Rene Masterson
***** ******* ***** ***. ***. A
Baton Rouge, LA 70818
225-***-****-cell
***********@*****.***
Education:
Bachelors Degree - Health Care Management-Austin Peay University-1996
Associate Science Degree’s- Math & Science Victor Valley College-1992
Certification-Certified Occupational Safety Specialist-Louisiana State University-2012
OSHA 10 Hour card-Construction & General Industry-2012
Employment History:
Fresenius Dialysis- 9/6/2011 –12/30/11 Baton Rouge, LA.(Temporary Position)
• Process admissions for dialysis patients within the United States and Internationally.
• Interface with hospital to admit patients into Fresenius clinics(discharge planners, social worker etc).
• Process request for patient wanting to travel within the U.S and abroad.
• Ensure that all necessary documentation was obtained prior to travel, admissions or transfers.
Bay Area Rehabilitation Center - 5/12/-2005-09/30/2009/-Baytown, TX
• Entered PT, OT, Speech and DME billing charges for commercial Medicare and self pay payers.
• Submitted paper and electronic claims for payment.
• Provided complete follow up and correction (coding) of claims.
• Generated billing reports to the CFO directly.
• Processed appeals online & paper and through phone conversations with insurance companies.
• Set up payment plans for patients and addressed billing question from insurance companies and patients.
• Prepared bank deposits and other administrative support duties as needed.
Vanderbilt University - 12/05/2001-12/30/2003-Nashville, TN
• Submitted Medicare claims electronically for clinic specialty charges and hospital fees.
• Maintained follow up of 40+ claims daily.
• Addressed billing questions from patients and insurance companies.
• Entered patient information, insurance information and corrections.
• Processed Medicare appeals and other billing problems.
• Participated in audits and special billing projects within our department.
Renal Care Group - 12/03/1998-12/31/2000/Nashville, TN
• Received and submitted renal billing charges electronically.
• Set up and maintained insurance demographics in the computer.
• Maintained a high volume of calls to insurance companies for follow up of Medicare & Medicaid payments as well as addressing patient questions.
• Prepared start up charts for contracted companies new patients.
• Provided new employees with billing software training and set up.
• Performed payment audits and customer service product tracking.
• Participated in special billing projects as called for as well as general office support duties.
Watson Wellness Center - 01/05/1996- 11/02/1998-Oakland, CA
• Supervised a staff of eight employees in an out-patient clinic setting.
• Managed front and back office operations for a clinic of four doctors.
• Maintained doctor and facility credentialing.
• Ordered all office and medical supplies.
• Conducted all interviews and set up of new employee's.
• Ensured proper maintenance of office equipment.
• Provided software update training for employees.
• Performed separate billing for a contracted Chiropractor.
• Assisted in the development of health fairs and screenings.
• Help to ensure that the mobile van was stocked with needed medical/office supplies for prostrate screenings.
• Submitted billing reports to the doctor and other support duties as needed daily.
• Provided back up to front and back office duties as needed.
Personal Attributes:
• Management experience.
• Effective communicator.
• Knowledge of CFR 1910 & 1926 standards.
• Ability to evaluate problems and develop resolutions to them.
• Willingness to learn new skills.
• Experience in training and development.