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Billing Manager Location

Location:
Chester, VA
Posted:
May 25, 2021

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Resume:

Jennifer R. Valentin

South Chesterfield, VA

804-***-**** or admpf9@r.postjobfree.com

PROFESSIONAL STATEMENT

A highly motivated Location Manager with 20+ years of experience in the healthcare industry, and 15+ years of proven leadership in Customer Service, Intake, Billing, A/R Management, Procurement, Training and Operational Leadership while adhering to management principles, accreditation, compliance, state and local regulations and company missions statement.

CORE COMPETENCIES

●Team Leadership

●Third-Party Billing

●Performance Matrix Reporting (P&L)

●Protected Healthcare Information PHI)

●Durable Medical Equipment (DME)

●Medicare and Medicaid Billing

●Home Medical Equipment (HME

●Confidentiality

●CPT, HCPCS, ICD-10 Coding

●Accreditation (JACHO, ACHA)

PROFESSIONAL EXPERIENCE

AeroCare Holdings, Inc - Freedom Respiratory Henrico, VA September 1999 – March 2021

Location Manager

●Was accountable for the operation and performance of 3 DME locations in the Richmond area

●Implemented all company policies, procedures and training

●Ensured staff is trained in proper documentation requirements, certificates of medical necessity and assignment of benefits for timely and efficient billing

●Maintained knowledge of current Medicare, Medicaid and commercial insurance requirements

●Monitored billing activity and collection accounts for 3 branch locations

●Maintained a high level of satisfaction with patients, referral sources, physicians and employees

●Maintained and updated all manuals for company operations and compliance with policies and procedures

●Worked with sales and marketing staff to maintain key referral sources

●Trained new staff members according to company guidelines, compliance, accreditation and state and local regulations

●Oversaw staff competencies verifying completion prior to them working independently

●Ensured all employees complete daily tasks in an accurate and timely manner

●Directly reported to Regional Manager

Medical and Counseling Associates, Inc. Henrico, VA May 1997- September 1999

Medical Billing Specialist

●Code daily physician and clinical encounters with proper ICD and CPT codes

●Verify Insurance benefits and coverage

●Obtain referrals and prior authorizations

●Prepare claims for Medicare, Medicaid and commercial payers via paper and electronic submission

●Follow up and correspond with providers, patients and insurance providers

●Directly reported to Billing Manager

Commonwealth Medical Associates, Inc. Henrico, VA October 1994 – May 1997

Medical Billing Specialist / Medical Secretary

●Scheduled patient procedures and appointments for a 4-physician Primary Care and Endocrinology practice

●Filed medical records and billing documents

●Coded daily encounters with proper ICD and CPT codes

●Obtained referrals and prior authorizations

●Created and audited claims for submission to Medicare, Medicaid and commercial payers by paper and electronic submission

●Collected pays and coinsurance

●Created referrals for specialist appointments

●Directly reported to Practice Physicians

AARP Pharmacy Richmond, VA February 1992 – October 1994

Medical Billing Specialist

●Entered patient data for Schedule I and Schedule II prescriptions

●Coded daily encounters with proper ICD and CPT codes for claims submission

●Submitted claims to Medicare, Medicaid and commercial payers by paper and electronic submission

●Assisted patients with benefit and financial responsibility questions

●Advised patients on AARP drug and OTC memberships

●Directly reported to Operations Manager

EDUCATION

Hermitage High School Graduate

Medical Careers College – Nursing (Incomplete Associates degree)

TECHNICAL SKILLS

Brightree, Brightree Document Management, SNAP, OTL, GoScripts, Parachute, Paylocity, MS Office (Word

Excel & Outlook), Navi Health, Extended Care and Strategic A/R



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