Resume

Sign in

Manager Customer Service

Location:
Elk Grove Village, IL, 60007
Salary:
18.00-20.00
Posted:
August 22, 2012

Contact this candidate

Resume:

RESUME

klkdwp@r.postjobfree.com

Nancy A. Nalepa

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

Elk Grove, IL 60007

847-***-****

Position Desired: Medical Billing/ Collector

I have been associated with the medical field for many years. I bring with me compassion, a strong work ethic, responsible behavior, the ability to multitask and reliability. I enjoy talking with patients and being able to help them, completing challenging tasks, organizing and learning. I work well independently or with coworkers.

Thank you.

WORK EXPERIENCE

The Center for Sports Orthopaedics

Billing Dept Manager/Assistant to the Administrator October 2002 – present

ASSISTANT TO ADMINISTRATOR

• Performed Office Manager’s duties in her absence.

INSURANCE AND BILLING

• File and Transmit electronic claims, Review and correct PayerPath rejected claims within 24 hours. Refile claims on PP or Tiger after corrections.

• Review & correct the daily PayerPath reports from payers(hundreds every month)

• File and print paper claims-workers comp and medpay/3rd party. Attach supporting documentation for mailing.

• Maintain Insurance Files in Tiger, setting up new plans as needed w/the corresponding TSPID for electronic transmission.

• Maintain Referring Doctor file Demo’s including NPI lookup online

• Refer accounts for Liens. Negotiate release of lien.

WORKER’S COMP:

• Verify new WC accounts including insurance and adjuster information.

• Enter demographics and insurance for new WC accounts

• Research and Negotiate WC claims for prompt payment requests.

• Maintain the yearly updates to the Illinois WC State Fee Schedule.

• Collections for WC Insurance claims as well as WC “bill employer” claims.

• Deal with WC contract issues including resubmissions for network reductions taken in error or payments below Illinois State Fee Schedule.

• Appeal of denied claims.

• Tracking of disputed WC claims with Industrial Commission Cases.

• Fax work comp office notes to adjusters.

INFORMATION TECHNOLOGY:

• Set up and maintain online insurance websites (ID’s and passwords)

• Software downloads for Misys: upgrades and hot fixes.

• Opening/changes of Drs schedules in Tiger

Woodfield Orthopedics & Sports Medicine, Ltd.

. Medical Office Manager 2000 – 2002

I was the Medical Office Manager for an orthopedic private practice. The practice closed and the physician/owner moved to a different practice in August 2002. My job responsibilities were associated with the following areas:

. Assistant to the physician/owner. I handled Drs’ schedules, mail and correspondence.

I also handled matters of confidentiality.

. Review and distribution of the daily mail.

. Cash Management/Accounts Payable – performed all AP related activities (entry, invoice selection, payment). Was primary contact for all vendor-related inquiries.

Responsible for accounts receivable banking related activities.

. Payroll – responsible for the issuing of payroll checks.

. Legal Coordinator – responsible for the scheduling and collection of fees related

to all depositions.

. Creditialing and recredentialing coordinator – filed all related paper work/forms for the credentialing of 5 doctors for hospital and insurance health related contracts (PPO).

. Supervision of employees. Directed a staff of 12 people. Responsible for

placement of ads for open positions in publications, interviewing, hiring/firing, scheduling, performance reviews.

. Assistant Administrator 1998 – 2000

As assistant to the administrator I was responsible for:

. Being available to the administrator and assuming her duties when needed.

. Medical records – point of contact responsible for the procurement of all medical records and x-ray copy requests for patients, insurance companies, law firms.

. Workman’s Comp updates – main contact for insurance companies and employers

for patients receiving treatment associated with work related injuries.

Alexian Brothers Medical Center

. Billing Specialist Occupation Health 1997 – 1998

. Set up account information for all Employers who contracted with ABMC for their employee’s work related injuries.

. Maintained account information associated with demographics, employee/employer profile, pricing and billing. Worked in concert with the marketing department.

. Performed collections on past due accounts.

. Assisted in customer service calls associated with billing errors and questions.

. Contributed to the development of a centralized occupaional health employee training program.

. Worked in a variety of health/billing computer systems.

. Occupational Health Department Secretary 1995 – 1997

. Emergency Room Registrar 1991 – 1995

Education

BA in Psychology – University of Illinois - 1975

Sign Language – Harper College 1983

Miscellaneous Skills

. Misys/Tiger

. PayerPath

. Quick Books

. Microsoft Office

. Organizational skills

. Research on the internet

References can be provided



Contact this candidate