United States Project Management
Resume:
Cynthia D Hodge
*******@*****.***
Work Experience:
Reimbursement Specialist/Patient
**/**** ** *******: Previous employed: 04/2008 to 04/2018 ( See below) National Seating & Mobility, Inc.
Chattanooga, TN
DME billing of Custom Rehab Equipment; responsible for team training in claim management for purpose of collections from Medicare/Medicaid/TPA payers, over 250 branch locations across the United States. Commercial plans as well as specialty programs such as MDA. Shriners, and others. High dollar volume. Review of documentation development and auditing of employee process; maintained direct payer relations with insurance payers and departments for proper coding and billing practices/procedures to ensure state compliance. Claim payer direct contact for claim project management for underpaid/denied.
Integrated Paid Leave Specialist
02/2022 to 04/2023
Unum
Chattanooga, TN
Daily assignments of State Family Medical Leave requests for FMLA/ Corporate, and New York State; Medical certification review requirements along with state form entitlement review to process serious health conditions. maternity leave, paternity leave. Process and review for approval and processing of payments under employer and state driven programs.
Revenue Cycle Management/Billing/Collections
02/2020 to 02/2022
Chattanooga Ear Nose & Throat Associates
Chattanooga, TN
Daily billing/collections of physician practice for Ear Nose & Throat specialist; involved. consultation billing with local hospitals and surgery centers. Billing of State programs to assist in patient care; Cash posting; Claim appeals; Claim adjudication process. Bank deposits; Coding of surgery billing. Assisted other departments when needed. Reimbursement Supervisor
04/2008 to 04/2018
National Seating & Mobility, Inc.
Chattanooga, TN
DME billing of Custom Rehab Equipment; responsible for team training in claim management for purpose of collections from Medicare/Medicaid/TPA payers, over 250 branch locations across the United States. Commercial plans as well as specialty programs such as MDA. Shriners, and others. High dollar volume. Review of documentation development and auditing of employee process; maintained direct payer relations with insurance payers and departments for proper coding and billing practices/procedures to ensure state compliance.
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Skills
Claims Management - 20+ years
Claims Billing/Collections - 20+ years
Provider Relations - 10+ years
Revenue Cycle Management - 20+ years
Appeals /Denials - 20+ years
Education Chattanooga State Community College
Associate
Business Management
Chattanooga TN
08/2005 to 08/2010
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