Ambulatory Care Manager
Resume:
Casandra Jones
Walnut Ridge, AR *****
adz7d7@r.postjobfree.com
Grow & succeed within a well-established company.
Authorized to work in the US for any employer
Work Experience
Care Manager
1st Choice Healthcare - Pocahontas, AR
September 2021 to Present
● Ensure appropriate services are delivered by specialty providers and ensure continuity of care across services
● Handle and respond promptly to incoming calls, emails or faxes from physicians, contracts or clients requesting report status and/or information; communicate with contracts for patient status
● Coordinate with various healthcare providers for diagnostics, ambulatory care, and hospital services
● Coordinate with various healthcare providers for diagnostics, ambulatory care, and hospital services Medical Coder/Biller – Collections AR Specialist
1st Choice Healthcare - Walnut Ridge, AR
July 2016 to September 2021
● Checks patient appointments daily and determines payment status.
● Assists patients with questions related to their bill.
● Provides financial counseling to patients as needed with outstanding accounts, documenting the counseling and actions taken and collecting payment.
● Verify sliding fee eligibility and proof of income on applicable patients.
● Set up payment plan for patients with past due accounts.
● Establish and maintain system to assure payments from those patients are made on a regular basis until paid in full or current.
● Stays “up to date” on all changes or adjustments in billing procedures. Contact patients by phone or letter if no payment is made.
● Sends accounts to collection that are over 120 days past due.
● Prepares patient statements for all clinics on a current basis. Coder/Biller/AR Specialist/Scheduling
Arkansas Methodist Physician Services - Paragould, AR August 2012 to July 2016
● Code Surgeries and office visits
● Verify Patients Eligibility
● Patient/Insurance billing and collections.
● Prepare Surgery payment worksheets and payment agreements
● Effective Management of the A/R through adjustments, rebilling and research of accounts.
● Work bad debt accounts- Calling and sending to collections.
● Schedule office visits & surgeries
● Obtain Precertification for surgeries
● Collections
● Answer 6 phone lines
● Excellent customer service.
Education
CH-CBS in Rural Health Professional Coding
Association for Rural Health Professional Coding Community Health Coding & Billing Specialist CH-CBS - December 2017 - Remote
December 2017 to December 2017
Certification in AAPC Medical Coding and Billing
AAPC Certification CPC- November 2017
November 2017 to November 2017
Certification in Medical Billing & Coding
Kelton Medical - Jonesboro, AR
August 2003 to December 2003
Associate's degree
Arkansas State University-Jonesboro - State University, AR August 2000 to December 2002
Associate's degree
Black River Technical College - Pocahontas, AR
August 1998 to December 1998
High school diploma
Walnut High School - Walnut Ridge, AR
August 1996 to May 1997
Skills
• Medical Collection
• Medical Billing
• Medical Coding
• CPT Coding
• Multi-line Phone Systems
• ICD-10
• Medical Records
• EMR Systems
• Hospital Experience
• Insurance Verification
• ICD-9
• Medical Office Experience
• Anatomy Knowledge
• Medical Receptionist
• HIPAA
• Medical Scheduling
• Data Entry
• Medical Terminology
Certifications and Licenses
Certified Professional Coder
November 2017 to Present
AAPC Certification CPC- November 2017
CH-CBS
Association for Rural Health Professional Coding Community Health Coding & Billing Specialist CH-CBS - December 2017 Certified Coding Specialist
November 2017 to December 2024
Contact this candidate