Home Health Manager
Resume:
SONYA MCGEE
**** ***. * **** **** Drive
Hoover, Alabama 35216
Email: adbr8e@r.postjobfree.com
Primary Phone: 205-***-****
SUMMARY
A highly motivated, with great initiative, with a can-do attitude as well as flexible Office Manager, Administrative Assistant, Financial Specialist, and Strategic Organizer. The knowledge and experience that I have has been displayed in professional environments such as: Professional Medical Corporations and Financial Banking. I am especially skilled at building healthy relationships with internal and external customers/clients also including team members. I have proficient computer skills including Microsoft Word, Excel, PowerPoint, and Outlook. I am also equipped with delivering substantial inspiration and morale to the team or groups that I lead. Great team player and need limited to none supervision. I am authorized to work anywhere in the United States of America and I am a U.S citizen.
WORK EXPERIENCE
Intentional Learning for the Youth Community Inc., (Non-Profit Organization)
Board Member
Director, Administrating Resources - August 2016- Present
I have the legal and ethical responsibility to ensure that the organization does the best work possible in pursuit of its goals. I support the purpose and mission of the organization and pledge my commitment to assist carrying out its work. I consistently act responsibly and prudently.
•Well familiar with the budget and take an active role in the budget planning process.
•Knowledgeable of all policies and programs and oversee their implementation.
•Take responsibility for making decisions on the organization’s issues and board matters
•Communicate the organization’s work and values to the community, represent the organization, and serve as a primary spokesperson.
•Keep current on the business of the organization’s fundraisers.
•Conduct interviews for potential members.
Medical Modalities Inc. (MMI)
Office Manager, Patient Care Coordinator- Remote
•Execute order processing for received referrals to qualify patient for the requested and required durable medical equipment.
•Perform insurance verification for all payors. Collect, evaluate, and submit all documentation necessary for prior authorization, billing and patient copays. Notify the patients, caregiver and sales manager the qualifying item needs a prior authorization and a copay will need to be collected at the time of delivery.
•Verify and confirm ICD-10 and CPT codes for billing and reimbursement.
•Adheres to all corporate policies and procedures related to the company’s corporate compliance/HIPPA programs. Ensures established practices are following Medicare, Medicaid, and commercial insurance guidelines.
•Ensures patients are keeping scheduled home health visits and wound care appointments to monitor the progression of the wound on the monthly basis.
•Works collaboratively with sales representatives, home health agencies and wound care providers, discharge planners and physicians to ensure all medical documentation is obtained to ensure patients are receiving the proper durable medical equipment.
•Complete initial call to patient or caregiver to ensure they are knowledgeable about the items that will be delivered.
•Track orders to ensure accuracy and timeliness of delivery for initial billing purposes.
•Ensures timely communication with patients, clinicians, referral sources, and other personnel once the patient is qualified for the correct item.
•Ensures all business licenses are update and office is kept in a professional manner.
•Manage calls from patients, caregivers, home health agencies and wound care clinics if patient has been admitted to the hospital or hospice, expired or discharged from home health or wound care clinic.
•Monitors the patient’s healing process monthly to requalify the patient for different support surface item or schedule pickup.
Lincare
CSR/Medical Billing Collector May 2012 – July 2014 Hoover, AL
•Addressed concern calls from patients inquiring on medication refills, delivery of durable
medical equipment as well as complaints.
•Executed order processing for received referrals to qualify patient for the requested and required durable medical equipment; such as support surfaces, oxygen, CPAP, nebulizers and wheelchairs.
•Perform insurance verification for all payors. Collect, evaluate, and submit all documentation necessary for prior authorization, billing and patient copays. Notify the patients, caregiver and sales manager the qualifying item needs a prior authorization and a copay will need to be collected at the time of delivery.
•Researched denials for payment from Medicaid, Medicare, and Commercial insurances.
•Concluded resolutions for any accounts that were approaching deletion/write-offs.
•Prepared weekly schedules for delivery technicians for oxygen refills.
•Ensured respiratory therapists were assigned and scheduled in the most efficient geography, maximizing clinician efficiency, utilizing limited discipline, providing quality and required care, and optimizing respiratory therapist’s capacity.
•Works collaboratively with sales representatives, home health agencies, sleep labs, respiratory clinics, discharge planners and physicians to ensure all medical documentation and oxygen testing was obtained to ensure patients were receiving the proper durable medical equipment.
•Manages calls from patients and field staff related to scheduling issues for respiratory visits. Refers clinical and performance related issues to the Clinical Manager.
•Ensures all applicable reports were ran and responded to the workflow and addressed according.
Wachovia September 2005 May 2012 Homewood, AL
Banker II
•Assisted customers with inquiries and maintenance requests regarding banking service
and products and initiated cross-sales.
•Checked the status of new customers accounts, setup and confirmed direct deposits.
•Completed credit card, car, mortgage and personal loans payments.
•Performed stop payments for online BillPay and physical checks.
•Assisted banking customers who were victims of fraud, theft and identity theft. Initiated investigation with fraud department.
•Assisted customers with replacing lost or stolen cards.
•Informed teammates of any new changes and developments within Wachovia’s information system.
•Monitored process and ensure an optimal level of customer services to all financial needs.
•Manage all customer issues and ensured appropriate resolutions was applied to each account.
•Develop and maintain an effective and cooperative relationship with all internal and external customers.
EDUCATION
DeVry University Chicago, IL
Medical coding and billing (ICD-10)
(ICD-10) Certification 04/2017
Strayer University Birmingham, AL
Pursued Bachelor of Science Degree in Business Administration with a concentration in
Health Service Administration.
Lawson State Community College Birmingham, AL
Completed 2 years and studied core academic to pursue Bachelor of Science Degree in Business
Administration with a concentration in Health Service Administration.
Herzing College Homewood, AL
Received a Data Entry Medical Coding and Billing (ICD-9) Certificate 01/1992
Jackson-Olin High School Birmingham, AL
High School Diploma 06/1990
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