TERRI WARD email@example.com
Innovative, healthcare professional with background in coding, credentialing, contracting, hospital medical staff and practice management. Strong experience in computer technology, business analysis, financial management, and designing and implementing electronic systems solutions. QUALIFICATIONS:
Medical Credentialing & Contracting Financial Accounting & Analysis Training Documentation & Instruction Insurance Savvy Technical / Computer/ MS Office Proficiency Medical Claims Review Budget Preparation, Forecasting, and Management Written / Oral / Technical Communications Medical Coding Analysis & Education Medical & Business Billing & Collections ACHIEVEMENTS:
Improved management of client data at a medical practice management company. Oversaw 5-member international team. Successfully enrolled clients with insurance carriers, electronic filing, and electronic remittance. Investigated proper coding, negotiated fee schedules, and secured contracted codes payments. Results: Ensured payment and compliance with proper coding, education, and contracting. Excelled in medical biller position with no experience and no on-the-job direction: learned Medical Manager, established electronic billing, formulated human resources documents and policies, interviewed applicants, analyzed & upgraded computer network. Results: Billed 10 times what previous person did in just first month. Promoted to Office Manager after 6 weeks.
Established accounting procedures and workflow processes for a small company by implementing an accounting software package and spread sheeting major status points. Results: Seamless project management of 118 and 91 location billing audits, and 5-year increase in revenues of 130-fold. Created and implemented business office processes for a start-up ASC. Studied and customized AdvantX practice management software. Results: 6- figure profitability within the first 3 months of operations. Enhanced an Excel spreadsheet to be an elaborate summary of people costs. As this was 70% of the annual budget, it was eminently important in preparation and forecasting. Results: Variances in pay or benefits easily reflected. Invaluable as failsafe tool throughout the year. Standardized open backbone network access interfaces and usage procedures for PC users in an 18,000 employee, 15-building campus by programming user interfaces, co-writing a network user’s manual and system administrator’s guideline, and providing training sessions as needed. Results: Increased productivity of all users, and freed time of lead network support personnel. Computerized capital budget forecasting and asset management, after upgrading the department’s computer network. Results: Increased budget data availability to an on-demand status rather than monthly. Department asset database more complete and than corporate mainframe. Stopped write-off of $511K. AWARDS:
United States Secret Clearance 1985 – 1992.
Engineering Software Award, Westinghouse Electric Corporation 1987. MEMBERSHIPS:
American Academy of Professional Coders, Certified Professional Coder 2005 – 2016 ID#01013924. American Academy of Professional Coders, Certified Professional Coder – Hospital 2008 – 2016. Advisory Council, Career Institute of Florida Allied Health Department 2006-2009. TERRI WARD PAGE 2
MEDICAL STAFF SERVICES COORDINATOR 4/2014 - Present HCA - Palms of Pasadena Hospital (current) and St. Petersburg General Hospital, St. Petersburg, FL Credential and onboard medical staff and vendors. Re-credential over 600 existing providers. Ensure non- credentialed providers meet minimum standards. Interact with hospital administration, department chairs, physicians, mid-level practitioners, and office management to facilitate approvals and compliance. Train and assist colleagues. Coordinate and document medical staff meetings. Maintain two provider databases. Respond to regulatory inquiries. Distribute provider information. Coordinate the Continuing Medical Education program. Supervise the Medical Staff Secretary. Apply knowledge of regulatory requirements, medical staff bylaws, and rules and regulations to resolve issues. CARETAKER 10/2011 – 4/2014
Cared for husband during illness. Held two positions for about 7 weeks each, but not able to perform up to my abilities. Credentialing and Contracting at PracticeForces in Clearwater, FL, and MRA Coding at Matrix Medical Network in Clearwater, FL.
BUSINESS OFFICE MANAGER
SurgCenter Pinellas, Largo, Florida 12/2010 – 10/2011 Formulated computer network structure and created processes to effectively run the business aspects of a new Ambulatory Surgery Center. Customized AdvantX practice management software. Assisted with AHCA & AAAHC certifications and Medicare enrollment. 4 direct reports. CLIENT COMMUNICATIONS, CONTRACTING & CREDENTIALING COORDINATOR Medenet, Inc., St Petersburg, Florida 3/2006 – 12/2010 Created data base elements, structure, input screens, output forms, and custom reports. Coordinated 5-member international team efforts. Ensured correct coding and provided education via proper CPT/ICD-9 matching, NCCI edits, NDC evaluations, online research, carrier guidance, and vendor outreach. Brought new practices onboard: completing electronic filing, remittance, and contracting & credentialing actions. Verified proper fee schedule payments. Developed process documentation of key operational methodologies. MEDICAL BILLING AND OFFICE MANAGEMENT 10/2004 -12/2005 Positions in private medical offices, developing processes and implementing billing and A/R systems. Analyzed CPT procedure codes, ICD-9 diagnostic codes, EOB statements, denials, insurance benefits, and provider contracting and credentialing to optimize work and cash flow. BUDGET OFFICER 11/2001 – 9/2002
City of St. Pete Beach, St. Pete Beach, Florida
Coordinated budget process for the City of St. Pete Beach. Authored executive summary, performed extensive management analysis: revenue enhancement, contract review, cost allocation and containment. OWNER 1995 - 2001
Rewarding Audits, Inc., St. Petersburg, Florida
Performed detailed audit investigations of telephone and utility bills to secure refunds of overcharges for clients. Fulfilled billing & collections, computer technology, accounting, and payroll functions. Avg annual sales $221K. ANALYST/PROGRAMMER 1985-1992
Westinghouse Electric Corporation, Baltimore, Maryland Personal computer network design, peripheral integration, training, and support. Technical writing: network manual and administrator guides. Responsible for computer equipment procurement, capital facilities expenditures, monthly cash flow forecasts, and renovations coordination. Created and maintained asset inventory database. EDUCATION:
Shepherd College, Shepherdstown, WV. Bachelor of Science in Business Administration/Data Processing. Graduated Magna Cum Laude 3.7 / 4.0 GPA. Completed eight-semester course load in seven semesters. Career Institute of Florida, St. Petersburg, FL. Nationally Accredited by ACCSCT. Diploma in Medical Coding & Billing. Completed program in less than half the scheduled time.