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Medical office, customer service

Location:
Georgetown, TX
Posted:
March 22, 2017

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Resume:

*** ******* *****

Georgetown, TX *****

512-***-****

aczflu@r.postjobfree.com

Claudia Fleming

The Pain Relief Surgicenter Dec 2015 to March 2017

● Verify insurance benefits, obtain referral/authorizations, convey insurance benefits to patients and process patient payments.

● Schedule Surgicenter appointments with correct time blocked for procedures and ensure proper staffing and equipment on hand

● Work with Nursing/O.R. staff to ensure daily schedules are streamlined and all cardiac clearance forms are sent/received for upcoming procedures

● Scan into EMR all procedure notes and patient consent forms

● Process medical records requests for disability claims Preferred Homecare

Service Center Manager May 2011 to Nov 2015

● Responsible for daily branch operations and staffing

● Lead staff in verifying insurance benefits, obtaining prior authorizations and all billing documents for correct, timely processing and submission of claims

● Led branches thru 2 ACHC inspections

● Assist Regional Manager with establishing center budgets and monitor actual performance to budget

Walgreen’s Respiratory Services

General Manager March 2010 to May 2011

● Responsible for management of branches

● Lead staff in verifying insurance benefits, obtaining prior authorizations and all billing documents for correct, timely processing and submission of claims

● Reviewed branch financials with accountant and regional management team on a monthly basis

● Ensured branch was compliant with all company and federal guidelines Rotech Healthcare

Area Manager May 2009 to March 2010

● Responsible for 9 branch locations

● Assisted Managers in achieving both sales goals and operational goals

● Performed monthly evaluations of branch finances, branch managers and branch sales team

Location Manager June 2005 to May 2009

● Ensured location billing process for reimbursement was efficient and timley.

● Responsible for location compliance with all FDA/DOT and JCAHO policies

● Managed location purchasing and inventory process

● Asked by Regional Management to train new Managers and sent to assist locations in other states to bring them up to company standards Led branches thru 2 JCAHO inspections and several HHS inspections with no significant deficiencies or loss of accreditation

Warehouse Manager November 2003 to May 2005

US Army 1993 to 2004

Ensured surgical/anesthesia area ran at more than 95% capacity with no cancellations due to equipment malfunction.

Managed 5 Dental clinics in Panama including physician and staff work schedules, inventory management/purchasing and completed refugee medical files for Immigration processing. Managed Dental Services Department during Humanitarian Aid Mission in Haiti. Responsible for inventory/purchasing, medical records processing, fleet maintenance, convoy plans and security details.

Served as company training officer (additional duty), organized all training schedules and resources necessary to complete training. Maintained company training records. Education

● Professional Leadership Development Course, Ft Hood, TX

● Department of Defense Biomedical Equipment Repair Technician Certification 1999-2000 (38 weeks)

● Barton Hills Community College, Ft Riley, KS 2000-2001 Languages- read, write and speak fluent Spanish

References available upon request



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