Manager Customer Service
Resume:
Tammy Kerchner
*****.********@*****.***
Seeking a challenging position pertaining to Billing, Collections, Coding of Accounts Receivables.
EXPERIENCE
Oversees all operations to include collections of outstanding A/R to include grievances and out of network experience. My expertise lies in many specialties to include UB-04 and CMS 1500 claims, focusing on the last 10 years to free standing Emergency Facilities and Ambulance billing. Excellent skills for team building, motivating employees, performance management and decision making.
Phan and Phan 1/2015-Current Account Manager 25510 IH 45 Ste 101 Spring, TX 77386
Correlate with billing company regarding improvement of operations. Create spreadsheets to include analytics of account production. Preparation of Appeals and/or collections for difficult accounts. Credentialing paperwork, review of contracts and networks. Collect 120 days of their collections. Other Responsibilities include Interviewing and Training employees. Created many spreadsheets custom to operations and Education and Training of Managers, CFO and Owners.
1960 Family Practice 6/20/14- 1/2015 Collections Manager Houston, TX 77065
Duties include Auditing and compliance of all areas of business to include billing, coding, collections, appeals interviewing, hiring, firing, and educating all personnel and outside clients. Training, posting (electronic and manual), collections, appeals, grievances, refunds, account audits, consulting with outside clients, and compliance interpretation to include credentialing and contracting. Demonstrated leadership and management competencies and skills including excellent financial competence, operational excellence, exceptional communication and customer service skills. Demonstrated practice of continuous quality improvement and relationship development. Results oriented Effective Communication, Polished telephone, interpersonal and writing skills. Energetic, patient, and diplomatic. Detail-oriented "multi-tasker". Able to balance competing priorities and tight deadlines. Known for quality, timely completion of projects and design of collection reports.
Amerigene PGT LLC September 2013-May 2014 Houston, TX 77054
Responsibilities include setting up Billing and Collections Department. Installed Software (Eclinical) and Clearinghouse System (Emdeon). Correlate with prior billing company regarding improvement of operations. Created spreadsheets to include intake dept. reconciliation to collections, check and balance system. Credentialing paperwork, review of contracts and networks. Collected of their collections and reconciled Charge entry within a two month range. Other Responsibilities include Interviewing and Training employees. Created many spreadsheets custom to operations and Education and Training of Managers, CFO and Owners. At the beginning of this assignment this establishment had $90,000.00 total A/R collected. At the end of my assignment the total A/R collected was $1 Million.
Endeavor Medical Systems May 2004-May 10, 2013
Bellaire, TX 77401
Collections Manager/Process Improvement Manager
Oversees and Auditing of operations in all areas to include collections of outstanding A/R
Duties include interviewing, hiring, discharge, training and educating all personnel and outside clients, compliance interpretation, to include credentialing, and contracting. Training in all areas to include collections of third party liability claims, Texas Dept. of Insurance, CMS, TMHP and HIPAA, posting, (electronic and manual) collections, appeals, refunds, account audits, consulting with outside clients. I assisted in setting up two different computer programs and cleanup of old accounts. Created training manuals to include consulting outside clients and managing all aspects of their operations. Software experience includes Allscripts, MISYS, Payerpath, Availity, Realmed, Zirmed, Zoll, CMR, Eclinical Emdeon and Tsystems. EXPERIENCE: to include areas of Radiology, Pathology, Genetic Testing, Anesthesia, Home Health to include Primary Home Care, Occupational and Physical Therapy, Free-Standing Facility to include medical supplies, Neurology and Psychiatry, E and M in office settings and/or Emergency Room setting Orthopedics and minor emergency procedures with strong knowledge of human anatomy.
Function: Performs basic level-specific activities related to research projects and studies. Performs complex specialty or multi-clinical coding and auditing functions of physician charges in accordance with departmental guidelines and governmental regulations. Impacts the coding of procedures and visits for patients throughout the institution.
ESSENTIAL JOB FUNCTIONS:
Abstracts and/or assigns appropriate CPT 4 and ICD 9 codes by utilizing the Current Procedural Terminology and International Classified Disease Clinical Modification coding classification systems. Reviews and/or audits data submitted on charge documents and documentation provided by the faculty and/or mid-level providers of service to ensure appropriate codes are assigned in accordance with the state and governmental coding, auditing rules and regulations. Provides education and feedback to providers on coding and/or auditing guidelines. Compiled reports and statistical data as required.
Oversees and coordinates department work flow. Provided training and education to employees and providers Works with management to develop strategies that maximize department efficiency and production.
Other duties as assigned.
EDUCATION
San Jacinto College
CPC Certification course
Clear Creek High School-League City, TX
Diploma
REFERENCES Available Upon Request
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