Post Job Free

Resume

Sign in

Home Health Office Manager

Location:
Los Angeles, CA
Posted:
March 22, 2024

Contact this candidate

Resume:

Amanpreet Kaur

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

La Palma CA 90623

323-***-****

E-mail: aman ad4ipi@r.postjobfree.com

OBJECTIVE

Obtain a challenging position in a Billing agency that offers the opportunity for positive personal growth and professional advancement while effectively utilizing current Management skills.

EXPERIENCE

08/21-Present. Physician Choice Homehealth

Operations Director As a Home Health Director lead and directs the daily operations of a home health care agency. Looking after intake referrals, check patient insurance, authorization request and staff to provide home health services at patients home. Building relationships with hospital case managers and getting more referrals in. Distribute work to whole staff of 35+ employees. Managing field staff of 40 employees. Checking daily reports for each department and medical billing claim status check with Insurances. Checking credentialing and licensing for RN,LVN,PT,OT HR files.

05/15-06/20 Medical Billing Services Assistant Business Office Manager

Operational management of billing and collections for PPO, HMO, Self pay and other commercial insurance. Accounts Receivable, Denial and Appeals. Work the high balanced accounts. Negotiate payment arrangements with patients per set standards. Interfaces with insurance companies, patients, sales representatives and/or other internal departments regarding billing/collection issues. Obtaining authorizations for services rendered to patients. Going to medical seminars for training.

03/13-08/14 Healthview Homehealth Billing and Collections Supervisor Initially hired as a collections representative and permoted to Billing and Collection Supervisor after 3 months. Responsible for skilled and private duty Home Health Billing and Collections. Review and audit claims for accuracy. Send claims using paper format and through meditech software. Post payments, Collect payments from patients for co pays. Investigate past due claims. Acquire authorizations for services. Check eligibility and benefits for patients. Work on aging reports for past due accounts. Sending first and second level of appeals to collect on old accounts. Answering incoming calls from Patients help them resolve their account issues, and other providers. Prepare month-end reports for Manager and accounting. Attend monthly meeting to learn new ways on billing. Attended the seminars from medical.

06/09-06/12 Medical Billing Services Assistant Business Office Manager

Operational management of billing and collections for Blue cross Blue shield, Medical and other commercial insurance. Accounts Receivable, Denial and Appeals. Work the high balanced accounts. Negotiate payment arrangements with patients per set standards. Interfaces with insurance companies, patients, sales representatives and/or other internal departments regarding billing/collection issues.

07/08-04/09 Anaheim Skilled Healthcare (SNF) Assistant Office Manager

Responsibilities include assisting the Business Office Manager in developing an environment of courteous, professional and customer oriented relations and in the overall functioning of the Business Office and performing duties as assigned to support effective and efficient services to employees, families, residents and visitors. Match requisitions with UB04 for Managed care, medical & Medicare. Other projects upon request EOB's and processing denials HMO, PPO Government, Commercial Bill primary & secondary insurance and note account. Electronic billing, claims adjustments, claim appeals and collections. Post payments, Patients trust A/C, deposit checks, runs the month end reports. Mail the monthly statements. Collect co pays from patient and families.

02/06-04/07 Medical Billing Services Assistant Business Office Manager

Operational management of billing and collections for Blue cross Blue shield, Medical and other commercial insurance. Accounts Receivable, Denial and Appeals. Work the high balanced accounts. Negotiate payment arrangements with patients per set standards. Interfaces with insurance companies, patients, sales representatives and/or other internal departments regarding billing/collection issues.

07/04-09/04 Family Care Specialist Business Office Manager

Operational management of billing and collections for Managed Care, Indemnity/Worker's Compensation, Blue cross blue shield, Medical and other commercial ins. Accounts Receivable; Business Office Quality Control and Training; Denial and Appeals management; development, implementation, and maintenance of policies. Get the contract sign with other insurance companies. Keep track of doctor's hours of work. Work on aging reports and give it to collection department employees. Hiring new employees.

06/01 – 09/03 Rubin & Raine Billing supervisor

Bill Medical Insurances & Commercial Claims. Follow up with insurance companies for the claim status. Work aging report daily. Write appeals and negotiate rates and/or discounts with insurance companies Manage insurance, patient and/or client accounts as assigned. Negotiate payment arrangements with patients per set standards. Answer incoming phone calls and respond promptly to customer needs Interfaces with insurance companies, patients, sales representatives and/or other internal departments regarding billing/collection issues Check Medical, Medicare Private & HMO Insurance eligibility. Coaching new agents through difficult accounts and maintaining cooperation.

10/98 – 06/02 Bay Area Credit Service Collections Supervisor

Build call campaigns that consist of multiple accounts on the computer dialer, assign 50-60 agents to dial accounts, monitoring the agents and the computer dialer to ensure maximum dialer efficiency. Walk the collection floor assisting ICU Collectors, Dialer 1, and Dialer 2 agents by answering questions, coaching agents through difficult accounts, and maintaining cooperation. Handle supervisor calls to resolve conflicts that customers have with an agent or an account. Update daily urgencies and agent proficiency totals on spreadsheets for Dialer 1 and Dialer 2, I.C.U., and Legal departments. Trend sheet for I.C.U. and Dialer department. Update daily commission report.

EDUCATION

06/2007

Southeast Rop Certificate Medical Terminology, HIPAA US-CA-Cerritos & Medical Billing & Coding

08/2000

Mission College Certificate ESL Program, Mathematics and US-CA-Santa Clara Computer programming

10/1999

Independence High School US-CA-San Jose

Certificate for Collection Specialist, A/R & A/P Clerk, Billing Clerk

02/1996

IMC Computer Center Certificate India-Punjab-Barnala

QBASIC, MS DOS, MS-WORD, EXCEL,

INTERNET, PHOTO SHOP, ORACLE 5.0,

TALLY 4.5(Windows and Dos). Online study

08/1994

S.D College India-Punjab-Barnala

Bachelors of Arts (Degree)



Contact this candidate