Customer Service Home Care
Resume:
Mary Mullen
*********@*****.***
SUMMARY
Experienced professional with 30+ years in Customer Service, Administration and Private Care Provider roles. Proficient in diverse administrative functions, business operations, and healthcare procedures such as coding (ICD-9, CPT, HCPCS) and billing (Medicare, Medi-Cal/Medicaid) UB04. Skilled in mail handling, banking procedures, data processing, and associate management. Proven leadership in team development and strict adherence to HIPAA guidelines. Seeking opportunity to leverage extensive experience and operational management skills for organizational success.
PROFESSIONAL EXPERIENCE
Ya-Rescue House Community Outreach
Self Emolpyed-Bookeeper 10/23-05/24
•Account Recievable
•Account Payable
•Prepared documents for Tax purposes.
•Handled telephone inquiries and directed callers to appropriate personnel.
•Detailed all actions taken on account with clear and concise notes.
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Cambridge Home Care 11/20-09/23
HHA/Caregiver
•Provided round-the-clock availability for answering phone calls, addressing client/family inquiries, managing referrals, and responding to employee calls.
•Assisted clients with activities of daily living, including personal care, meal preparations, light housekeeping, medication reminders, and running errands.
•Administered wound care and facilitated transportation to appointments.
Institute of Sports & Spine Rehab 08/18-11/20
Front Desk Admistrative Assistance
•Front Office Responsibilities:
•Managed intake of patient referrals via telephone, fax, and email.
•Secured insurance authorization for physical therapy services.
•Welcomed and checked in patients, ensuring accuracy of paperwork.
•Collected deductibles, copays, and co-insurance from patients.
•Handled payment and charge postings using CLINICENT, MEDITECH, and PAYTRAC systems.
•Ensured physician orders were in place prior to therapy sessions.
•Coordinated timely submission, review, and signing of plans of care by physicians.
•Conducted daily deposits to the bank and reconciled end-of-day transactions, including ensuring completeness of plans of care and balancing collected funds and scheduled patient visits.
•Resubmitted clean and accurate claims to insurance companies in a timely and compliant manner.
•Performed collection activity to ensure proper resolution and reimbursement on claims.
•Ensured that all claims are billed and collected and meet all government mandated policies for Integrity and Compliance.
•Worked collaboratively with hospital departments to resolve accounts.
1 of A Kind Home Care Aspen Healthcare (01/14 - 08/19) (01/16 - 01/18) (01/14 - 01/16)
Private Home Care Provider
•Marketed services to various healthcare sectors and built relationships with healthcare professionals and potential clients.
•Conducted marketing calls, managed bank deposits, and oversaw day-to-day operations.
•Provided round-the-clock availability for addressing client needs and assisted with activities of daily living, personal care, and wound care.
•Provided thorough, courteous, and professional assistance to coworkers and patients.
Health Care Support Staffing-Winter Park FL (09/13-01/14) (11/12-03/13)
Temp-Account Receivable Specialist@ CCS Medical
Temp-Account Receivable Specialist@ Cymetrix Inc.
•Managed all aspects of billing and collections, including contacting insurance payers and documenting activities.
•Resubmitted and appealed claims as necessary.
•Revised and resubmitted clean and accurate claims to insurance companies promptly and in compliance with regulations.
•Performed collection activity to ensure proper resolution and reimbursement on claim.
•Ensured that all claims were billed and collected, meeting all government-mandated policies for Integrity and Compliance.
•Collaborated with hospital departments in the resolution of accounts.
•Resolved claims processing issues with third-party payers and provided all required information in a timely manner, involving patients and family members as necessary to ensure the timely resolution of claims with insurance companies.
•Researched, prepared, and submits appeals to insurance companies.
Connolly Healthcare-Frisco TX 02/11-10/12
Account Receivable Specialist-Recovery Specialist
•Recovered overpayments for healthcare claims and maintained collection records.
•Managed correspondence with providers and ensured proper claim presentation and follow-up.
•Resubmitted clean and accurate claims to insurance companies in a timely and compliant manner
•Performed collection activity to ensure proper resolution and reimbursement on claim.
•Addressed claims processing issues with third-party payers through prompt submission of all necessary information.
•Researched, prepared, and submitted appeals to insurance companies.
Heritage Manor Healthcare Heritage Gardens Healthcare Windsor Place
Business Office Manager 12/2008-06/2009
Assistance Business Office Manager 06/2009-06/2010
•Managed accounts receivable, submitted insurance claims, and assisted residents with Medicaid applications.
•Reviewed patient accounts and managed collections follow-up.
•Contacted insurance payers and prepared documentation for collections.
•Addressed claims processing issues with third-party payers promptly and ensured timely provision of all required information.
•Maintained compliance with regulatory requirements and supervised employees.
Folsom Surgery Center - Folsom California 05/06-05/07
Account Receivable Specialist
•Reviewed patient accounts and managed collections follow-up.
•Contacted insurance payers and prepared documentation for collections.
•Addressed claims processing issues with third-party payers promptly and ensured timely provision of all required information.
•Engaged patients and family members as needed to facilitate the timely resolution of claims with insurance companies.
•Researched, prepared and submitted appeals to insurance companies.
North Texas Perinatal -Dallas Texas 03/05-03/06
Account Receivable Representative/Certified Medical Coder
•Managed billing and collections, assisted in coding, and handled patient inquiries.
•Reviewed patient accounts and managed collections follow-up.
•Contacted insurance payers and prepared documentation for collections.
•Addressed claims processing issues with third-party payers promptly and ensured timely provision of all required information.
EDUCATION: Practice Management Institute-Dallas Texas, Major: Certified Medical Coder
Additional Skills:
- Demonstrated strong customer service and interpersonal skills.
- Exhibited good decision-making and analytical abilities.
- Communicated effectively both orally and in writing.
- Applied creative problem-solving techniques to enhance customer satisfaction.
- Maintained strong organizational skills and attention to detail.
- Proficient in Microsoft Word, Excel, Outlook, and inventory management systems.
Technical Skills: Proficient in Windows '98, Office '97, MS Word, Excel, WordPerfect, and Medical Office Management.
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