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Administrative/Medical

Location:
Lafayette, LA
Salary:
20
Posted:
December 05, 2022

Contact this candidate

Resume:

Sheila Narcisse

Lafayette, LA *****

adtvce@r.postjobfree.com

*- ***- ***- ****

With 30 years’ experience in the Medical Insurance Field,

my experience ranges from Medicare, Medicaid, and Commercial electronic claim

submission and follow-up to denials management and recovery.

Computer Skills:

• Star and Health land /McKesson-Account Management and Chart Management, Advanced MD

• EC and Quadax Claims Administrator Desktop Manager

• Microsoft Word/Excel/Outlook/PowerPoint

• Internet Explorer

Work Experience

*Northwood United Methodist Church-Lafayette, LA

April 2021-Present

Office Administrator

• Coordinate and oversee all office activities

• Ensure adherence to relevant company procedures and policies

• Oversee the members of the administrative team and coordinate their activities

• Make travel arrangements for the Pastor

• Handle phone calls and all related correspondence

*Comprehensive Behavioral Health Center - Lafayette, LA

October 2020 to December 2021

Medical-Insurance Verification, Biller, Collector, Coder

• Did insurance verification, coding, billing and collections for the providers (Three doctors, One Therapist, One Nurse Practitioner)

• Schedule patients and answering phones

*Laborde Therapy - Lafayette, LA

March 2014 to August 2020

Office Manager

Monitors the day to day running of the clinic

Fill in when employees are out

Prepare legal documents for attorney cases

Monitors and approve time off request for staff

Payment arrangements for patients

*Abbeville General Hospital-Abbeville, LA

September 2012 to March 2014

Business Office Assistant Director, Business Office

Responsible for coordination and supervising all collections

Knowledge of revenue cycle operations and department function

Acts as department liaison

Manages and supervises personnel, staffing issues

Establishes new policies and procedures and revises existing policies as necessary

Assists Business Office Director with all aspects of the Business Office

*Our Lady of Lourdes Regional Medical Center - Lafayette, LA

May 2002 to September 2012

Commercial Account Representative, Patient Financial Service

File electronic claims via EC 2000 and Star

Verify benefits and check claim status

Implemented and access account receivables work station for claim follow-up

Answer multiple phone lines with questions about patient accounts

Manages the denials process, tracking, and reporting

Refunds insurance and patients according to hospital policy and procedures

Reviews daily correspondences from insurance companies and forward to

appropriate representative

Understands managed care contracts, DRG payments, and third-party liability

Generate reports as requested by the PFS Director

• Perform other duties as requested by the PFS Director

*Our Lady of Lourdes Regional Medical Center - Lafayette, LA

January 1997 to May 2002

Government Account Representative, Patient Financial Service

*Our Lady of Lourdes Regional Medical Center - Lafayette, LA

December 1995 to January 1997

Office Specialist, Dr. Virginia Alfred

• Checking patients in and out

• File electronic claims via EC 2000 and Star

• Verify benefits and check claim status

• Implemented and access account receivables work station for claim follow-up

• Answer multiple phone lines with questions about patient accounts

• Manages the denials process, tracking, and reporting

• Refunds insurance and patients according to hospital policy and procedures

*Our Lady of Lourdes Regional Medical Center - Lafayette, LA

January 1992 to December 1995

Radiology Secretary, Radiology Department

Education

University of Louisiana at Lafayette - Lafayette, LA

1986 to 1987

Diploma

Holy Rosary Institute

August 1982 to May 1986



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