Account Representative Contract Compliance
Resume:
Work History
Contract Compliance
Coordinator
Priscilla
Mancini
Contact
Address
San Jose, CA, 935128
Phone
***********@*****.***
Skills
Auditing
Data compilation
Auditing experience
Appeals processing
Performance review
Seasoned Compliance Officer with 10 years of experience working collaboratively with top leaders and staff to optimize adherence to policies, procedures, standards and regulations. Well-versed in comprehensive analysis of operations, process improvement recommendations and best practice introduction. Certified in account billin and auditing.
Contract Compliance Coordinator
El Camino Health, San Jose, CA
Promoted compliance by advising management on
needed or prohibited actions to comport with
government regulations.
Educated employees by conducting compliance
training programs and issuing periodic
communications to refresh knowledge of compliant
work practices.
Compiled internal information for compliance audit by reviewing company policy documentation,
non-compliance reports and investigations into
questionable conduct.
Implemented company compliance programs by
researching changes in [Type] legislation,
maintaining company policy documentation and
educating personnel on compliance policies.
2000-10 -
2001-11
Patient Account Representative
Healthcare Financial Agency, San Jose, CA
Utilized computer programs to create invoices,
letters and other documents.
Prepared reports detailing billing actions, flags and other key information.
Electronically submitted bills according to
compliance guidelines.
Worked with outside entities to resolve issues with billing, claims and payments.
San Jose Hospital-underpaid appeals, recovering
cash accounts that were over 365 days.
Alexian Brothers Hospital -Followed up on HMO
claims, obtaining retro authorization and working
1997-02 -
1999-01
Education
with Medical Groups in identifying and resolving
denials.
Account Representative
Meris Labs, San Jose, Ca
Drove sales by developing exceptional customer
rapport to foster satisfaction.
Proposed available products and solutions to meet
diverse requirements.
Analyzed accounts for delinquencies and other
ongoing issues.
Working om underpaid claims.
Billing claims to insurance companies.
Follow up on claims over 90+ days.
Professional billing
1995-03 -
1997-10
High School Diploma
Yerba Buena High School - San Jose, CA
1984-08 -
1987-06
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