Mental Health North Carolina

Ella Ames

GOLDSBORO, NC ***** 919-***-**** **********@*****.***

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PROFESSIONAL

SUMMARY

I have been working in the HealthCare Industry since 2006. I have been involved in 3 CARF reviews in which we were recertified each time. I have done Customer Service and Billing and Coding during this entire time. In 2021 the State of North Carolina switched to Managed Care. I have been able transition to Managed Care billing with 8 different MCO's and have been successful. Passionate about helping people manage mental health and improve quality of life. To seek and maintain full-time position that offers professional challenges utilizing interpersonal skills, excellent time management and problem-solving skills. Detail-oriented team player with strong organizational skills. Ability to handle multiple projects simultaneously with a high degree of accuracy. Organized and dependable candidate successful at managing multiple priorities with a positive attitude. Willingness to take on added responsibilities to meet team goals. Hardworking and passionate job seeker with strong organizational skills eager to secure entry-level [Job Title] position. Ready to help team achieve company goals.

SKILLS • Interpersonal skills

• Problem solving skills

• Sound decision-making

• Budgeting expertise

• Team leader

• Excellent organizational skills

• Confidential records

• Teamwork and Collaboration

• Time Management

• Attention to Detail

• Multitasking

• Reliability

• Active Listening

WORK HISTORY MENTAL HEALTH COORDINATOR 06/2022 to 08/2024 Simmons Early Intervention Therapy Goldsboro, NC Managed billing and authorizations for clients who received assessments and other behavioral health services

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Possesses knowledge and understanding of commercial and government insurance requirements

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Understood and billed claims for reimbursement and the impact on the revenue cycle

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• Used computer skills (Microsoft Office Suite)

• Excellent understanding of ICD 9 and ICD 10 CPT Codes

• Twenty plus years of experience

• Ability to manage sensitive documents and records

• Excellent ability to work with effectively with various audiences. E A

BILLING MANAGER 01/2006 to 01/2022

Family First Support Center Mount Olive, North Carolina Responsibilities included but were not limited to reviewing and submitting CMS 1500 claims to 8 Managed Care Organizations in North Carolina and 3 Managed Care Organizations in South Carolina

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Reviewed the employees' hours and checked the service notes that accompany the hours, submit the billing to the MCO's

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Was responsible for checking the Remittance Advices to see if all claims paid, Responsible for obtaining authorizations for treatment

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• Obtained authorization for client treatment

• Used ICD 9 and ICD 10 to obtain such authorization Worked with physicians and clinicians to obtain assessments needed to bill for client services

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Increased billing department efficiency, reduced delinquency, and increased accuracy by developing and implementing system and process improvements

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• Reviewed billing issues, conducted research, and addressed concerns Kept a close eye on the QA (Quality Assurance) program to ensure that it was performing well and that high standards of care were being met.

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TESTING ADMINISTRATOR 08/1978 to 06/2004

Wayne County Public Schools Goldsboro, NC

Maintained program files, records, databases, and websites to gather research and prepare and submit reports

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• Had an excellent attendance record and was always on time for work Was in charge of resolving disagreements and negotiating mutually beneficial agreements between parties

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Oversaw the day-to-day operations of the education program and delegated assignments and evaluated performance of support staff

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Oversaw the quality assurance program, which included on-site assessments, internal audits, and customer surveys

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Oversaw the scanning and scoring of Standardized Testing for the State of North Carolina

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• Submitted test scores to local and state education organizations. EDUCATION Some college (No degree)

Wayne Community College, Goldsboro, NC

High School 01/1967

West Martin High School, Oak City, NC

CERTIFICATIONS Microsoft Office Suites

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