Sales Representative Office
Resume:
Elsie Colome
Stagecoach, NV **429
Email: *********@*****.***
Summary of Qualifications
Sr Insurance & Claims Specialist
Worked at Renown Skilled Nursing. Responsible for handling all resident trust funds. Reconciliation of deposits for both insurance and resident deposit. Handling of all safe keeping. Billing and collections on all Medicaid balances as well as Insurance follow up and collections. In charge of resident petty cash reimbursements and pay out.
2014 to 2017 Renua Medical
National Billing Expert
Responsible for maintaining updated billing guidelines for medical equipment company. Updating as needed the Medicare allowable schedule. Training Physicians billing office on the use and billing of CPT / ICD-9/ 10 codes that can be used in billing for testing provided by the equipment. Also conduct billing service should the practice not want to bill for these services.
Maintaining knowledge on all Medicare contractors as well as all insurance payers and the requirements on a national basis as needed. Knowledge on accreditation processes and credentialing.
2013 – 2014 Prosthetic Consulting Technologies
Office Manager
Responsible for the day to day operations of the practice reporting to Chief Operating Officer. Acquiring prescriptions and medical records as clients are is in need of prosthetics. Preparing charts for practitioners. Recording payments and submitting to the billing office. Ensuring the co-pays and deductibles are collected. Delivering of prosthetics and ensuring all charges are complete and entered into the system.
2011 – 2013 Advantacare
Biller/Collections
Responsible for collections of DME accounts. Appeals for contract and payment disputes. Obtaining authorizations for enteral feeding and supplies. Taking of enteral orders from patients and Doctors office’s. Changes in prescriptions, tracking of orders and supplies.
2010 – 2010 Carson Surgical
Biller/Coder
Responsible for coding, billing and collections for multiple physicians.
CPT, HCPCS, ICD9. Billing of insurance companies both paper and electronic, Insurance contractual adjustments. Patient payment arrangements, Appeals with Medicare and insurance companies. Collection agency referrals
2008 – 2009 Nevada Rural Health Centers
Biller / Collector
Responsible for coding, billing and collections for multiple physicians and clinics
for a FQHC organization. CPT, HCPCS, ICD9. Billing of insurance companies
and Medic-aid. Contractual adjustments, slide documentation and calculations.
2007 – 2008 General & Vascular Associates. Reno, NV
Biller / Collector
Responsible for coding, billing and collections for multiple physicians. CPT, HCPCS, ICD9 and modifiers are used to insure proper payment. Appeals, contract disputes and rebills are performed daily.
2006 – 2007 ARC Med Centers. Dayton, NV
Office / Case Manager
Medical office management, Urine and Breath alcohol collection and testing. Medical assisting with office procedures, injections, EKG and vitals. Registration of all incoming patients (scheduled or urgent care). Daily preparation of deposits for the billing service. Front and back office duties as needed. Review of all workers compensation cases. Scanning of all paperwork into the EMR system for provider review.
2002 – 2005 Desert Sage Medical. Carson City, NV
Office / Billing Manager
Management of medical office. Responsible for all billing and collections of all patient accounts. Insurance and patient refunds. Electronic billing. Collection agency referrals, payroll and human resources. Cost projections and increases. General ledger, chart audits. HIPPA privacy officer. Front office work and medical records as needed.
2001 – 2001 Healthcare Concepts, Inc. Reno, NV
Consultant
Responsible for coding, analysis of client charge master in a consulting role. Quality review and final executive summary preparation and presentation. Familiarity with OIG Compliance, OPPS, CMS guidelines and APC reimbursement issues.
2000 – 2001 Shaff and Associates. Los Angeles, CA
Coding, Billing and Collections
Responsible for coding, billing and collections of physicians claims for multiple clients. CPT, HCPCS, ICD9 and modifiers were used to insure proper payment.
1998 – 1999 City of Hope National Med Center, Duarte, CA
Collections Representative
Resolution of large balance accounts. Majority of these accounts were bone marrow transplants. Collection agency referrals. Heavy telephone contact. Payment arrangements and resolution of disputes. Insurance billing and contracts. Medicare, Medi-cal and insurance follow-up.
1984- 1998 Children’s Hospital Los Angeles. Los Angeles, CA
1992 - 1998
Cashier Supervisor
Supervisor of both hospital cashier and data entry clerk. Bank reconciliation daily. A/R reconciled daily. Heavy bank interaction. Act as back up for both cashier and data entry clerk.
1989 – 1992
Hospital Cashier
Responsible for all hospital deposits and balancing. Includes both patient and non patient cash. Strong data entry skills. Posting of bad debt, over the counter cash and general ledger payments. Balance sheet reconciliation on daily basis.
1984 – 1989
Collection Representative
Resolution of out patient and in patient accounts including billing and insurance contracts. Heavy telephone interaction with patients and insurance companies. Problem solving in regards to charges and payments. Medicare, Medi-cal and insurance billing.
1981 – 1984 Queen of Angels Med Center. Los Angeles, CA
Collection Representative
Resolution of out patient accounts. Insurance billing and insurance contracts. Heavy telephone interaction. Problem solving in regards to charges and payments. Medicare, Medi-cal and insurance billing.
1977 – 1981 A&C Electronics. Northridge, CA
Bookkeeper
Accounts payable and receivable. Manual payroll on weekly basis. Reconciliation of books. Invoice posting. Client collections on overdue invoices.
Languages
English and fluent Spanish
Certifications
CPR
Breath Alcohol Technician
Urine Drug Testing
CLIA Lab Certification
Professional Affiliations
American Association of Professional Coders
Lyon County Sheriff Search & Rescue Unit
Equipment and Programs used
Ten key by touch. Computer data terminal. Windows 95, 98 2000, XP & Windows 7. Paper port scanning. Microsoft word and excel. Medical Manager. Intergy. E-clinical works.
Objective
Locate a position where I may utilize both my healthcare business services, clinical experience and people skills to the advantage of my employees.
References
Bruce Chaney PAC
Peggy Radcliffe LVN
Auditor St Marys
Richard Lash
PFS Director/Consultant CHW
Suzanne Johnson
Sales Representative
Henry Schein
Cynthia Shaff
Medical Billing
Contact this candidate