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Medical Billing Claims Specialist

Location:
Sun City, AZ
Posted:
January 06, 2024

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Resume:

Dena M. Hackworth-Stockett, RPSGT,CRT Sun City, AZ 85373 602-***-**** ad2ieo@r.postjobfree.com.

Areas of Expertise:

20+ years of clinical experience as a clinical leader in various healthcare organizations, skilled in providing care as a respiratory technician, sleep technologist and EEG Tech. Demonstrated leadership in sleep center development and operational excellence in medical billing & critical thinking.

Work History

Job Title: Claims Specialist at the Social Security Administration. Responsible for the investigation and adjustment of assigned claims. Accountable for the quality of claim services by evaluating adjudicating claims within standards and laws. Review, approve and provide oversight of medical and legal cases. Supervisor: Myra Viterna Start- 03/27 to current, Full Time 40 Hours/Week / Salary: $63,000

Job Title: Med Inst Tech (EEG Tech) Position 91270789 – GS-8 Step 6 – 0649 – Excepted Service Employer: Veterans Health Administration - Neurology Service - 650 E. Indian School Rd Phx, AZ 85012 Supervisor: Gina M. Hopkins-Calligan, M.D. EEG Director 864-***-**** Start - End Dates: 03/03/2019 to 03/24/23 - Full Time: 40 Hours/Week – Salary: $56,000/Year Duties: Performs routine and emergent brain diagnostic testing in the analysis of brain disorders. Abstract and review medical data for determination of proper testing and scheduling. Analyze and report brain activity of concern through verbal and written reports to Physicians. Complete daily audits and corrections of clinical documentation to include health care billing and codes. Advanced knowledge of medical terminology and conveying pertinent data to patients and a wide range of medical clinicians. Respond to written and oral inquiries from providers regarding billing issues.

Job Title: Billing Coordinator Employer: Arizona Children’s Association 3716 E. Columbia St. Tucson, AZ 85714 Supervisor: Yelena Dominister - Billing Supervisor - 602-***-**** Start - End Dates: 5/12/2018 – 2/28/2019 – Full Time: 40 Hours/Week – Salary: $50,000/Year Duties: Worked independently reviewing medical data ensuring the clinical charting within the electronic health record matched the procedural and diagnostic coding selected for the billing of medical services. Assisted providers in correction of incomplete medical documentation to mirror the medical codes selected. Reviewed explanation of benefits ensuring payments received were as contracted. Rebilled underpaid medical claims and appealed all non-payments.

Job Title: Intake Coordinator Employer: Coresource/TrustMark 603 N. Wilmot Rd Ste#100 Tucson, AZ 85711 Supervisor: Eleanor Claybough – Intake Supervisor - 847-***-**** Start - End Dates: 09/05/2017 - 4/05/2018 – Full Time: 40 Hours/Week – Salary: $50,000/Year Duties: Performed screening and assessment of pertinent medical and clinical data from medical providers for use in pre-authorization of healthcare services, supplies and benefits. Communicated program guidelines to clients ensuring eligible beneficiary coverages mirrored requested care.

Job Title: EEG Technician Employer: Banner University Medical Center 1501 N. Campbell Tucson, AZ 85724 Supervisor: Gayle Gray – EEG Director - 520-***-**** Start – End Dates: 11/3/2016 – 3/22/2018 – Full Time: 40 Hours/Week – Salary: $60,000 Duties: Gathering of clinical data and analysis of medical history in completion of neurodiagnostic testing. Interpretation of findings in the detection of brain disorders or damage in the measurement and recording of electrical activity of brain wave testing called electroencephalograms (EEGs).

Job Title: Clinical Director Employer: SleepMed Center 401 S. Calvary Way Cottonwood, AZ 86326 Supervisor: Donald J. Curran, D.O. – Diplomate of Sleep; Psychiatrist 928-***-**** Start – End Dates: 08/01/2014 – 01/11/2016 – Full Time: 40 Hours/Week - Salary: $62,000 Duties: Developed the strategic planning and work force for sleep center and durable medical facility. Managed the day-to-day operations, acquired accreditations, hired clinical and administrative staff. Launched telemedicine for sleep disorders, oversaw medical billing and responsible for financial growth.

Education: Received Associates of Science Degree 10-2-1995; California College for Health Sciences. Board Certified Respiratory Therapist 3/96. Board Certified Registered Polysomnographic Technologist 12/2006. Received High School Diploma.

Certifications: On 10/21/2011 from Health Information Technology for Economic and Clinical Health Program at Pima Community College as a Clinician Practitioner Consultant. Received certification 10-21-2011, Implementation Support Specialist of Electronic Health Record Software. Received certification 3/2012. Well versed in EPIC, Centricity, Cerner, Next Gen, CPRS, Zoom and Microsoft Teams & Excel.

Dena M. Hackworth-Stockett, CRT, RPSGT.



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