Alice M. Mitchell

* ***** *****

Savannah, GA ***05

acxwag@r.postjobfree.com

912-***-****

Education:

University of Phoenix

Master Business Administration -Accounting

Brewton Parker College

Business Administration-Bachelors of Science

Accounting & Management

Savannah Technical College

Diploma - Accounting

General Knowledge:

*Microsoft Word, Excel, PowerPoint, Access, Windows,

*PeopleSoft, Crystal 9.0 Reporting,

*Accounting-Receivable, Payable, Bookkeeping, Quicken, QuickBook,

*Healthcare Integrated General Accounting System (HIGLAS)

*Treasury Department Payment System,

*Statistical Analysis System (SAS)

*Federal Information Sharing Systems(FISS), Medicare Part A,

*Multi Carrier Systems(MCS), Medicare Part B,

*HealthCare Financial System (HFS),

*Medical Biller, ICD-9/10 Codes, Medical Terminology

*Medicare Secondary Payer (MSP) Subject Matter Expert(SME)

Experience:

Cahaba Government Benefits Administrator December 2009 – May 2015- (Staff Accountant/Auditor)- Primarily was responsible for the financial procurement and administration of the

Medicare Administrative Contract(s) in accordance with Government Auditing Standards (GAS) and the Centers for Medicare and Medicare Services’ (CMS) guidelines.

Analyzed and audited Medicare cost reports of all health care provider types including

§Hospitals-acute critical care, long/short term…

§Rehabilitation (IPF),

§Skilled Nursing Facilities (SNF),

§Community Mental Health centers (CMHC)

§End-Stage Renal Disease (ESRD)

§Home Health Agencies (HHA),

§Medicare Secondary Payer (MSP)

Performed solo audits of less-complex providers as well as serving as an assistant on complex

provider audits as assigned by the Audit Manager.

Conducted research and determined resolution for complex reimbursement issues which had

(potentially) large-dollar impact.

Managed multiple, assigned projects simultaneously. Ensured desk reviews of cost reports were

performed timely in conformance to CMS standards and published regulations.

Used tact, discretion and judgment in communicating with medical provider personnel in order to maintain an effective working relationship to expedite the final settlement.

Additionally, participated routinely in personally handling provider inquiries and requests for

amendment and reopening of cost reports.

Had extensive contact with the provider’s key employees as well as their accounting and

administrative areas, and the provider’s certified public accounting (CPA) firm.

Cahaba Government Benefits Administration May 2007 – December 2009 –

(Senior Medicare Secondary Payer Financial Analyst)- Duties included:

Auditing/Review the quality of letters and tasks related to the MSP process and

preparing reports to the Unit Manager reflecting the audit results;

Monitored the workload and age lists to ensure that all cases were completed timely

according to CMS guidelines;

Conducted training of both new and existing staff members on subjects identified as weak

areas as a result of audit results or feedback from other operational areas.

Prepared Medicare Secondary Payer Month End Cost/Saving Reports for states of

Alabama A, B, Georgia A, B, Tennessee A, B and Mississippi B.

June 17, 1997 - May 27, 2007 (Medicare Secondary Payer Financial Analyst) –

Duties included Receipting and posting account receivables and cash receivables.

Maintained the accurate timely and processing of overpayments requests,

voluntary refunds; completed necessary adjustments required for the disposition of

specific financial request; generated letters of a technical and complex nature involving

requests for refunds as well as letters detailing errors made at the time of the original

processing of the claim which resulted in an overpayment.

Also was responsible for determining Medicare’s liability as a primary or secondary payer;

timely updating of CWF MSP records; and accurate timely submission of Electronic

Correspondence Referral System (ECRS) transactions. Monitor status of pending liability.

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