Administrative Assistant

**** ******* **., *******, ** ***** 832-***-**** *******.*******@*****.***

Beverly S Heffner

Objective

A position in healthcare support or office administration in an organization where excellent customer service, accuracy to detail, strong organization and high ethical standards would be needed.

Summary

Former Assistant Supervisor/Lead Casemanager with a state government agency for 30 years. Thirty years experience interviewing, gathering, assessing information to determine client needs and eligibility for services. Strong customer service skill and strong moral and ethics. Re-entered work force to work in healthcare support. Proven ability to work effectively with persons from other cultures and all walks of life. Self-starter and have the talent to analyze information and problem solve with little or no supervision. Extremely productive and timely in performance of duties and/or assignments. I am familier with MS Word, Excel, internet explorer, mozilla firefox, and various software applications used in medical billing, i.e. Mckesson Practice Point Plus, Medisoft, Sage/Intergy, and EZ Biz.

Work Experience

06/10 to 10/10 Cook Chiropractic, Inc Bay City, TX

Medical Billing

Responsible for maintaining office supplies, making daily deposits and keeping record of daily transactions on ledger sheet.

Responsible for keying charges for chiropractic services into database for billing to insurance carriers and patients. Also performed collection activities, I.e. sending demand letters, calling patients regarding delinquent status of accounts.

Responsible for posting payments from insurance carriers, attorneys and patients. Post insurance payments and adjustments from paper and electronic explanation of benefits. Duties also include contacting payors to determine reason why payments are not paid for resolution. Audited EOB's and performed research.

Assisted front desk receptionist as needed.

10/09 - 04/10 Monitor Medical Inc. Stafford, TX

Receptionist/PBX Operator

Responsible for greeting customers and vendors and announcing to the appropriate party of their arrival. Greeted on average 10-15 people per day

Responsible for operating corporate switchboard by directing calls from customers and vendors to approximately 30 employees in the Stafford office as well as to the other branch offices in Texas. Directed approximately 70-90 calls per day.

Responsible for receiving and routing 40-50 faxes to intended receiver. Logged faxes onto an Excel log sheet on a daily basis. Another duty was to enter patient demographics from referrals for Cpap and Bipap equipments. These referrals came from physicians and sleep labs. Also scanned and sorted from 500 to 800 pages on most days.

05/09 – 09/09 Texas Gulf Medical Associates Wharton, TX

Billing Specialist

Coding super bills if physician had not provided CPT or ICD-9-CM code. Prepped approximately 40 to 50 super bills per day (super bills received from 5 physician specialists; specialties included: General Surgery (2), Neurology, OB/GYN, and Orthopedics.

Keyed 40 to 50 super bills per day into the Sage/Intergy system. Posted copayments, self-pay payments, and Medicare co-insurance. Also, assisted with rejected claims and eobs when the duties of coding/billing/keying were completed.

Assisted front desk staff with answering phones, faxing, scheduling appointments, registering new patients. Collected demographic and insurance information from new patients as well as verifying insurance eligibility through the Sage/Intergy system or through insurance carrier’s websites.

5/05 – 10/08 South Texas Medical Clinics, P.A. Wharton, TX

Accounts Receivable/Patient Registration/Workers Compensation Specialist

Answered questions regarding patient accounts via phone or walk-in. Corrected account errors, made adjustments to accounts, sent corrected claims to carriers if charges should have been filed to a third party rather than the patient.

Verified demographic and current insurance information set up new patient accounts and charts. Logged patients onto tracking log. Received payments for services rendered, self-pay, co-payments and completed deposits for the front desk each day. Completed daily credit card report. Scheduled appointments in the Convenient Care Clinic on Saturdays. Registered approximately 50 to 60 patients per day (including new and established patients).

Handled approximately 1000 workers compensation claims monthly for 5 South Texas Medical Clinics (Wharton, Bay City, East Bernard, Rosenberg, and Needville. Requested medical records for 20 to 40 claims per day (all paper claims). Kept tickler system to keep track of receipt of medical records. Received all workers’ comp and business account charge tickets. Reviewed charge tickets for completeness and added fees for occupational medicine charges. Coded and keyed these tickets into the database. Performed collection activities I.e. sending letters phone contacts regarding delinquent status of account, making payment arrangements. Performed claims tracking on a daily basis by contacting workers comp carriers on the status of payment. Received all EOB’s and performed appeals/reconsiderations for any denied claims. Worked closely with orthopedic physicians and their medical staff. Also worked closely with Occupational Medicine staff in ensuring all needed information was properly obtained for drug screens and employment physicals. Reconciled workers comp and business accounts for all 5 clinics.

10/08 – 02/09 South Texas Medical Clinics, P.A. Wharton, TX

Data Entry Clerk

Billing/keying charge tickets into database (McKesson Practice PointPlus). Keyed approximately 50 to 200 charge tickets per day.

Set up insurance records for new and established patients for 4 South Texas Medical Clinics. This included setting up records for commercial insurance, Medicare, and Medicaid. Duties also included verifying/reverifying insurance.

Billing/keying charge tickets into database (McKesson Practice PointPlus). Keyed approximately 50 to 200 charge tickets per day.

05/74 – 10/04 Texas Dept. of Human Services Rosenberg, TX

Assistant Supervisor/Lead Case Manager

Assisted in supervising a unit of Community Care for Aged and Disabled staff which consisted of 8 professional case managers and 4 clerical staff. Attended and conducted staff meetings at the local field level and Regional level. Served on committees regarding program policy and procedure. Responsible for training new staff, researching and analyzing program policy and procedure, completing monthly statistical reports as well as various other required reports. Volunteer coordinator for the unit; recruiting and placing volunteers to assist clerical staff or clients. Conducted Adult Protective Services investigations which included investigating reports of abuse, neglect, and sexual/financial exploitation of the elderly and disabled individuals. Handled a caseload of approximately 250 clients who received In-Home Services to prevent or delay institutional placement. Performed interviews to gather financial information to determine income and resource eligibility for services. Also conducted functional assessment on how various physical/mental diagnoses affected the individuals daily functioning. Developed service plans to meet unmet needs. Worked 1 years in Austin with the Agency on special assignment on an automated eligibility redesign project. Worked exclusively in “Conversion”. Duty was to ensure data from “old” database converted correctly into “new” database.

Education

08/69 – 05/73 Needville High School Diploma

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