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Medical, management, compliance, trainer

Location:
Denison, TX
Salary:
$28/hr negotiable
Posted:
October 22, 2022

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Resume:

Tammy M. Jobe

** **** *****

Denison, TX *****

903-***-****

ads429@r.postjobfree.com

WORK

EXPERIENCE

Sherman, Texas

UHS/ Texoma Medical Center April 2021- Current

Office Manager/Acting Director

Grayson County Medical Clinic

• Managing 29 residents, 5 attending physicians, 8 nursing staff and 5 registration staff.

• Scheduling and payroll

• Reviewing, creating and billing HCFA claims for Grayson County Medical and Indigent programs

• Accounts receivable and payable

• Ordering medical supplies, vaccines, and office supplies

• Creating standard operating procedures and written instructions to ensure the clinic runs efficiently

• Credentialing and Contracting (all major insurance carriers, liability insurance, and CAQH)

• Coordinate outreach programs in the community to help promote the clinic and medical awareness

• Assisting patients when upset or needing additional assistance

• Current director on medical leave, so I am currently acting Director

Durant, Oklahoma

Choctaw Nation Health Service Authority Feb. 2018 - April 2021

Revenue Management Trainer

Veteran Affairs Advocacy

MEND Virtual Visit Coordinator

·Work collaboratively with other trainers and vendors in the implementation and deliver of training and provide face to face and one on one training as necessary and appropriate.

·Provide focused training in the areas of Medicare, Medicare, Veteran Affairs, and CNHSA documentation and registration requirements.

·Prepare and conduct training programs, seminars, and conferences for associates and management staff.

·Provide training using adult learning principles, e-learning strategies, assessment design, and effective integration of appropriate technologies to engage the learner.

·Review, evaluate, and make recommended changed to existing curriculum.

·Create training material for exiting programs.

·Prepare and distribute training aides such as instructional material, handouts, evaluation forms, and visual aids; able to set up audiovisual equipment when necessary.

·Contact attendees and department representatives to schedule training based on needs analysis.

·All event scheduling for “Connecting Kids to Coverage”.

Choctaw Regional Medical Clinic Nov. 2017 – Feb. 2018

Benefit Coordinator

·Assess and advocate on behalf of patients with all alternate resource activities.

·Interview patients to determine eligibility and make appropriate referrals for benefits.

·Assists with completion of application and follow up with the insurer to assure coverage.

·Stays updated on healthcare reform and insurance exchanges.

·Complies with and adheres to all regulatory compliance areas, policies, procedures and “best practices”.

Choctaw Regional Medical Clinic Feb. 2017 – Nov. 2017

Registration Clerk- Family Practice/Front Desk/Dental

·Greet visitors, ascertain purpose of visit, and direct them to appropriate staff or department.

·Assess tribal membership, initiate processing, may refer to benefit coordinator and/or CRC.

·Perform check in duties, including: explaining various forms such as patient rights, medical releases, and insurance

Angels of Care Pediatric Home Health Sherman, TX

Payroll Supervisor May 2016 – Feb. 2017

·Reporting directly to the President and CFO

·Monthly Cost Reports

·Managing the payroll department and staff

·Ensuring budgets are established and not exceeded

·Ensuring all office and field staff are paid on time and correctly

Selective Medical Staffing – Temporary Position Arlington, TX

Human Resource Director April 2016

·Responsible for the smooth and profitable operation of this home health company’s human resources department.

·Supervise and provide consultation to management on strategic staffing plans, compensation, benefits, training and development, budget, and labor relations

·Payroll

Orthofix, Inc. Lewisville, TX

Trainer/Skills Development Coordinator 2013- April 2016

·Training all new hire employees

·Train medical personnel and patients on proper use of products and anatomy

·Prepare reports and execute programs and policies at the direction of management

·Create training materials for insurance administration, Medicare and BioStim support

·Provide staff with custom reports, training metrics and audit preparation as requested

·Responsible for employee training compliance

·Train administrators on key system functionality, processes and procedures

·Develop and implement policies and procedures for sales administration

·Maintain company compliancy regarding regulatory issues, ICD-10 coding and Face to Face

·Develop and implement procedures to streamline processes and increase efficiency

Orthofix, Inc. Lewisville, TX

Senior Medicare Insurance Administration/Compliance Officer 2003-2013

·Review certificates of medical necessity and clinical chart notes for spinal and orthopedic products

·Daily analysis of orders placed on hold

·Determine secondary/supplemental revenues based on benefits, guidelines and co-payments

·Perform final analysis review for accuracy and completeness of orders

·Update regional sales directors and territory managers on order statuses

·Follow up on appeals, insurance carriers and additional clinical information as needed

·Maintain good relations with Medicare Compliance Officers

·Prioritize daily tasks according to management needs and deadlines

Orthofix, Inc. Lewisville, TX

Accounts Receivable Collector 2001-2003

·Manage a monthly aged balance

·Analyze patients file and payer to effectively pursue payment

·Utilize payer and product knowledge to implement effective Federal appeal requests

·Code invoices accurately based upon job codes

·Prioritize large workloads according to management needs

Texas Regional Heart Center Plano, TX

Medical Assistant/Insurance & Referral Coordinator/Contracting Jan. 1998 – Jan. 2001

Cigna Health Care Sherman, TX

Trainer/Supervisor/Customer Service Assoc. Feb. 1995 – Jan. 1998

Regence BlueCross BlueShield of Utah Salt Lake City, UT

Supervisor/Customer Service Associate Jan. 1994 – Feb. 1995

Inkleys Salt Lake City, UT

Office assistant / Receptionist Jan. 1993 – Jan. 1994

Morris Airline Salt Lake City, UT

Accountant Feb. 1992 – Jan. 1994

SKILLS ECW, Quickbooks, Express Net, Microsoft Office Suite, Adobe Professional, CICS, Medic, Med Team,

Oracle, CMS, APPX, SharePoint, Agile, SAP Business Objects, RPMS, EHR, Dentacom, Dentrix, and

Keyfile. Certified Trainer with ASTD-ATD Association of Talent Development. Six Sigma.

ICD-10 Certified Coder & Appeals.

EDUCATION

Associates of Science- Healthcare Administration Charleston University Charleston, W.V.

REFERENCES Available upon request



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