Home Health Customer Service

**/**** - **/**** ******* Manager, Bill and Account Collectors

Assure Home Healthcare Inc., San Antonio, TX

Intake coordination, billing, insurance verification, oversee medical records, answer phone.

08/2019 - 06/2020 Fraud Collections Representative, Customer Service Representatives CBE, New Braunfels, TX

Research fraudulent telephone calls. Resolve fraudulent issues on customer accounts. Report fraud findings to the centralized communication system responsible for resolving these issues.

11/2018 - 05/2019 Intake Coordinator/OASIS Reviewer Living Tree of Life Home Healthcare, SAN ANTONIO, TX Verify insurance, eligibility,and all information for new referrals for accuracy and enter into database. Review medical/hospital records for diagnosis, procedures and service requirements. Review nursing assessments for accuracy and errors, and code diagnosis according to priority. Assist with scheduling and phones as needed. 04/2017 - 05/2018 A/R Specialist

Touchstone Communities, SAN ANTONIO, TX

Performed commercial and Medicare Replacement insurance billing and collections for Skilled Nursing Facilities. I assisted patients and families with questions and concerns regarding the insurance filing process, filing of required forms, their insurance coverage benefits, and patient/guardian responsibility. 10/2012 - 01/2017 Biller

Assure Home Healthcare Inc., SAN ANTONIO, TX

Responsible for billing, posting of payments, and reconciliations for Adult Home Health patients, and special needs pediatric clients for all insurances for Private Duty Nursing and therapy services. Assisted the Administrator regarding review of pediatric admission packets for submission for authorization filing and coordinated with state insurances regarding authorization status follow up. Insurances included Medicare and Medicare replacements, Medicaid and Medicaid HMO, Tricare, and commercial insurances. Worked with Software Development with regard to any problems with software and needed updates to remain compliant with state and federal regulations. Reviewed contracts of insurance payers for accuracy, set up electronic payments, and set up electronic billing for payers. Coordinated with financial institutions for trust fund billing. Assisted with various other duties as needed such as ordering medical supplies, copier issue resolution, and coordination with building manager for any issues or requests.

11/2003 - 10/2012 Billing Manager/Office Manager

Dominion Care Home Health, SAN ANTONIO, TX

DONNA COOK

191 HIGH RIDGE DR, SEGUIN, TX 78155-9682

Phone: 210-***-****

Email: **********@*****.***

Objective

I have over 20 years of experience with home health billing and auditing, and currently plan to obtain my new certification for ICD-10 coding.I am seeking a position to utilize my skills and expand my knowledge base in a renowned organization.

Employment History

Responsible for billing and follow-up of all patients to Medicare and all other payers. Reviewed OASIS for coding accuracy. Responsible for transmission of all OASIS to the State, maintaining binders, and submission of any corrections. Managed non- clinical office personnel. Attended management meetings, participated in objectives of our company to provide the highest quality of patient care, meet the financial objectives, and assist the nursing and business development department as needed. Assisted with other duties as needed to support scheduling, medical records, etc. II assisted the President/CEO and Executive VP of Operations with completion/submission of 2021 and 855A when needed. 08/2002 - 10/2003 Biller/Auditor

Home Nursing and Therapy Services, SAN ANTONIO, TX Perform audits and billing for medicare and medicaid patients, and prepare reports as requested. Responsible for transmission of all OASIS to the State, and submission of corrections of any errors, and maintaining log binders. 10/2000 - 08/2002 Biller/Auditor

Restorative Home Health Care, SAN ANTONIO, TX

Preparation and billing for Medicare, Medicaid, BC, and other insurances, follow up and auditing of payments.

10/1998 - 09/2000 Biller/Auditor

Millennium Home Health, SAN ANTONIO, TX

Billing, auditing, and posting of payments for adult patients, pediatric private duty nursing patients, and therapy patients. Responsible for coordinating to insure software was up to date and trouble shooting any problems. Prepared reports for nursing supervisor and owners.

05/1998 - 09/1998 Biller/Auditor

Home Health Care Solutions Inc., SAN ANTONIO, TX

Perform computerized billing, record payments, make contractual adjustments, prepare physician orders, summary reports, revenue statistic reports, and agent schedules.

07/1997 - 05/1998 Office Manager

Golden Comfort Home Health Care Inc., SAN ANTONIO, TX Supervised office staff, maintained human resource files, prepared payroll reports, and performed general office tasks.

04/1997 - 07/1997 Administrative Assistant

Home Health Concepts Inc., San Antonio, TX

Compiled statistical ADR reports, organized and prepared payroll reports, and performed general office tasks.

09/1996 - 04/1997 Office Manager

Tara's Prime Home Health Care, Inc., San Antonio, TX Supervised office staff, prepared computerized physician's orders, physician summary reports, agents' schedules, prepared payroll and billing reports, and other general office tasks.

08/1993 - 09/1996 Senior Scheduler

Nurses Who Care Home Health, SAN ANTONIO, TX

Supervised scheduling staff, preparation of patient schedules, audited and prepared medicaid billing, prepared computerized physician orders, authorization forms, physician summary sheets and medication sheets.

11/1980 - 08/1993 Admitting Supervisor, Reservation Coordinator Santa Rosa Medical Center, San Antonio, TX

Supervised second and third shifts in admission in downtown admitting department, prepared evaluations and staff schedules, facilitated hospital to hospital transfers. As Reservation coordinator: assignment of patient rooms, prepared census, facilitated patient admissions. Admitting clerk: processed inpatient and outpatient documents, and verified insurance.

12/1992 Medical Terminology, Anatomy

1 Year at College or a Technical or Vocational School St Philips College, San Antonio, TX

05/1975 General Studies

1 Year at College or a Technical or Vocational School University of Tennessee, Knoxville, TN

05/1974 High School Diploma

Del Rio High School, Del Rio, TX

General studies

1 Year at College or a Technical or Vocational School SW TX Junior College, Uvalde, TX

08/2016 Notary Public

State of Texas

08/2009 HCS-D Medical Coder

Board of Medical Specialty Coding

Education and Training

Occupational Licenses and Certificates

Contact this candidate