Manager Mental Health

PENNY J. HALL

**** ******* ***** ***** ● Laplace, LA 70068 ● 504-***-****

********@*********.***

Career Objective: To seeking an opportunity in an executive role that empower and impact patients across the life span.

SUMMARY OF QUALIFICATIONS

Sound ability to perform in intense situations to make judgement calls.

Excellent communication skills in educating patients and families in the transition of care process.

Physician relations to ensure quality patient care.

EPIC Certified Trainer, 2013

Grant Writing, 2018

Credentialing for healthcare providers

EDUCATION

Master of Business Administration, Herzing University, Kenner, La (September 2014- September 2016)

Bachelor of Science in Business Management, Herzing University, Kenner, La (December 2012)

Associate of Science in Medical Assisting, Eastern College, Metairie, La (January 1992)

Related Courses and Skills

Accounts Payable/Receivable

MS Office Applications (Word, Excel, PPT)

Scheduling/Training

Medicaid/Medicare

Billing/Payroll

Audits Accounts

Office Manager/Supervising

Human Resources

Negotiation

Monitoring

Time management

Critical thinking

PROFESSIONAL EXPERIENCE

Forever care resource center L.L.C., New Orleans, La. January 2020 to PRN

Director of Human Resources

Serves as a link between management and employees by handling questions, interpreting and administering contracts and helping resolve work-related problems.

Performs staffing duties, including dealing with understaffing, refereeing disputes, firing employees, and administering disciplinary procedures.

Plans and conducts new employee orientations to foster positive attitude toward organizational objectives.

Reviews, endorses or makes recommendations for hiring, staff raises, promotions and reclassifications.

Provides performance appraisals for staff and determines need for disciplinary action.

Makes recommendations or approves plans for staff training and professional development.

Ensures staff is kept informed of changes and updates.

Interacts with company management and employees to provide guidance, assistance and expertise.

Resolves issues and requests presented by management and employees.

Credentialing

Ochsner Foundation Hospital Benson Tower, New Orleans, La. March 2013 to Present.

Follow up and Denials Rep.

Managed personal professional growth and maintains required knowledge and skills to perform the duties of the position.

Perform audits on accounts worked to ensure efficiency.

Participated in a Lean project to ensure waste out to save revenue for the organization.

Specialize in researching PWK accounts for Medicare.

Meets all department productivity and accuracy goals and maintains records documenting activity.

Identify and review trends that impact patient accounts.

Review patient medical records and utilize clinical and regulatory skills as well as knowledge of payer requirements.

Utilize pre-existing criteria and other resources and clinical evidence to develop sound and well-supported appeal arguments, where an appeal is warranted.

Search for supporting clinical evidence to support appeal arguments when existing resources are unavailable.

Proficiently read and understand abstract information from handwritten patient medical records. I have taken on three more payors Cigna, Aetna, and Humana.

HHS Behavioral Healthcare, Laplace, La. June 2017 to Present.

Mental Health Counselor/Asst. Director

Managed personal professional growth and maintains required knowledge and skills to perform the duties of the position.

Perform audits on accounts worked to ensure efficiency.

Oversee Medicaid Application Center

Provide Behavioral or Mental health counseling, crisis intervention, community based and in-home counseling services.

Oversee medical records documenting activity are correct.

Identify trends that impact patient life.

Evaluation for employees.

Individual and group Psychotherapy

Medication evaluation and management for counseling clients

Ochsner Baptist Medical, New Orleans, La. February 2010 to February 2013

Revenue Cycle Rep. III

Works directly with patients to obtain verification of information.

Collects payments, set up loans, compile reports, audit accounts, order supplies, train new employees on various procedures and processes.

Analyze hospital and clinic accounts.

Review collections log, scheduling log, deposits sheets, CSI accounts, RQI process, Diabetes accounts, POS log, EPIC super user.

Worked pain management, back and spine, imaging, Lawson, passport, central registration.

Knowledgeable of both processes and policies in the department

Acting supervisor for registration, Emergency Room, Customer Service Reps, and Admit department.

Knowledgeable of Kronos, and Denials analysis.

Seals Enterprises, Kenner, La. February 2009 to August 2017

Office Manager

Maintaining the efficient operation of the office.

Responsible for hiring and training highly qualified employees.

Additional duties included ordering supplies, completing payroll duties that includes timesheet verification and approvals.

Tracking accounts receivables and accounts payable in office.

Handle complaints, performance appraisals, and assist owner with writing personal development plans, wage increase recommendations based on policy and procedures.

Human Resource, Hiring/Firing.

Supervised 10 men and 2 helpers.

Ochsner Foundation Hospital, New Orleans, La. December 2008 to March 2009

Financial Service Rep.

Analyzed hospital and clinic accounts to ensure accuracy.

Review reversed/applied payments, processed adjustments, voids, credits, recharges, financial applications, insurance verifications and audit reports.

Reviewed correspondence from email.

Adequate problem-solving skills and account audits

Reviewed financial applications, set up payment plans, training new employees, care credit, posted payments, and adjustments to accounts.

Coaching, training, teaching others.

Express Check Advance, Kenner, La. October 2007 to November 2008

Branch Manager.

Approved payday loans, collections on accounts, audit on accounts, deposits, cashier checks, payroll

Handled Human Resources, training, facilitated manager meetings, and implemented the hiring process.

Processed NFS accounts, ordered supplies.

Placed advertisements ads.

Interviews of potential future employees.

Responsible for firing any employee who do not meet the requirements of the company.

Hiring

Coaching, training, teaching others.

Interlink Health Care February 2006 to September 2007

Office Manager

Addressed all incoming calls and complaints.

Billed for Medicaid and Medicare

Managed the nursing assistants (12) inner office staff (4), payroll, referrals, marketing,

Facilitated staff meetings, in-services, data entry, elevations, audit accounts, deposits, logging of notes, scheduling, and denials.

Human Resource, Customer Service, and Hiring/Firing.

Coaching, training, teaching others.

Ochsner Clinic, Baton Rouge, La. March 2004 to February 2006

Team Leader ENT.

Team leader for Baton Rouge ENT department, handling all incoming calls.

Addressed patient’s questions and complaints.

Scheduled surgeries and appointments, ordering of supplies, interviews.

Followed up on complaints and concerns.

Supervised 2 people in the department, Set up rooms for the procedures.

Attended meetings, and Customer Service training.

St. Charles Community Health Center September 2002 to February 2004

Customer Service Rep Lead

Addressed all incoming calls, verified insurance, analyzed all accounts, worked demographics, health history,

Reviewed WIC sheets, financial sheet, workman comp claims.

Explained deductibles, assist the customer needs.

Ensures that consistent professionalism, and quality customer service is provided by the team.

Follow up to ensure that customer service standards are being met.

Coaching, and training others

Ochsner Clinic, New Orleans, La February 2000 to August 2002

Customer Service Rep

Addressed incoming calls, analyzed accounts, worked correspondence and emails.

Trainer for new employees, posted payments, reversed /give charged credits.

Verified all insurance and retrieved authorization.

Created the toolbox, audit accounts, served on different committees.

Responsible for the collections on bad debt accounts, verified all demographic.

Customer Service analyst.

Worked in the call center.

Senior lead for the email accounts that came in and for the reps in the call center.

Over seen 22 people in the call center.

Kids First Pediatric, New Orleans, La. January 1994 to January 2000

Office Manager

Supervised 3 people, handle all patient’s complaints, answered all incoming emails from patients and the Doctor.

Audit all accounts, checked safe to ensure balancing correct at the end of every night.

Ordered all supplies for office and medications.

Policy and procedures committees.

Returned phone calls, held staff meetings, scheduling for employees.

Elevations, and Payroll

Supervised the daily activities of the office,

Customer Service, Human Resource, and Hiring/Firing.

Coaching, training, and teaching others.

Organizations

Order of Eastern Star-2018

Toastmasters- President-2016

PHI BETA LAMDA, President 2012

PI BETA CHI HONORS SOCIETY

504-Queens Community Service Organization-2019

References Available Upon Request

Contact this candidate