KATHIE WENK

**** * ********* *** *** 1-602-***-****

adnwue@r.postjobfree.com

PROFESSIONAL SUMMARY

A positive, personable professional with 35 years combined experience in organizational & financial management and customer service skills.

EXPERIENCE

11/2010 – CURRENT

PRIOR AUTHORIZATION, Mayo Clinic Hospital AZ, Radiation oncology

Responsible for obtaining prior authorization for Proton Beam, IMRT, SBRT, SRS and 3D Conformal Radiation TXS for out-patient and in-patient cases. Submitting clinical documents and other additional documents when required for medical review by patients' insurance company for auth. If prior auth denied by patient’s insurance, responsible for submitting appeal packets which include Comparison’s Plans and appeal letters for review. During this process responsible for calling patient and informing them of the appeals process and updating them on status.

11/2000 – 11/2010

REVENUE ANALYST, Mayo Clinc Hospital AZ

• Provide education to physicians regarding documentation and coding requirements

• Provide education to allied staff on CPT and ICD-9 coding, established QA process to insure charge capture.

• Responsible for CDM set-up and yearly review of billing codes for Radiology Interventional Radiology, Neurology Practice, Neurosurgery Practice, Cardiology, Cath Lab, Electrophysiology Lab, Pharmacy, Hematology/Oncology Practice, Radiation Oncology

•Review department financials monthly with OA’s managers and accounting staff to insure revenue capture.

7/1998 – 9/2000

REGIONAL DIRECTOR, Physician support Service, LLC

• Developed and implemented departmental policies and procedures for contracted offices and hired and trained a staff of 35 employees.

• Negotiated contracts for each client to increase payments by 10%

• Provided revenue management for clients in multiple states, including accounts receivables/payables, payroll, and renegotiating contracts.

• Decreased accounts receivable by 10%, while increasing cash flow by 10%.

• Set up a utilization review department to ensure authorized service.

7/1992 – 7/1998

COORDINATOR, Mercy Healthcare of AZ

• Budget Preparation, Medicare Guidelines, Payroll Functions, Policy/Procedure Development,

Staff Supervision, Contract Negotiations, Established QA process to ensure charge capture, CDM set-up and maintenance of billing codes. Decreased account receivables by 10% while increasing cash flow by 10%.

7/1991 - 7/1992

MANAGER, Community Hospital and Medical center

• Staff Supervision of Admitting ER registration staff 24hr 7 days a week, Policy /Procedure Development

5/1990 – 7/1991

COORDINATOR,

• Describe your responsibilities and achievements in terms of impact and results. Use examples, but keep it short.

4/1989 – 5/1990

MANAGER, HCA Truckee Meadows

• Staff Supervision of billing and collections employees budget preparation, policy/procedure development.

5/1986 – 3/1989

MANAGER, Charter Hospital of Glendale

• Staff Supervision of billing and collections staff, Medicare cost reporting, payroll and payables, financial analysis, budget preparation, policy/procedure development.

AREAS OF EXPERTISE

Financial Analysis

Budget Preparation

Statistic Report

Medicare Guidelines

Certified coding specialist – Physician Based

Payroll Functions

Policy/Procedure Development

Staff Supervision

Contract Negotiations

ADDITIONAL SKILLS

Proficient in IDX, MRIS, HealthQuest, Apollo, Excel, PowerPoint, Word & Access, Visio, Rims, Source, PCN, SMS, Signature & Quick Books.

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