Annette M. Hall

**** ******** **.

Duncanville, Texas 75137

972-***-****

WORK EXPERIENCE:

**** *******, ***** ****** *** Proton Therapy (TXO)

Clinical Reviewer Sr. – Prepare Clinical documentation for outpatient services for Proton Beam Radiation and Clinical Trial authorizations, Schedule peer-to-peers for physician discussions, File Appeal denials for Proton Radiation and Clinical Trials, Insurance follow-up, Inform all departments of approvals via email, and inform patients of approval/denial (s). Attend weekly meetings with physicians for a brief patient update. Attend weekly Training (Webinars with National Association of Proton Therapy (NAPT) and Legions. Assist with Administrative projects.

2016-2018 Advantage Healthcare Systems

Pre-Cert Analyst/ Insurance Verifier/Collection- Submit and prepare all required medical documents to UR Pre-cert. Dept for Workers Comp and Commercial patients, handle peer-to-peer with Physician Advisors. Insurance follow-up and Insurance verification for Occupational/ Physical Therapy commercial patients, assist in other areas of Administration

2014- 2016 Dallas Behavioral Healthcare Hospital

Financial Counselor – Provide financial planning and counseling to patients and their families regarding Inpatient/Outpatient Treatment. Verify insurance, collect deposit, assist patients with government assistant programs; worked closely with various departments throughout the CBO/Corporate office to ensure correct billing as well as effective patient account resolution. Served as Interim Business Office Manager from 2/6/15- 6/1/15; reported daily census, attended morning staff meetings, prepared adjustment, refunds and prepared daily bank deposits.

2012 -2014 Children’s Medical Center

Collections Coordinator 1– Provide insurance follow-up for TMHP and Commercial Accounts, reviewed and corrected claim issues, submitted initial billing requirements through Epic, Availity and TexMed Connect, verified eligibility for other government and commercial carriers. Post patient/insurance payments and adjustments, verify EFT payments for distribution, apply undistributed monies to accounts, posted patient credit card payments. Assist outside clinic staff and physicians with insurance and coding issues.

2009- 2012 Urology Associates of North Texas/MCNT, Arlington, Texas (USMD Merged) Financial Counselor – Provide financial planning and counseling to patients and their families regarding Radiation Treatment. Worked closely with various departments throughout the CBO to ensure correct billing as well as effective patient account resolution. Document account activity in manner that is consistent with department standards. Trained new employees in Insurance verification, Charge entry and Financial Counseling and Scheduling. Obtained Authorizations/Referrals for Radiation Treatment and Hospital Procedures, submitted radiation billing electronically through GM Centricity.

2008-2009 Senior Biller/Collector, USMD Cancer Treatment Center, Dallas, TX;

Primary contact for Radiation Billing/AR Dept., verified insurance for Radiation Treatment, obtained authorizations for CT/MRI procedures, post charges/insurance payments, research EFT payments for distribution, submitted electronic claims for processing, Filed Appeals and Secondary claims. Handled Physician Credentialing for HMO, PPO, CMS and other Commercial and Managed Care Plans. Assist Manager with month end reports

Education: Bachelor of Business Administration, Northwood University, Cedar Hill, Texas

Computer/Software Skills: G2, Mosaiq, IkMed, Medhwy, E Clincals Works, AIS, WebPA, Epic, GE Centricity Group Management, Medicaider, TMHP TexMedConnect, Realmed/Availity, Xactimed, Allscripts Enterprise EMR, Kodax, Microsot Word Outlook and Excel,FastAuth,AthenaIXD

Current Training: NAPT, Legions, CMC Course Material 2013 & 14, HIPPA Training 1/28/2011, OHSA Review, 7/28/10, 1/28/11 & 1/25/2012