Summary
Over ** years working in various levels of Customer Service, with emphasis on improving efficiency, productivity and organizational consistency. Strong educational background as a Third Party Collections instructor.
Areas of Expertise
Governmental Insurance
Third Party Collections
CPT / ICD-10 Coding
Commercial Insurance
Medical Billing
Customer Satisfaction
Medical Software
Front Desk Functions
Employee Productivity
Professional Experience
Third Party Collections Manager April 2017-Present
Collect standardized forms from medical departments, analyze basic data/provide recommendations and information to executive leadership and medical staff.
Modify Electronic Health Records profiles to record regulatory compliance with Other Health Insurance (OHI) reporting requirements, and in accordance with HIPAA guidelines, utilizing Armed Forces Billing and Collections Utilization Solutions, (ABACUS), Composite Health Care System (CHCS), and Defense Enrollment Eligibility Reporting System (DEERS) for 25,500 beneficiaries.
Analyze and interpret medical insurance claims, work with network insurance providers to recapture funds to support the Military Health System (MHS); process reimbursement checks received for rendered services; recovered $600,000. to date.
Evaluate and track operational effectiveness against short and long range goals for budget planning and for consideration in the business plan.
Monitor and assist with data quality, data, data security, and data timeliness to benefit the Patient Centered Medical Home and Medical Treatment Facility operations.
Kaplan University Instructor December 2017- January 2023
Education
Kaplan University – Baltimore, Maryland
Associate Degree in Medical Office Management – Pending
Crescent City Technical – New Orleans, Louisiana
Associate Degree in Office Administration – 1986
Certifications
Certification in Insurance TPC UniversityNew Orleans 2001-2001
Troy State Third Party Collection Savannay, Georgia 1982-1983
Certification in Insurance New Orleans, Louisiana 2001-2001
Medical Billing and Coding Expiration July- 2017
BLS CPR Instructor Expiration May- 2018
Medical Scriber Kaplan
References : Patricia Brown GS13Arkansas Veteran Administration
Gen A K Flowers
Attorney Lynn Luker
Summary
Over 25 years working in various levels of Customer Service, with emphasis on improving efficiency, productivity and organizational consistency. Strong educational background as a Third Party Collections instructor.
Areas of Expertise
Governmental Insurance
Third Party Collections
CPT / ICD-10 Coding
Commercial Insurance
Medical Billing
Customer Satisfaction
Medical Software
Front Desk Functions
Employee Productivity
Professional Experience
Third Party Collections Manager April 2017-Present
Collect standardized forms from medical departments, analyze basic data/provide recommendations and information to executive leadership and medical staff.
Modify Electronic Health Records profiles to record regulatory compliance with Other Health Insurance (OHI) reporting requirements, and in accordance with HIPAA guidelines, utilizing Armed Forces Billing and Collections Utilization Solutions, (ABACUS), Composite Health Care System (CHCS), and Defense Enrollment Eligibility Reporting System (DEERS) for 25,500 beneficiaries.
Analyze and interpret medical insurance claims, work with network insurance providers to recapture funds to support the Military Health System (MHS); process reimbursement checks received for rendered services; recovered $600,000. to date.
Evaluate and track operational effectiveness against short and long range goals for budget planning and for consideration in the business plan.
Monitor and assist with data quality, data, data security, and data timeliness to benefit the Patient Centered Medical Home and Medical Treatment Facility operations.
Kaplan University Instructor December 2017- January 2023
Education
Kaplan University – Baltimore, Maryland
Associate Degree in Medical Office Management – Pending
Crescent City Technical – New Orleans, Louisiana
Associate Degree in Office Administration – 1986
Certifications
Certification in Insurance TPC UniversityNew Orleans 2001-2001
Troy State Third Party Collection Savannay, Georgia 1982-1983
Certification in Insurance New Orleans, Louisiana 2001-2001
Medical Billing and Coding Expiration July- 2017
BLS CPR Instructor Expiration May- 2018
Medical Scriber Kaplan
References : Patricia Brown GS13Arkansas Veteran Administration
Gen A K Flowers
Attorney Lynn Luker