Data Entry Patient Coordinator
Resume:
Karen Morton *** Ray Avenue
Maryville, TN *****
adwqly@r.postjobfree.com
Objective
To work for a company with a mission that matters, that’s family focused, that cares about its clients/customers and employees. To make a difference and have a positive impact on the lives of others through my assigned job duties.
Skill Summary
Recruiting, hiring, onboarding/offboarding, benefit administration, conflict resolution. Verification of credentials, maintain state licenses, initiate, and renew provider credentialing and enrollment to maximize reimbursement. Communicate with Team Managers/Leaders. Vendor and Payor management, Data entry, AR/AP, Payroll.
Express Employment Maryville, TN July 2022 – current ARCONIC; Data Entry and other projects as assigned – part time on-site and remote. NestorLawPLLC Knoxville, TN July 2022 – current
Legal Assistant; Manage email, calendar, and client files – part time on-site and remote. Radiant Comprehensive Therapy Services Maryville, TN August 2001 – July 2022 Company Closed
Recruiting/Hiring all therapy staff ST/OT/PT/BH and office staff– 2006 - current
• Posting positions as needed for Team Development and Growth as discussed with team managers.
• Screen candidates by verifying qualifications, licenses and Medicaid clearance through the TN State licensing website, SAMS, OIG, and Abuse Registry.
• Coordinate interview scheduling with team managers.
• Collaborate with CFO to send job offers.
Onboarding – 2005 - current
• Perform new hire orientation and training to ensure knowledge and compliance of company policies and procedures.
• Set up personnel file, I-9, TN New Hire reporting
• Payroll set up
• Benefit Administration: Health, Dental, Vision, Disability, Life, Simple IRA, CEU account,
• Register and schedule background check and pre-employment drug screen Provider Credentialing, Enrollment and Network Affiliation – 2003 - current
• Assisted owner with Medicare/Medicaid contracting to enable direct billing as an OPT/ST Rehabilitation Agency
• Verification of clear state license and tracking expirations for renewal
• NPI request / verification / revision
• CAQH creation / revision / quarterly attestation to ensure payor re-credentialing
• Electronic Registration for Medicaid ID request / affiliation for company and providers
• Payor enrollment through the required portals
• Sharing provider enrollment information with CFO for entry into billing system and team managers for scheduling to maximize revenue
• Communicating with Provider Reps and Network Managers to stay up to date on procedures
• Keeping an up-to-date desk manual of related procedures
• Monthly exclusion checks on SAMS and OIG
• Work with team to resolve any denials when credentialing may be an issue
• Follow entities to stay aware of state news announcements; payors entering Tennessee and address letters of intent to contract
Previous positions held with SPSET/Radiant Comprehensive Therapy Services Maintained oversight of these positions as needed for management when I was promoted. Office Manager: customer service, oversight of patient coordinator, billing and posting specialists, monitoring job duties to ensure timely setup of new patients, process leave request, ordering of office supplies, company calendar and events management, management of IT accounts Billing and Posting: process billing timesheets, data entry for paper and electronic claim creation in billing software, paper and electronic payment posting, aging Bookkeeping: payroll processing, school contract billing, accounts receivable and payable, reconciliation of checking and benefit accounts
Patient Coordinator: receptionist duties, intake processing, insurance verification, prior authorizations, accurate data entry to ensure clean claims, file creation and delivery/notification to related team leaders for school scheduling.
Work History continued
Maryville Gymnastics
Recreational and Competitive Coach
Happy Hands Preschool Maryville, TN
Preschool teacher and assistant Director
Ft Craig and Eagleton Elementary School Maryville, Tn Preschool Teacher Assistant
Check In Check Out Deli Slidell, LA
Full Charge Manager
Education
Slidell High School 1979
Business concentration, FBLA member
Walters State Community College
Early Childhood Education Certificate
Numerous HR, Medical Billing and other administrative related workshop certificates while working at Radiant Comprehensive Therapy Services
Karen Morton 805 Ray Avenue
HR Director / Credentialing Manager Maryville, TN 37803 865-***-****
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References
Carlos Stanojevich, CFO Radiant
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Kim Sparkman, SLPA former Radiant Quality Director 865-***-****
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Sherri Graves, SLP Radiant
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Rebekah Rowland, SLP Radiant
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Melinda Brenneise, COTA Radiant
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Sherryl Pittman, Intake Coordinator Radiant
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