Angelia C Schussler

**** ******* ***** ****

Grant, Al 35747

Home: 256-***-****

Email: adsglz@r.postjobfree.com

COMPUTER SKILLS:

Good working knowledge of Microsoft Excel, Word and Outlook and Windows 98-2000 Windows XP, Vista, Microsoft 2012-2013, Claimtrak, Medik, Zirmed, EMR

OFFICE SKILLS:

Good working knowledge of computer printers, scanners, copiers and facsimile machines Multi-line phone system

Strong people skills – team oriented

Organized – detailed – multi tasker

Goal oriented to meet deadline projects

WORK EXPERIENCE:

Sequel Youth and Family Services, Huntsville, AL 04/2011 – Present

Corporate Account Manager

Supervise five A/R specialists and assist with any billing issues

Implemented new billing system for Company with two facilities and conduct training to employees and facilities as they are uploaded into new billing system

Work with controllers to setup GL codes in current billing system to correspond with accounting system

Work with controllers to provide reports for monthly revenue forecasts

Complete facility provider credentialing applications with insurance companies

Complete, maintain and monitor doctor and therapist credentialing applications with insurance companies

Apply for and set up provider NPI and therapists NPI with newly acquired residential and outpatient clinics

Negotiate out of state contracts and single case agreement contracts.

Responsible for all aspects of billing for five out- of- state facilities

Responsible for training new employees on company billing system to ensure proper billing and follow-up procedures with individual facilities are met per billing guidelines.

Complete daily corporate company census report with current budgets and forecasted budgets.

Contact all insurance companies concerning all denied, unauthorized claims to have claims reviewed or submit for authorizations in order for claims reprocessed for payment

March 2013 converted from Claimtrak billing system to Medik billing system - setup payer and billing profiles for facilities, maintenance fee schedules, authorization profiles, HCFA and UB formats and invoice formats.

Post payments to residential and clinic accounts.

Verify eligibility and benefits for primary and secondary payers.

July 2013 started billing therapy charges for three facilities. Setup accounts, billing profiles, revenue codes with rate information, and authorization profiles in Medik System.

Setup therapy charges to be submitted via Zirmed electronic billing.

Completed setup of facility information, payer information, and account balances.

Completed applications to setup billing for three MCO’s for two facilities as Kansas State Medicaid was converted over to MCO’s

Travel to facilities to setup company policy and procedures and train employees.

Complete provider enrollment and facility re-enrollment applications with payers in multiple states.

Complete all information to receive EFT payments from all eligible payers.

Complete facility attestation forms.

Implemented the filing and scanning of payments and adjustment documents and saved to a shared drive for monthly review by various corporate officers.

Complete monthly and yearly closing reports for five out- of- state facilities

Alabama Pain Center, Huntsville, AL 09/2010 – 04/2011

Insurance follow-up and pre-cert clerk

Create detailed summary reports for specific providers in order to work a denied or partially

paid claim. Consult with Insurance companies on denied claims and inquire about needed information in order to process claim for payment consisting of medical office notes and procedure notes. Locate patient charge sheet and have medical coders review for coding errors if corrections are needed coders document and claim is corrected and resubmitted to insurance company for processing. Respond and work documents received from insurance companies via mail requesting additional information to process a claim. Use medical documentation to prepare a drug compound invoice along with procedure documentation to submit a claim for payment. Complete pre-authorization forms, retro- authorization forms and patient 1st referrals to insurance companies for approval on scheduled visits and past office visits. Assist patients via phone with billing and insurance concerns on outstanding balances.

Big Springs Specialty Care Centers, Huntsville, AL 01/2009 – 9/2010

Business Office Assistant Manager-Accounts Receivable Analyst and Processor

Serve as Medicaid Representative by being responsible for more than 80 Medicaid resident accounts. Submit billing to Medicaid in accordance with state Medicaid requirements as well as billing other primary or secondary insurance payers. Work all accounts for timely follow-up issues for non-payment and denials. Assist families with processing Medicaid applications which require handling sensitive and confidential information. Post all account receivables to correct accounts. Maintain Hospice accounts and billing. Maintain Office financial files and process all outgoing mail. Perform bi-weekly Medicare verifications via website. Verify authorization for OP therapy charges. Submit therapy charges to Medicare, submit ancillary charges to Medicare. Submit all secondary claims. Assist clients with billing details.

Process daily census reports from unit managers and verify all admissions and discharges and report to corporate for daily labor statistic report.

Update pharmacy with all census data daily. Answer telephone calls and refer to appropriate office/personnel. Receive and review all correspondence, documents, directives and messages. Draft and type into final correspondence: documents, directives and messages. Use office automation software, Microsoft Outlook, Word, and Excel to prepare various documents, memoranda, spreadsheets and schedules. Process Daily cash log receipts onto Excel spreadsheets, process pending Medicaid applications concerning awards and denials onto Excel spreadsheets for review to Regional Directors. Enter all resident insurance information for billing. Verify all insurance eligibility via internet access. Enter all admission data on new residents into billing system. Verify, audit and post all lab charges and adjust accordingly. Enter all diagnosis codes on each resident for proper billing. Perform month end closings on all ancillary charges. Enter all credit card cost care charges via internet. Serve as administrator of the Resident Trust Fund Management System by preparing and mailing monthly statements. Perform all deposits and withdrawals pertaining to cost care, insurance premiums, and set up new accounts for new residents. Analyze and verify current resident balances and process and file voucher requests. Knowledge of reviewing and completing level one screenings for long term and short term residents coming from hospital admissions or direct admissions from a residence. Educated with Health Insurance Portability and Accountability Act, Receive and review all correspondence, documents, directives and messages. (HIPPA) guidelines.

Huntsville Hospital, Huntsville, AL 01/2008 - 01/2009

Patient Accounts Representative

Billed health insurance carriers for cost of medical care services. Maintained daily audit reports from commercial payers. Processed contracts by verifying eligibility, entering in the appropriate documentation to accounts in hospital computer system, and resubmitting corrected claims for consideration. Assured accounts were paid appropriately and appropriate contractual adjustments are performed. Confirmed all remittance copies were scanned into the shared drive system for electronic

account records and referrals. Reviewed Workers Compensation payment to determine if account was paid according to contract obligation and to take the necessary action to appeal and obtain correct payment. Determined collection course of action for all applicable accounts including up to resubmitting claims for payment, correspondence with insurance carriers and patients ( verbally and written). Maintained accurate records of documentation of action for the account and transaction and developed and requested needed appeals to insurance carriers. Served as a backup for secretary and accounts representative.

Marshall Medical Center North, Guntersville, AL 06/2004 – 09/2007

Health Information Specialist

Prepared and released medical information to attorneys, physician offices and patients. Prepared vital statistics documentation (birth and death certificates). Pulled charts for in-patient admissions. Prepared daily and monthly reports for hospital census and physicians reference (cumulative statistics). Retrieved daily discharge orders. Assembled charts, adding tests and reports that were pending. Confirmed that admission and service codes were correct based on documentation provided in the patients record. Verified medical histories and physicals (H&Ps) were completed and annotated within 24 hours of admission. Evaluated patient records for chart deficiency and record incompleteness. Notified hospital administration when physicians are subject to NO ADMIT procedure due to incomplete data submittals. Ensured all operative reports were dictated within specified time frame. Created bar codes for in-patient charts prior to entry into the hospital computer system including filing, prepping, scanning and indexing in compliance with the Joint Commission Standards. Trained doctors and nurses in the utilization of electronic data information system. Maintained time and attendance records.

Grant Family Medicine, Grant Al 08/2003 – 11/2003

Administrative Clerk

Received, screened, and registered incoming patients. Interviewed patients for pre-admittance, including chart preparation, data entry of patient information and patient appointments. Processed departing patients. Faxed test results to ordering physicians. Performed office accounting duties such as preparing bank deposits, daily tally sheets, insurance compensations and Medicare/Medicaid payments. Performed computer billing, appointment scheduling per electronic calendar, multi-line phones, copy machine, calculator, filing, prepping scanning and indexing. Prepared incoming and outgoing mail.

Bonus Stores Inc/Summit Services, Scottsboro, AL 04/2002 – 08/2003

Administrative Assistant

Controlled the regional director's calendar and scheduled appointments. Received and screened visitors and telephone calls. Served as liaison between the Director and subordinate level supervisors by providing accurate, timely advice on procedures, reports, requirements and other matters. Composed and reviewed correspondence and documents prepared for supervisor's signature for conformance with regulation, grammar, format and special policies of the director. Prepared travel arrangements and scheduled meetings and conferences for the Director.

Prepared quarterly budgets and profit and loss analysis reports for 197 retail stores in the southeastern region. Audited expense reports for individual district managers and prepared company invoices. Utilized word processing and various office automation software to process and produce a wide range of documents, spreadsheets and graphs.

Holder Optometry, Scottsboro, AL 04/1998 – 10/2000

Office Manager / Optometry Technician

Office Supervisor, Registered incoming patients, prepared charts, interviewed and input patient information, scheduled appointments and processed departing patient records. Faxed test results to ordering physicians. Maintained office supplies Performed office accounting duties such as preparation of bank deposits, daily tally sheets, insurance compensations and Medicare/Medicaid payments. Performed computer billing, appointment scheduling, answering multi-line phones, copy machine, calculator, filing, prepping scanning and indexing. Performed visual acuities, eye examinations and visual field tests prior to the optometrist exam. Fit frames and measured for bifocal use. Instructed contact users in the procedures for the use and care of contact lens. Negotiated with insurance companies to resolve past unsettled claims.

EDUCATION:

Calhoun Community College, Decatur, AL August 2009 – April 2010

Studied Business

Northeast Alabama State Jr. College, Rainsville, AL 08/1984 – 05/1985

Studied Computer Programming Major

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