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Health Services Prior Authorization

Location:
Kearney, NE
Salary:
30.00 per hour
Posted:
January 30, 2024

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Resume:

CANDICE S. BELL

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

Franklin, NE ***39

402-***-****

ad28tl@r.postjobfree.com

EDUCATION:

Umpqua Community College Roseburg, OR

Associate of Business

EXPERIENCE:

Kearney County Health Services Minden, NE

Utilization Mgmt. Coordinator 10/2023 – Current

Prior authorization Hospital/Clinic

Phelps County Health Services Holdrege, NE

Cardiac Authorization Specialist 4/2023 – 9/2023

Prior authorization Hospital Cardiology

Arrow Medical Kimball, NE

Finance Officer 1/2023 – 5/2023

Oversight on Cost-comparison of startup clinic

CEO was in charge of money/banking. I was asked

by provider to check balance, and discovered that the

CEO had been embezzling the money from the business

Accounts, and there was no money to continue.

Franklin County Memorial Hospital Franklin, NE

Finance Director/Rural Health Clinic Director 7/2020 – 1/2023

Supervised Finance Department and RHC, A/R,

A/P, reconciliation of Banking, billing, coding,

collections for hospital and clinic.

Alabama Cancer Care, LLC Gadsden, AL

Online biller for 2 Oncology offices 4/2017 – 01/2020

Harlan County Health Services Alma, NE

Rural Health Clinic Director 6/2014 – 5/2020

Managed day to day operations of 2 clinics and

12 employees. Evaluations, budget, coached, hired,

monthly/weekly/daily reporting. When I left both

Rural Health Clinics had ZERO deficiencies. Very strict

Regulations.

Self-employed Red Cloud, NE

Private Home Caretaker 10/2011 – 06/2014

Mary Lanning HealthCare Hastings, NE

Supervisor of Medical Office Management 01/2011 – 10/2011

Responsible for all 8 of the clinics owned by ML

HealthCare. Audited billing/coding, daily, weekly

and monthly reports. 12 billers/coders.

Nebraska Cancer Care, LLC Hastings, NE

Director/Financial Counselor/Reimbursement Coordinator 04/2005 – 01/2011

Daily oversight of Oncology office, researched programs for

the underinsured and uninsured patients, overseen billing CPT/ICD 9

coding, collections, budgeting, negotiated insurance contracts,

credentialed providers, ordered drugs and supplies and reconciled them,

hired, coached and evaluated 17 employees. (If he wouldn’t have left, I

would still be there, the best job I have ever had)

Central Nebraska Neurology, PC Hastings, NE

Clinic Administrator 4/2003 – 4/2005

Hired, coached, audited billing, CPT/ICD, A/R, A/P, 2 providers,

2 nurses and 5 office staff. Oversight complete office procedures.

Webster County Community Hospital Red Cloud, NE

Rural Health Clinic Administrator 01/1993 – 3/2002

A nurse and myself began this clinic from the ground to

a thriving RH clinic. We did it all, billing, coding, electronic

submission, A/R, ordering supplies with reconciliation of all,

budgeting. When I left, we were a zero deficiency Rural Health Clinic.

I also did the billing and coding for the Medical Records Dept in the

Hospital.

HONORS:

Nebraska Hospital Association Leadership Institute 2019

Caring Kind Award-Harlan County Health System 2015

REFERENCES:

Available on request.



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