Kathleen “Maggie” Kearney

** ***** ******, *** *

North Versailles, PA 15137

412-***-****

ad4uu0@r.postjobfree.com

Experience

**/****-*/**** *** Consulting Remote/ WFH

●Patient Account Representative II

Colllection of aged AR and consult on billing and collection for Providence Home

Medical Equipment. Temporary position which ended at the end of February.

03/2019 - Current H & H Lounge Penn Hills, PA

●Bar Manager

Bartending, ordering all beer, liquor, food and bar supplies.

06/2016 – 03/2019 ZOLL Lifevest Pittsburgh, PA

●Payer Specialist

Identify payer issues. Contact payer regarding issues and national account directors on resolving unpaid AR. Identify system issues and recommend actions on how to improve collections by eliminating human error.

10/2014 – 06/2016

●Collections Specialist

Medical insurance collections utilizing aged reports. Work denials received from insurance companies, correct claims for resubmissions or process adjustments when collections are exhausted. Identify system and process issues and report to management.

1/17/2014-4/5/2014 DB Communications Collegeville, PA

●Cable Installer

Install cable at cable companies throughout the east coast.

10/2011 – 1/7/2014 H & H Lounge Penn Hills, PA

●Bar Manager

Bartending, ordering all beer, liquor, food and bar supplies.

9/2007 – 9/2011 Qualicare Home Medical North Huntingdon, PA

●Reimbursement Manager

Moved all billing functions in-house, including learning all functions & training of Brightree Billing System. Submitted paper & electronic claims, reviewed and resubmitted denials, posted payments, electronic payments and all EOBS. Trained Customer Service on obtaining authorizations, documentation & CMNS required by each insurance carrier. Created manuals for each function and trained individual staff of their function. Manage all aspects of the billing department for Home Medical Equipment Billing.

4/2004 – 8/2007 PSA Healthcare, Cardello Building Pittsburgh, PA

● Office Manager

Interview, hire, train, develop and supervise Customer Service Representatives.

Manage all aspects of the Customer Service Department. CSR duties included taking orders, obtaining all necessary authorizations, documentation & CMNS for all insurance types including Medicare, Medicaid, HMO’s & Private Insurance.

10/2002 – 4/2004 Medi Home Health McKeesport, PA

● Site Manager

Manage all aspects of operations. Sales, Delivery Service, Customer Service, Accounts Receivable, Purchasing and Compliance.

Interview, hire, train, develop and supervise employees. Run daily, weekly, monthly and yearly reports to ascertain what goals were being met.

5/2002 – 9/2002 American Homepatient McKees Rocks, PA

●Billing/Customer Service Project Coordinator (Temporary Position)

Train Customer Service and Billing staff on efficient processes.

Assist in obtaining documentation to reduce held revenue..

Assist & train collectors with processes to reduce Accounts Receivables.

Update Computer Master Files to ensure effective utilization.

8/2001 - 5/2002 American Homepatient Twinsburg, OH

●Branch Manager

Interview, hire, train, develop and supervise employees.

Review and analyze Profit & Loss to ensure maximum profitability.

Implementation of safety programs and records in compliance with all federal, state and local regulations that apply to DOT and FDA.

Ensure all FDA, DOT & JCAHO regulations are followed and maintained.

Oversee all operations and 15 employees.

2/1995 - 8/2001 Lincare (purchased Liken Home Medical 7/98) Youngstown, OH & New Castle, PA

●Center Manager (4/99-8/01)

Duties similar in scope to position listed above.

Surpassed 1999 EBITA goal by 20%.

Surpassed 2000 EBITA goal by 27% (2000 EBITA goal increased 20% over 1999 goal).

58% New Growth for year 2000.

Surpassed 2001 EBITA goal for 2nd quarter by 15%.

● Senior Customer Service Representative (12/97-4/99)

Interview, train, develop and supervise Customer Service Representatives.

Development of computer systems to improve productivity.

Assisted in preparing, opening and operating new location in Youngstown, OH. Transition of merging two offices and conversion of computer systems during merger of companies.

●Customer Service Representative (4/97-12/97) Pittsburgh, PA

Enter and ensure qualifications met for equipment orders received from patients, physicians, social workers and other medical professionals.

Responsible for following up and closing sales leads.

Weekly sales report for 7 locations.

Managed COPD Disease Management Program.

●Medical Documentation Specialist (2/95-4/97)

Responsible for obtaining correct Certificates of Medical Necessity and authorizations required by Medicare, Medicaid and Commercial Insurance Carriers.

System development enhancement of CMN & authorization files to increase productivity.

1991-1994 Pennsylvania Blue Shield Pittsburgh, PA

●Claims Adjustment Specialist (12/92-10/94)

Review and process claims previously denied or paid erroneously.

Interact directly with 12 Provider Networks.

Provide technical assistance to Customer Service Representatives and Claims processors.

●Claims Processor (1/91-12/92)

Responsible for the review of claims disapproved by the computer system to determine final eligibility for payment.

Coordinate all benefit payments for individual and group plans.

Education 1983 Graduate of Norwin Senior High School, N Huntingdon, PA

References Available upon request.

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