference to denials or charges on an account.

Coventry, Carrollton, Texas

August 2004 – March 2008

PBR – Auditor/Rush Coordinator

Responsibilities:

Organize and supervise daily work flows to ensure maximum productivity

Communicate with adjusters and providers to accurately review claims

Responsible for maintaining efficiency, effectiveness, and compliance with all companies contracted to review claims by state guidelines.

Reviewed and implemented state guidelines in regards to Workers Compensation fee schedules

Ablest/Coventry, Carrollton, Texas

April 2004 – August 2004

Receptionist

Responsibilities:

Worked for Temporary Agency answering phones

Made Copies and Printed Explanation of Reviews

Checked visitors into the office

General Office duties

Blue Cross Blue Shield, Abilene, Texas

November 1998 – April 2004

Claims Examiner I/III

Responsibilities:

Reviewed and Implemented Insurance Policies

Reviewed bills from Hospital, Professional, DME, Dentists and Home Infusion Therapy

Reviewed Files for Coordination of Benefits

Reviewed Records for Pre-Existing Conditions

Called Providers for additional information to process Claims.

Education

Western Texas College, Snyder, Texas

Associates in Business Management

2014

University of Texas Permian Basin

Bachelors in Business Administration

Ongoing

References

Lynda Starbuck, MS, RHIA. C-CDI.

Quorum Health Resources.



Contact this candidate