Team Members Financial Services
Resume:
Monique Berry
Kingman, AZ *****
******@*****.***
Authorized to work in the US for any employer
Work Experience
Outpatient Scheduling and Authorization Referral Manager Kingman Regional Medical Center-Kingman, AZ
June 2024 to Present
• Conducted performance evaluations for team members, identifying areas for improvement and implementing training programs
• Oversaw the hiring process, conducting interviews and making hiring decisions based on qualifications and fit with company culture
• Provided ongoing coaching and mentoring to team members, supporting their professional development
• Resolved customer complaints or issues promptly while maintaining a positive department.
• Identified areas for process improvement through data analysis
• Developed and implemented employee training programs that improved overall team performance by 3%
• Developed and implemented strategies to improve productivity and streamline processes
• Lead a team of 53 employees, providing guidance and support to ensure efficient operations
• Training and onboarding of new employees
Lead Reimbursement Coordinator
St. Luke's Hospital-Kansas City, MO
February 2019 to June 2024
• Obtain authorizations for surgical GYN procedures, radiology imaging, chemotherapy drugs, hospital Infusion for Hematology Oncology patients
• Reconciliation and enter hospital charges
• Assist patients with billing questions
• Verify eligibility, benefits and network status for hospital outpatient consults.
• Authorization for supportive services behavior office visits
• Track denial and report denial trends.
Patient Financial Services Pre-Certification Specialist The University of Kansas Hospital-Kansas City, KS
June 2018 to February 2019
• Obtains pre-certification and referrals for inpatient / surgical procedures.
• Verifies patients demographics and insurance
Patient Financial Services Pre-Certification Supervisor - Inpatient / Same Day Surgery
Children's Mercy Hospital-Kansas City, MO
August 2009 to June 2018
Kansas City, MO
August 2009 - June 2018
• Supervises a team of eight, who are responsible for obtaining authorization for inpatient and surgical procedures.
• Obtains pre-certification and referrals for inpatient / surgical procedures.
• Coordinates onboarding for new team members
• Develop and implementation of new processes
• Employee's time edits and corrections
• General Office Duties
• Coordinate Orientation for onboarding of new team members
• Interviewing and selecting candidates
• Performance Evaluations
• Ordered supplies made all service calls for equipment repairs Access Representative III
Children's Mercy Hospital-Kansas City, MO
June 2008 to August 2009
• Obtained pre-certification and referrals for inpatient admissions.
• Verifies patient insurance and obtained authorization for hospitals urgent admissions.
• Verifies patients demographics and insurance info by phone Staffing Office Coordinator
Truman Medical Center-Kansas City, MO
June 2005 to June 2008
• Staffed the 230-bed facility with RN, LPN, CNA, Unit Clerks, as well as other medical professionals.
• Tracked each inpatient unit expenditures on Agency staff.
• Oversaw employee time edits, corrections and vacation leaves.
• Staffed Jackson County Detention Center with medical personnel.
• Coordinated onboarding of contacted agency staff Patient Access Representative II
Truman Medical Center-Kansas City, MO
January 2001 to June 2005
• Assisted in bed placement of admissions from Emergency Room, clinics and transfers from other facilities.
• Assisted with new team member training.
• Verified insurance and collected patient co-payments.
• Verified patient demographics and insurance information by phone or face to face. Education
High School Diploma
Northeast High School - Kansas City, MO
May 2000
Skills
• Epic (6 years)
• Insurance Benefit Verification (via insurance websites)
• Microsoft Office (Word /Excel) (10+ years)
• PowerChart (10+ years)
• Kronos (10+ years)
• Res-Q (4 years)
• E-Care (10+ years)
• ICD-10 (5 years)
• CPT Coding (2 years)
• Passport (10+ years)
• McKesson Star System (7 years)
• Insurance Verification (10+ years)
• ICD-9 (5 years)
• Medical Coding (7 years)
• Medical Billing (3 years)
• Employee Orientation (9 years)
• Anatomy Knowledge (8 years)
• Medical Records (10+ years)
• Hospital Experience (10+ years)
• Medical Records (10+ years)
• Medical Office Experience (10+ years)
• Supervising Experience (10+ years)
• Medical Scheduling
• Phone Etiquette (10+ years)
• Medical Terminology (10+ years)
• EMR Systems (10+ years)
• ICD Coding (10+ years)
• Quality Assurance (8 years)
• Microsoft Excel (10+ years)
• Microsoft Word (10+ years)
• Word processing (10+ years)
• Typing (10+ years)
• Accounting (3 years)
• Cerner (10+ years)
• Customer service (10+ years)
• Microsoft Access
• Microsoft Outlook (10+ years)
• Utilization management (10+ years)
• Communication skills
• Microsoft Powerpoint
• Multi-line phone systems
• Medical terminology
• ICD-10
• EMR systems
• Computer skills
• CPT coding
• Basic math
• Analysis skills
• Leadership (10+ years)
• Supervising experience
• Epic (6 years)
• Microsoft Access
• Hospital experience (10+ years)
• Kronos (10+ years)
• Interviewing (10+ years)
• IVR
• Medical records
• Typing
• Medical coding
• ICD-9
• ICD coding
• Anatomy knowledge
• Healthcare management
• Quality assurance
• Care plans
• Recruiting (10+ years)
Languages
• French - Intermediate
Certifications and Licenses
Driver's License
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